H-1B Visa Finance Director Jobs
Finance Director roles qualify for H-1B visa sponsorship as specialty occupations requiring at least a bachelor's degree in finance, accounting, or a related field. Employers in financial services, healthcare, and technology regularly file LCAs for this title. The 85,000-cap lottery applies, so timing your job search around the April registration window matters.
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Get Access To All JobsCompany Overview:
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities:
Acentra Health is looking for a Director, Finance to join our growing team.
Position Purpose:
The Finance Director will provide strategic financial leadership and operational oversight for the program. This role is responsible for budget development, financial forecasting, pricing support, program financial management, reporting, compliance monitoring, and analytical decision support. The position partners closely with operations, compliance, state stakeholders, and executive leadership to ensure effective stewardship of public funds, achievement of program objectives, and alignment with contractual and regulatory requirements. The Finance Director will also support initiatives focused on program integrity, fraud, waste, and abuse detection, operational efficiency, and continuous improvement.
Key Responsibilities/ Accountabilities:
- Lead annual, quarterly, and monthly budgeting, forecasting, and long-range financial planning activities for the state healthcare program.
- Monitor financial performance against budgets and forecasts; identify risks, trends, and opportunities and provide actionable recommendations.
- Develop and maintain financial reporting, dashboards, and executive-level presentations for internal leadership and state stakeholders.
- Support pricing strategy, cost modeling, rate analysis, and financial components of state contract deliverables and change requests.
- Partner with operations, clinical, compliance, and analytics teams to evaluate program performance and support data-driven decision making.
- Implement financial controls, policies, and procedures to ensure compliance with contractual obligations, state regulations, and corporate policies.
- Collaborate with compliance teams to support initiatives related to fraud, waste, and abuse detection and prevention.
- Analyze operational data to identify anomalies, financial leakage, and opportunities for cost containment.
- Support audits, state reviews, and financial reconciliations.
- Assist with cash forecasting, accrual management, invoicing oversight, and coordination with accounting functions.
- Drive process improvement initiatives focused on operational efficiency, automation, and enhanced financial transparency.
- Maintain adherence to HIPAA, data privacy, and information security requirements.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Qualifications
Critical Qualifications:
- Bachelor’s degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field required.
- Minimum of 7 years of progressive financial management experience, including experience supporting large government healthcare or public sector programs with project budgets greater than $50 million dollars.
- Preferred experience working with New York State agencies, Medicaid programs, managed care organizations, or healthcare oversight initiatives.
- Demonstrated experience with budgeting, forecasting, financial analysis, and executive reporting.
- Experience with pricing strategy, competitive analysis, and proposal support for state or government contracts preferred.
- Advanced proficiency in Microsoft Excel and financial reporting tools.
- Strong analytical, organizational, and problem-solving skills with the ability to interpret complex financial and operational data.
- Excellent verbal and written communication skills, including experience presenting to executive leadership and external stakeholders.
Additional Qualifications:
- MBA, CPA, or other advanced financial certification.
- Strong knowledge of healthcare finance, government contracting, Medicaid reimbursement methodologies, and financial compliance requirements.
- Experience supporting program integrity initiatives, including fraud, waste, and abuse detection, data analysis, and financial oversight.
- Experience with Deltek Costpoint or Oracle EPM preferred.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
\~ The Acentra Health Talent Acquisition Team
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Experience in Lieu of Degree
For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.
Compensation
The pay range for this position is listed below.
“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Pay Range: USD $135,120.00 - USD $190,000.00 /Yr.
Company Overview:
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities:
Acentra Health is looking for a Director, Finance to join our growing team.
Position Purpose:
The Finance Director will provide strategic financial leadership and operational oversight for the program. This role is responsible for budget development, financial forecasting, pricing support, program financial management, reporting, compliance monitoring, and analytical decision support. The position partners closely with operations, compliance, state stakeholders, and executive leadership to ensure effective stewardship of public funds, achievement of program objectives, and alignment with contractual and regulatory requirements. The Finance Director will also support initiatives focused on program integrity, fraud, waste, and abuse detection, operational efficiency, and continuous improvement.
Key Responsibilities/ Accountabilities:
- Lead annual, quarterly, and monthly budgeting, forecasting, and long-range financial planning activities for the state healthcare program.
- Monitor financial performance against budgets and forecasts; identify risks, trends, and opportunities and provide actionable recommendations.
- Develop and maintain financial reporting, dashboards, and executive-level presentations for internal leadership and state stakeholders.
- Support pricing strategy, cost modeling, rate analysis, and financial components of state contract deliverables and change requests.
- Partner with operations, clinical, compliance, and analytics teams to evaluate program performance and support data-driven decision making.
- Implement financial controls, policies, and procedures to ensure compliance with contractual obligations, state regulations, and corporate policies.
- Collaborate with compliance teams to support initiatives related to fraud, waste, and abuse detection and prevention.
- Analyze operational data to identify anomalies, financial leakage, and opportunities for cost containment.
- Support audits, state reviews, and financial reconciliations.
- Assist with cash forecasting, accrual management, invoicing oversight, and coordination with accounting functions.
- Drive process improvement initiatives focused on operational efficiency, automation, and enhanced financial transparency.
- Maintain adherence to HIPAA, data privacy, and information security requirements.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Qualifications
Critical Qualifications:
- Bachelor’s degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field required.
- Minimum of 7 years of progressive financial management experience, including experience supporting large government healthcare or public sector programs with project budgets greater than $50 million dollars.
- Preferred experience working with New York State agencies, Medicaid programs, managed care organizations, or healthcare oversight initiatives.
- Demonstrated experience with budgeting, forecasting, financial analysis, and executive reporting.
- Experience with pricing strategy, competitive analysis, and proposal support for state or government contracts preferred.
- Advanced proficiency in Microsoft Excel and financial reporting tools.
- Strong analytical, organizational, and problem-solving skills with the ability to interpret complex financial and operational data.
- Excellent verbal and written communication skills, including experience presenting to executive leadership and external stakeholders.
Additional Qualifications:
- MBA, CPA, or other advanced financial certification.
- Strong knowledge of healthcare finance, government contracting, Medicaid reimbursement methodologies, and financial compliance requirements.
- Experience supporting program integrity initiatives, including fraud, waste, and abuse detection, data analysis, and financial oversight.
- Experience with Deltek Costpoint or Oracle EPM preferred.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
\~ The Acentra Health Talent Acquisition Team
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Experience in Lieu of Degree
For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.
Compensation
The pay range for this position is listed below.
“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Pay Range: USD $135,120.00 - USD $190,000.00 /Yr.
See all 1,607+ H-1B Visa Finance Director Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Finance Director Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Finance Director
Verify your degree meets specialty occupation
USCIS requires your degree field to align directly with the Finance Director role. A general business degree can draw an RFE if the employer can't show the position requires finance-specific expertise. Pull the O*NET profile for SOC 11-3031 to document the degree-to-role connection before interviews.
Target employers with active LCA filing history
Use Migrate Mate to filter Finance Director openings by employers who have filed LCAs for this title. Prior filing history signals that the employer understands prevailing wage obligations and won't treat sponsorship as an unfamiliar process during offer negotiations.
Confirm prevailing wage tier before negotiating
Run the OFLC Wage Search for SOC code 11-3031 in your target metro before your first salary discussion. The LCA must certify at least the Level I prevailing wage, but Finance Directors typically fall at Level III or IV, which directly anchors the employer's minimum offer.
Ask about cap-exempt entity affiliations
Universities, non-profit research institutions, and government research organizations are cap-exempt H-1B employers. A Finance Director role at a university system or hospital affiliated with a qualifying research entity can skip the lottery entirely, letting you start sooner.
File during premium processing for executive searches
Finance Director searches often run on tight board-approved timelines. Confirm whether your employer will use USCIS premium processing, which guarantees a decision within 15 business days. Standard processing for a cap-year H-1B can run several months, creating a gap risk if your start date is firm.
Document your supervisory scope for the petition
USCIS scrutinizes whether Finance Director duties genuinely require a specialty degree rather than general management experience. Prepare a detailed job duties letter that ties each responsibility, such as treasury oversight or SEC reporting, to specific finance coursework or credential requirements.
H-1B Visa Finance Director: Frequently Asked Questions
Does a Finance Director role qualify as a specialty occupation for H-1B purposes?
Yes, Finance Director qualifies when the employer can demonstrate the position normally requires a bachelor's degree or higher in finance, accounting, economics, or a closely related field. Roles that accept any business degree without a field-specific requirement can face USCIS scrutiny. A well-drafted job description that ties each duty to a specific finance discipline strengthens the petition significantly.
How do I find Finance Director employers who are already comfortable sponsoring H-1B visas?
Migrate Mate filters Finance Director listings by employers with verified LCA filing history, so you're not starting conversations with companies that have never sponsored before. Prior sponsorship experience matters at this seniority level because the employer's legal team needs to be familiar with prevailing wage obligations and the LCA certification process before you reach the offer stage.
What is the prevailing wage requirement for an H-1B Finance Director petition?
The employer must pay at least the DOL prevailing wage for the Finance Director role in the specific metro area where you'll work. You can look up the applicable wage level using the OFLC Wage Search by entering SOC code 11-3031 and the relevant location. Most Finance Director positions fall at wage Level III or IV, and the LCA must certify at or above that threshold before USCIS will approve the petition.
Can I change employers as a Finance Director on H-1B without losing my status?
Yes, H-1B portability under AC21 lets you start working for a new employer as soon as the new I-129 petition is filed, provided your current H-1B has been approved for at least 180 days. The new employer files their own LCA and I-129 for the Finance Director role. You don't need to wait for the new petition to be approved before starting, which removes most of the risk from executive-level transitions.
Are Finance Director roles at non-profit or university employers exempt from the H-1B cap?
Yes, if the employer is a qualifying institution such as an institution of higher education, a non-profit affiliated with such an institution, or a non-profit or government research organization, the H-1B petition is cap-exempt. Finance Director roles at hospital systems, university foundations, or research-focused non-profits may qualify, letting you bypass the lottery and file at any point in the year.