H-1B Visa Technical Account Manager Jobs
Technical Account Manager roles sit at the intersection of technical expertise and client relationship management, making them strong H-1B visa candidates when tied to a specific degree in computer science, engineering, or a related field. Employers in SaaS, cloud infrastructure, and enterprise software regularly sponsor H-1B visas for this role.
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Get Access To All JobsAbout NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room? NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
Founded: 2017
Headquarters: San Francisco, CA
Funding: $177M Series C
Employees: 200+
* Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About The Role
The Synchronizer API is the strategic core of NexHealth. Hundreds of health-tech companies, from innovative venture-backed AI startups to established healthcare enterprises, are in production on it today. The foundational work is done. What determines the revenue trajectory from here is how deeply those companies expand. This role owns that problem. The Technical Account Manager is the primary commercial and technical relationship for the existing customer base. The mandate is straightforward: understand what each customer is building, identify where they can go further with the API, and drive the expansion that follows. This is not a support function. It is a revenue role.
Responsibilities
The customers you will manage span a broad spectrum of healthcare technology, including Voice AI platforms, Revenue Cycle Management tools, patient engagement products, dental and medical practice intelligence software, and practice automation companies. The common thread is that they are all building on NexHealth infrastructure, and the depth of that relationship is largely untapped. Some key responsibilities for this role include:
- Own revenue expansion for the existing customer base. Your primary metric is net revenue retention. You are accountable for growing the book, not just protecting it.
- Drive multi-location growth. The largest expansion lever in the business is moving customers from one or two locations to ten, fifty, or more. You understand each customer's footprint, their growth trajectory, and the conversation that closes the next tier.
- Identify and close upsell and cross-sell opportunities. Customers using one part of the API are often a fit for more. You know the product well enough to recognize the gap and make the case.
- Serve as the primary technical relationship for your accounts. You are the person customers call when something is not working, when they are planning a new integration, or when they want to understand what is possible. You do not replace engineering support, but you own the relationship that makes it productive.
- Surface expansion-blocking issues and resolve them. Churn starts before it shows up in the data. You identify accounts where usage has plateaued, engagement has dropped, or a technical blocker is preventing growth, and you act before it becomes a loss.
- Manage a named account portfolio. You own a defined set of active customers. You know their integration depth, their business model, their growth plans, and the decision-makers on their team.
- Run regular business reviews. Structured check-ins that cover usage trends, expansion opportunities, and roadmap alignment. These are revenue conversations with a technical backbone.
- Build and execute expansion plans by account. For each account, you maintain a view of current ARR, potential ARR, and the specific actions required to close the gap.
- Work closely with Engineering and Solutions Engineering on complex technical questions. When a customer needs architectural guidance, you facilitate it. You stay in the commercial driver's seat.
- Coordinate handoffs with the sales team. When an existing customer has a need that looks like a new logo opportunity (a subsidiary, a new product line, a partnership), you connect the right people.
- Keep the CRM current and the forecast accurate. Expansion pipeline, renewal risk, and account health are tracked and reported. The business makes investment decisions based on what you report.
How You Will Work
- You are the continuity in the customer relationship. Sales closes the initial deal. You own everything after that, including the next three.
- You operate at the intersection of commercial and technical. You are not an engineer, but you are fluent enough to have a real conversation about an API integration, a webhook architecture, or a production issue. You know when to bring in deeper technical resources and how to translate between them and the customer.
- You work proactively, not reactively. Expansion does not happen because customers ask for it. It happens because you identified the opportunity, built the case, and ran the conversation.
- You build, not just manage. The playbook for technical account management in this business does not fully exist yet. You will help define what good looks like.
What You Will Bring
- 4+ years in a technical account management, customer success, or solutions engineering role at a SaaS or API-first company, with demonstrated ownership of expansion revenue.
- A track record of growing accounts, not just renewing them. You have a clear understanding of what drove NRR in your prior roles and how you contributed to it.
- Technical fluency with APIs and developer workflows. You do not need to write production code, but you need to understand how customers integrate, where integrations break, and what good looks like.
- Experience navigating multi-stakeholder accounts. In health-tech, the economic buyer, the technical owner, and the day-to-day user are rarely the same person.
- Commercial orientation. You are not in this role to manage relationships. You are in it to grow them.
- CRM discipline and comfort with data. You track your book rigorously and you can build a credible expansion forecast.
Bonus Points For
- Prior experience in health-tech, developer tools, or API platforms.
- Familiarity with EHR/PMS systems, clinical workflows, or Revenue Cycle Management.
- Experience in a customer-facing role at a company building its GTM function.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
NexHealth Compensation Range $129,000—$180,000 USD
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
-
Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. -
Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. -
Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. -
Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. -
Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
About NexHealth
Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room? NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.
Founded: 2017
Headquarters: San Francisco, CA
Funding: $177M Series C
Employees: 200+
* Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs
About The Role
The Synchronizer API is the strategic core of NexHealth. Hundreds of health-tech companies, from innovative venture-backed AI startups to established healthcare enterprises, are in production on it today. The foundational work is done. What determines the revenue trajectory from here is how deeply those companies expand. This role owns that problem. The Technical Account Manager is the primary commercial and technical relationship for the existing customer base. The mandate is straightforward: understand what each customer is building, identify where they can go further with the API, and drive the expansion that follows. This is not a support function. It is a revenue role.
Responsibilities
The customers you will manage span a broad spectrum of healthcare technology, including Voice AI platforms, Revenue Cycle Management tools, patient engagement products, dental and medical practice intelligence software, and practice automation companies. The common thread is that they are all building on NexHealth infrastructure, and the depth of that relationship is largely untapped. Some key responsibilities for this role include:
- Own revenue expansion for the existing customer base. Your primary metric is net revenue retention. You are accountable for growing the book, not just protecting it.
- Drive multi-location growth. The largest expansion lever in the business is moving customers from one or two locations to ten, fifty, or more. You understand each customer's footprint, their growth trajectory, and the conversation that closes the next tier.
- Identify and close upsell and cross-sell opportunities. Customers using one part of the API are often a fit for more. You know the product well enough to recognize the gap and make the case.
- Serve as the primary technical relationship for your accounts. You are the person customers call when something is not working, when they are planning a new integration, or when they want to understand what is possible. You do not replace engineering support, but you own the relationship that makes it productive.
- Surface expansion-blocking issues and resolve them. Churn starts before it shows up in the data. You identify accounts where usage has plateaued, engagement has dropped, or a technical blocker is preventing growth, and you act before it becomes a loss.
- Manage a named account portfolio. You own a defined set of active customers. You know their integration depth, their business model, their growth plans, and the decision-makers on their team.
- Run regular business reviews. Structured check-ins that cover usage trends, expansion opportunities, and roadmap alignment. These are revenue conversations with a technical backbone.
- Build and execute expansion plans by account. For each account, you maintain a view of current ARR, potential ARR, and the specific actions required to close the gap.
- Work closely with Engineering and Solutions Engineering on complex technical questions. When a customer needs architectural guidance, you facilitate it. You stay in the commercial driver's seat.
- Coordinate handoffs with the sales team. When an existing customer has a need that looks like a new logo opportunity (a subsidiary, a new product line, a partnership), you connect the right people.
- Keep the CRM current and the forecast accurate. Expansion pipeline, renewal risk, and account health are tracked and reported. The business makes investment decisions based on what you report.
How You Will Work
- You are the continuity in the customer relationship. Sales closes the initial deal. You own everything after that, including the next three.
- You operate at the intersection of commercial and technical. You are not an engineer, but you are fluent enough to have a real conversation about an API integration, a webhook architecture, or a production issue. You know when to bring in deeper technical resources and how to translate between them and the customer.
- You work proactively, not reactively. Expansion does not happen because customers ask for it. It happens because you identified the opportunity, built the case, and ran the conversation.
- You build, not just manage. The playbook for technical account management in this business does not fully exist yet. You will help define what good looks like.
What You Will Bring
- 4+ years in a technical account management, customer success, or solutions engineering role at a SaaS or API-first company, with demonstrated ownership of expansion revenue.
- A track record of growing accounts, not just renewing them. You have a clear understanding of what drove NRR in your prior roles and how you contributed to it.
- Technical fluency with APIs and developer workflows. You do not need to write production code, but you need to understand how customers integrate, where integrations break, and what good looks like.
- Experience navigating multi-stakeholder accounts. In health-tech, the economic buyer, the technical owner, and the day-to-day user are rarely the same person.
- Commercial orientation. You are not in this role to manage relationships. You are in it to grow them.
- CRM discipline and comfort with data. You track your book rigorously and you can build a credible expansion forecast.
Bonus Points For
- Prior experience in health-tech, developer tools, or API platforms.
- Familiarity with EHR/PMS systems, clinical workflows, or Revenue Cycle Management.
- Experience in a customer-facing role at a company building its GTM function.
Compensation
Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.
NexHealth Compensation Range $129,000—$180,000 USD
Benefits
- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions
Our Values
- Solve the customer’s problems, not yours
When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
-
Do the things others are not willing to do
As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace. -
Take ownership
Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses. -
Say what’s on your mind, with positive intent
Be direct, proactive, transparent, and frequent in your communication. -
Default trust
As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster. -
Think in first principles
We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.
See all 246+ H-1B Visa Technical Account Manager Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Technical Account Manager
Align your degree to the TAM role
USCIS requires specialty occupation proof, so document how your computer science, engineering, or information systems degree directly supports the technical components of the TAM role. Generic business degrees can trigger RFEs without supplemental evidence.
Target employers with active LCA filings
Use Migrate Mate to filter Technical Account Manager roles by verified DOL Labor Condition Application history, so you're only applying to employers who have already cleared the H-1B filing infrastructure for this job title.
Verify prevailing wage before negotiating
Run the TAM job title through the OFLC Wage Search using the correct SOC code before accepting any offer. Your employer's LCA must certify a wage at or above the DOL prevailing wage for your work location and experience level.
Distinguish onsite from remote work in your petition
TAMs frequently travel to client sites or work from multiple locations. Each worksite listed in your H-1B petition requires a separate LCA filing. Confirm your employer understands this before the I-129 is submitted to avoid USCIS compliance issues.
Use O*NET to anchor your specialty occupation case
Pull the O*NET occupation profile for your SOC code to show USCIS that the role typically requires at least a bachelor's degree in a specific technical discipline. This is especially useful if your employer's job posting uses vague or broad language.
Time your application around cap registration
H-1B cap registration opens in March each year for an October 1 start date. If you're on OPT, confirm your cap-gap coverage extends your authorization through October 1 so there's no gap if your petition clears the lottery.
H-1B Visa Technical Account Manager: Frequently Asked Questions
Does a Technical Account Manager role qualify as an H-1B specialty occupation?
It depends on how the role is defined in the job description and LCA. TAM positions that require applying technical knowledge from a specific field, such as cloud architecture, systems engineering, or enterprise software, typically qualify. Roles framed around general account management without a technical degree requirement are more likely to draw an RFE from USCIS. The employer's job posting and internal job documentation carry significant weight in the adjudication.
Which industries sponsor H-1B visas most frequently for Technical Account Managers?
SaaS companies, cloud infrastructure providers, cybersecurity firms, and enterprise software vendors are the most consistent H-1B sponsors for TAM roles. These employers routinely file LCAs for this job title because the technical depth of the role supports the specialty occupation argument. You can browse verified sponsoring employers on Migrate Mate, filtered specifically for Technical Account Manager positions.
Can my H-1B cover multi-site client visits as a Technical Account Manager?
Yes, but your employer must file a separate LCA for each worksite where you'll spend significant time. Short-term placements at client locations may qualify for a short-term placement exemption, but regular or recurring work at a client site typically requires its own certified LCA. USCIS and DOL both scrutinize multi-location compliance for TAM roles, so confirm this with your employer's immigration counsel before your petition is submitted.
What happens to my H-1B status if I change employers as a Technical Account Manager?
You can port your H-1B to a new employer under AC21 portability, which allows you to change jobs after your petition has been pending for 180 days, as long as the new role is in the same or a similar occupational classification. For TAM positions, this generally means staying within account management or technical client services roles. Your new employer files an H-1B transfer petition and you can start working once it's received by USCIS.
How do I know if an employer will sponsor H-1B visas for a Technical Account Manager opening?
Many job postings don't explicitly state sponsorship eligibility, so the most reliable method is checking the employer's historical LCA filing data for this job title. DOL discloses certified LCA records by employer and occupation. Migrate Mate surfaces this data directly in job listings, so you can see which employers have an established track record of sponsoring H-1B visas for Technical Account Manager roles before you apply.