OPT Agency Owner Jobs
Agency Owner roles on OPT require an employer of record or a U.S.-based business entity to sponsor your work authorization, since F-1 OPT doesn't permit self-employment. Most students pursue this path through established agencies willing to hire and sponsor while you build toward ownership.
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Facility:
CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807
Department:
1155 Central Staffing Office
Scheduled Weekly Hours:
36
Hours:
Varied Day and Evening 8, 10, and 12 Hour Shifts
Work Shift:
Rotating (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
- Named one of Modern Healthcare’s Best Places to work five times.
- Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.
- Acknowledged by Forbes as one of the Best Employers for New Grads.
- Healthcare Innovation's Top Companies to Work for in Healthcare (2025).
Benefits
- Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
- For a comprehensive list of benefits, please click here: Benefits | CoxHealth
Job Description:
Additional Information About the Position for Qualified Candidates
- $25/hr Float Pay
- Up to $4,000 Sign-On Bonus
- Up to 40 hours of front-loaded Paid Time Off
- Up to $3,000 Relocation Bonus
- Up to $1.50 Certification Pay
- Career Ladder up to $5,000
Job Summary
Independently, or under the direct supervision of a physician, performs echocardiography and/or vascular ultrasound/sonography procedures consistent with the established standard of medical care in ultrasound/sonography, following policies and protocols using established anatomical positioning and physiology to produce optimum sonographic imaging, while keeping patient welfare, confidentiality and comfort a top priority. Will be responsible for performing echocardiography and/or vascular ultrasounds in the outlying clinics.
Education
- Required: Graduate or graduation eligible (successful completion of all didactic courses and clinical competencies – not able to walk until next graduation date) of an approved school of medical sonography. Experience may be substituted for applicants that have not successfully completed a formal education program in medical sonography (see “Experience”).
Experience
- Required: One year dedicated ultrasound experience OR No experience required with fulfillment of education requirement
- Preferred: Two years dedicated sonography imaging experience
Skills
- Strong analytical/problem solving skills.
- Knowledge of current diagnostic technical information.
- Proficient in using computers and computer systems.
- Excellent time management, interpersonal, presentation, organization, prioritizing, decision-making, and planning skills.
- Excellent verbal and written communication skills.
- Able to work independently and collaboratively in teams.
Licensure/Certification/Registration
- Required: (PE)(RDCS) or (PE)(RDMS) or (AE)(RDCS) or (AE)(RDMS) or (RCS)(CCI) or ARDMS (AB), (OB/GY) or RVT before start date.
- Required: Must obtain BLS within 90 days of hire date
- Preferred: Echo registry within 1 year of graduation from cardiac ultrasound program or within 2 years of cross training start date
Ultrasound Technologist, Sonographer, Diagnostic Medical Sonographer, RDMS Tech, OB/GYN, Abdominal, Vascular, Musculoskeletal, Ultrasound Imaging
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Get Access To All JobsTips for Finding OPT Sponsorship as an Agency Owner
Clarify your OPT employment structure upfront
Agency Owner roles often blur the line between employment and self-employment. Make sure any arrangement involves a legitimate W-2 employer relationship with a U.S. business entity, which is the only structure that satisfies F-1 OPT work authorization requirements.
Target agencies actively hiring international talent
Smaller independent agencies and holding groups are often more flexible with sponsorship than large networks. Research firms that have previously hired F-1 OPT students into leadership tracks, as they understand the authorization requirements and are less likely to withdraw offers late.
Frame your pitch around revenue generation
Agency principals care about client acquisition and retention. Lead with measurable outcomes from past roles, such as accounts managed, clients retained, or revenue influenced. This shifts the conversation from your visa status to your business value from the first interaction.
Understand your STEM OPT eligibility before applying
If your degree is in a STEM field and the role qualifies, you may be eligible for a 24-month STEM OPT extension after your initial 12 months. Confirm your degree's CIP code with your DSO before applying so you can communicate your full authorization timeline to employers.
Address the H-1B transition early in negotiations
Employers hiring you into an Agency Owner track need to plan for H-1B visa sponsorship before your OPT expires. Raise this during the offer stage, not after. Agencies that are serious about long-term hires will have a plan or be willing to develop one.
Use Migrate Mate to find sponsorship-open agencies
Not every agency listing is open to OPT candidates, and screening manually wastes time you don't have. Migrate Mate filters specifically for employers willing to sponsor international students, so you can focus your outreach on roles where your authorization is already a known quantity.
Agency Owner OPT: Frequently Asked Questions
Can F-1 OPT students work as an Agency Owner?
Yes, but only through a qualifying W-2 employer relationship, not as a self-employed business owner. F-1 OPT prohibits self-employment, so you must be hired by an existing U.S. agency that employs you directly. Some students enter ownership tracks by joining an agency as a senior employee with an equity or partnership arrangement structured through payroll.
Does an Agency Owner role qualify for STEM OPT extension?
It depends on the nature of the role and your degree. If your agency specializes in a STEM-adjacent field, such as digital marketing technology, data analytics, or software, and your degree is STEM-designated, the role may qualify. Your DSO must confirm the degree's CIP code matches a DHS-approved STEM field, and your employer must meet the formal training plan requirements.
How do I find agencies willing to sponsor OPT students for ownership-track roles?
Most general job listings don't flag sponsorship willingness, which makes filtering manually time-consuming. Migrate Mate is built specifically for international students on OPT and shows roles from employers open to sponsoring work authorization. Focusing your search there saves significant time compared to cold-applying to agencies that may not be set up to hire international candidates.
What happens to my OPT authorization if the agency restructures or closes?
Your OPT is tied to employment in your authorized field, not to a specific employer. If your agency closes or restructures and you lose your W-2 employment, you have a 90-day unemployment buffer during your initial OPT period. You must report any job change or gap to your DSO promptly, as unreported unemployment can jeopardize your F-1 status.
Can an Agency Owner role lead to H-1B sponsorship?
Yes, and it's one of the more viable H-1B pathways if the agency is willing. For H-1B sponsorship, the employer must file a Labor Condition Application and petition USCIS on your behalf before your OPT expires. Raise the H-1B question during the offer negotiation stage. Agencies that have sponsored before will understand the timeline; those that haven't may need guidance on the process.