H-1B Visa Director Of Innovation Jobs
Director of Innovation roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree or higher in a directly related specialty field. Employers must file a Labor Condition Application before your petition, certifying the role meets prevailing wage requirements. Most hiring happens at large tech, consulting, and R&D-driven organizations with established H-1B filing history.
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Get Access To All JobsAbout Sagility
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Manager, Payment Integrity Program Development & Innovation
Job Description:
Manager, Payment Integrity Program Development & Innovation is responsible for leading a team of healthcare payment integrity experts focused on developing, implementing, and optimizing complex audit programs that identify and recover healthcare overpayments. This role oversees the creation of audit concepts, claim selection methodologies, and recovery strategies across inpatient, outpatient, professional, specialty, and durable medical equipment (DME) claim types.
The Manager serves as a key leader within the Payment Integrity organization, partnering with clinical, operational, analytics, appeals, and client-facing teams to drive innovative audit solutions, maximize recovery opportunities, and ensure program effectiveness. This position plays a critical role in expanding audit capabilities, improving financial outcomes, and delivering exceptional value to clients.
Essential Responsibilities
Leadership & Team Development
- Lead, mentor, and develop a team of Subject Matter Experts responsible for complex audit program design and implementation.
- Foster a culture of accountability, collaboration, innovation, and continuous improvement.
- Establish performance expectations and monitor team productivity, quality, and operational effectiveness.
- Support recruitment, onboarding, professional development, and succession planning initiatives.
Audit Program Development
- Develop and maintain a portfolio of complex payment integrity audit concepts and recovery initiatives.
- Identify emerging overpayment risks and reimbursement vulnerabilities across multiple healthcare claim types.
- Evaluate opportunities based on financial impact, operational feasibility, recovery potential, and client value.
- Collaborate with internal stakeholders to prioritize and implement new audit programs.
Claim Selection Strategy
- Partner with analytics and technology teams to design, validate, and optimize claim selection methodologies and audit algorithms.
- Define business requirements and selection criteria for complex audit programs.
- Monitor audit performance and continuously refine targeting strategies to improve recovery yield and audit accuracy.
- Evaluate program metrics, including hit rates, recovery rates, overturn rates, and return on investment.
Regulatory & Technical Expertise
- Provide subject matter expertise on healthcare reimbursement methodologies, payment policies, coding guidelines, and industry best practices.
- Ensure audit concepts and methodologies comply with applicable regulatory, contractual, and operational requirements.
- Serve as an escalation point for complex audit findings, provider disputes, and appeals support activities.
- Maintain current knowledge of Medicare, Medicaid, Commercial, and Managed Care reimbursement methodologies.
Client & Cross-Functional Collaboration
- Partner with Operations, Clinical, Appeals, Product, Analytics, Compliance, and Client Services teams to support successful program implementation.
- Participate in client-facing discussions related to audit methodologies, findings, performance metrics, and program strategy.
- Support sales, implementation, and proposal efforts by providing subject matter expertise and audit program recommendations.
- Contribute to strategic initiatives that enhance payment integrity capabilities and client outcomes.
Required Qualifications
Education
- Bachelor’s degree in Nursing, Health Information Management, Healthcare Administration, Business Administration, Finance, or a related field.
Experience
- Minimum of 5 years of healthcare Payment Integrity experience.
- Minimum of 3 years of leadership experience managing audit, coding, clinical, payment integrity, or SME teams.
- Demonstrated experience developing complex healthcare audit concepts and claim selection methodologies.
- Strong knowledge of healthcare reimbursement methodologies, claims adjudication, coding systems, and payment integrity operations.
- Experience collaborating with analytics, operations, and appeals teams to implement audit programs.
Preferred Qualifications
- Current unrestricted RN license.
- RHIA, RHIT, CCS, CPC, COC, CIC, CRC, or other applicable healthcare industry certification.
- Experience with Medicare, Medicaid, Commercial, and Medicare Advantage reimbursement methodologies.
- Experience supporting client implementations, provider engagement activities, and RFP responses.
- Experience with healthcare data analysis, audit technology platforms, and complex claims analytics.
Knowledge, Skills & Abilities
- Healthcare Reimbursement Methodologies
- Payment Integrity Program Management
- Complex Audit Concept Development
- Claims Analytics and Audit Selection Strategies
- Regulatory Compliance and Healthcare Policy Knowledge
- Leadership and Team Development
- Strategic Planning and Problem Solving
- Project and Portfolio Management
- Strong Written and Verbal Communication Skills
- Client Relationship Management
- Process Improvement and Operational Excellence
Success Measures
Success in this role will be measured by:
- Development and implementation of new audit concepts
- Recovery yield and financial performance of audit programs
- Improvement in audit hit rates and return on investment
- Team productivity, quality, and engagement
- Client satisfaction and retention
- Regulatory compliance and audit defensibility
- Innovation and continuous improvement outcomes
Sagility is an Equal Opportunity Employer/Vet/Disability
Location:
Work@Home USAUnited States of America
About Sagility
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Manager, Payment Integrity Program Development & Innovation
Job Description:
Manager, Payment Integrity Program Development & Innovation is responsible for leading a team of healthcare payment integrity experts focused on developing, implementing, and optimizing complex audit programs that identify and recover healthcare overpayments. This role oversees the creation of audit concepts, claim selection methodologies, and recovery strategies across inpatient, outpatient, professional, specialty, and durable medical equipment (DME) claim types.
The Manager serves as a key leader within the Payment Integrity organization, partnering with clinical, operational, analytics, appeals, and client-facing teams to drive innovative audit solutions, maximize recovery opportunities, and ensure program effectiveness. This position plays a critical role in expanding audit capabilities, improving financial outcomes, and delivering exceptional value to clients.
Essential Responsibilities
Leadership & Team Development
- Lead, mentor, and develop a team of Subject Matter Experts responsible for complex audit program design and implementation.
- Foster a culture of accountability, collaboration, innovation, and continuous improvement.
- Establish performance expectations and monitor team productivity, quality, and operational effectiveness.
- Support recruitment, onboarding, professional development, and succession planning initiatives.
Audit Program Development
- Develop and maintain a portfolio of complex payment integrity audit concepts and recovery initiatives.
- Identify emerging overpayment risks and reimbursement vulnerabilities across multiple healthcare claim types.
- Evaluate opportunities based on financial impact, operational feasibility, recovery potential, and client value.
- Collaborate with internal stakeholders to prioritize and implement new audit programs.
Claim Selection Strategy
- Partner with analytics and technology teams to design, validate, and optimize claim selection methodologies and audit algorithms.
- Define business requirements and selection criteria for complex audit programs.
- Monitor audit performance and continuously refine targeting strategies to improve recovery yield and audit accuracy.
- Evaluate program metrics, including hit rates, recovery rates, overturn rates, and return on investment.
Regulatory & Technical Expertise
- Provide subject matter expertise on healthcare reimbursement methodologies, payment policies, coding guidelines, and industry best practices.
- Ensure audit concepts and methodologies comply with applicable regulatory, contractual, and operational requirements.
- Serve as an escalation point for complex audit findings, provider disputes, and appeals support activities.
- Maintain current knowledge of Medicare, Medicaid, Commercial, and Managed Care reimbursement methodologies.
Client & Cross-Functional Collaboration
- Partner with Operations, Clinical, Appeals, Product, Analytics, Compliance, and Client Services teams to support successful program implementation.
- Participate in client-facing discussions related to audit methodologies, findings, performance metrics, and program strategy.
- Support sales, implementation, and proposal efforts by providing subject matter expertise and audit program recommendations.
- Contribute to strategic initiatives that enhance payment integrity capabilities and client outcomes.
Required Qualifications
Education
- Bachelor’s degree in Nursing, Health Information Management, Healthcare Administration, Business Administration, Finance, or a related field.
Experience
- Minimum of 5 years of healthcare Payment Integrity experience.
- Minimum of 3 years of leadership experience managing audit, coding, clinical, payment integrity, or SME teams.
- Demonstrated experience developing complex healthcare audit concepts and claim selection methodologies.
- Strong knowledge of healthcare reimbursement methodologies, claims adjudication, coding systems, and payment integrity operations.
- Experience collaborating with analytics, operations, and appeals teams to implement audit programs.
Preferred Qualifications
- Current unrestricted RN license.
- RHIA, RHIT, CCS, CPC, COC, CIC, CRC, or other applicable healthcare industry certification.
- Experience with Medicare, Medicaid, Commercial, and Medicare Advantage reimbursement methodologies.
- Experience supporting client implementations, provider engagement activities, and RFP responses.
- Experience with healthcare data analysis, audit technology platforms, and complex claims analytics.
Knowledge, Skills & Abilities
- Healthcare Reimbursement Methodologies
- Payment Integrity Program Management
- Complex Audit Concept Development
- Claims Analytics and Audit Selection Strategies
- Regulatory Compliance and Healthcare Policy Knowledge
- Leadership and Team Development
- Strategic Planning and Problem Solving
- Project and Portfolio Management
- Strong Written and Verbal Communication Skills
- Client Relationship Management
- Process Improvement and Operational Excellence
Success Measures
Success in this role will be measured by:
- Development and implementation of new audit concepts
- Recovery yield and financial performance of audit programs
- Improvement in audit hit rates and return on investment
- Team productivity, quality, and engagement
- Client satisfaction and retention
- Regulatory compliance and audit defensibility
- Innovation and continuous improvement outcomes
Sagility is an Equal Opportunity Employer/Vet/Disability
Location:
Work@Home USAUnited States of America
See all 317+ H-1B Visa Director Of Innovation Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Director Of Innovation
Map your degree to the role
Director of Innovation petitions face RFE risk when the specialty occupation connection is unclear. Document how your degree field directly underpins the innovation function, not just general management, using the O*NET occupation profile as a reference framework.
Target employers with R&D budget mandates
Companies with dedicated R&D spend or federal innovation contracts file H-1B petitions more predictably than those where the role is discretionary. Search Migrate Mate by employer to surface organizations with verified LCA filing history for innovation-adjacent titles.
Verify prevailing wage before salary negotiations
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your specific job zone and location. Run the OFLC Wage Search before your offer conversation so you can confirm the posted range satisfies Level III or Level IV requirements.
Negotiate H-1B premium processing into your offer
Director-level roles often come with tight start-date expectations. Request that your employer file with USCIS premium processing, which reduces the adjudication window to 15 business days and protects your start date if you're transitioning from another status.
Confirm cap-exempt status for university or nonprofit roles
Innovation director positions at universities, nonprofit research institutions, or government-affiliated entities are cap-exempt, meaning your employer can file outside the annual lottery. Confirm the organization qualifies under INA 214(g)(5) before counting on cap-exempt filing.
Prepare evidence of specialized expertise early
USCIS scrutinizes Director of Innovation petitions for evidence that the role genuinely requires specialized knowledge rather than general leadership. Assemble publications, patents, keynote invitations, or board memberships before the offer stage so your employer's attorney can build the petition immediately.
H-1B Visa Director Of Innovation: Frequently Asked Questions
Does a Director of Innovation role qualify as a specialty occupation for H-1B purposes?
It can, but USCIS reviews these petitions carefully because the title spans both management and technical functions. The role qualifies when it demonstrably requires a bachelor's degree or higher in a specific field, such as engineering, computer science, or design strategy. A job description that lists a degree as preferred rather than required weakens the petition significantly.
How do I find employers who actually sponsor H-1B visas for Director of Innovation positions?
The most reliable method is searching DOL Labor Condition Application disclosure data, which shows which employers have filed for innovation-related titles and at what wage levels. Migrate Mate filters this data by role and employer so you can identify organizations with a documented H-1B filing track record, rather than relying on job postings that may not reflect actual sponsorship willingness.
Can my employer count me toward the H-1B cap if I'm already on a valid H-1B with another company?
Yes. If you already hold H-1B status, your new employer can file an H-1B transfer petition without subjecting you to the annual cap or lottery. The transfer lets you begin work as soon as the new petition is filed, not after approval, provided the new employer's I-129 is submitted before your current authorized period ends.
What happens to my H-1B status if my Director of Innovation role is eliminated or restructured after I'm sponsored?
You have a 60-day grace period from the date your employment ends to find a new sponsoring employer, transfer your H-1B, or change to another valid status. During that window, you can't work, but you can interview and negotiate an offer. Filing a transfer petition before the grace period expires preserves your status while the new petition is pending.
Does the DOL prevailing wage requirement apply differently for a director-level role versus a manager-level role?
The prevailing wage is determined by the specific SOC occupation code and job zone assigned to your role, not the title alone. Director of Innovation positions typically map to higher wage levels, usually Level III or Level IV, because they require substantial experience and independent judgment. Your employer must certify this wage in the LCA before USCIS will approve the H-1B petition.