OPT Finance Systems Manager Jobs
Finance Systems Manager jobs are a strong fit for F-1 OPT students with backgrounds in accounting information systems, ERP platforms, or financial technology. Most roles qualify as STEM OPT extensions under CIP codes like Management Information Systems. Your 12-month OPT window, with a potential 24-month STEM extension, gives employers a meaningful runway for sponsorship.
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Get Access To All JobsPosition: MGR PFS BILLING & FOLLOW-UP
Business Unit: System Support - MVH
Department: PFS Administration
Shift: Varies / 8-hour shift length
Status: Full-time / 80 Hours Per Pay
Work Location: This position is primarily remote. However, the incumbent will be required to report to the worksite for scheduled meetings, training sessions, leadership events, and other departmental or organizational business needs as determined by management.
Position Summary
The Mgr. PFS Billing & Follow-up is responsible for the billing, follow up, and accounts receivable management of commercial, government and/or self-pay patients. The manager may oversee cash posting and refunds, HB Information Technology team under the revenue cycle and/or customer service. This person will coordinate the interaction between Patient Financial Services and all other departments within the Premier hospitals.
The Mgr. PFS Billing & Follow-up will set goals, policies, procedures and standards for these functions within the PFS department that support the overall hospital and revenue cycle goals. This person will manage and develop supervisors within the respective areas and will demonstrate ownership of unit performance to achieve PHP System goals and objectives.
The Mgr. PFS Billing & Follow-up will provide management of clinical trial research billing and follow-up processes (if applicable to job duties).
This individual will be responsible for ensuring all staff members adhere to all state and federal regulations, work within the guidelines set forth by Corporate Compliance throughout Premier Health Partners and perform at expectations according to the guidelines and standards specified by leadership.
Education
Minimal Level of Education Required: Bachelor’s Degree
Type of degree: Bachelor’s degree in finance, business or associated field is required
Area of study or major: N/A
Preferred educational qualifications: CPA or MBA preferred
LICENSURE/CERTIFICATION/REGISTRATION
Management engineering or other project management certification preferred
Experience
Minimum Level of Experience Required: 3 - 5 years of job-related experience
Prior job title or occupational experience: N/A
Prior specific functional responsibilities: N/A
Preferred experience: N/A
Other experience requirements: Experience in finance, billing and follow-up operations required. Must be able to perform complex mathematical calculations and interpret data. General knowledge of compliance is required.
KNOWLEDGE/SKILLS
Excellent written and verbal communication skills, proven leadership abilities and advanced interpersonal skills are necessary in order to provide effective leadership to assigned staff, and to maintain effective communications with a variety of internal and external customers.
Must be able to communicate effectively with Directors, Vice President, Revenue Cycle, and other Executives.
Critical thinking and problem-solving skills are essential and must be able to multi-task a variety of responsibilities.
Understanding of patient accounts procedures and analytical capability required. Proficient in Microsoft Office, Excel, and patient accounting systems.
Position: MGR PFS BILLING & FOLLOW-UP
Business Unit: System Support - MVH
Department: PFS Administration
Shift: Varies / 8-hour shift length
Status: Full-time / 80 Hours Per Pay
Work Location: This position is primarily remote. However, the incumbent will be required to report to the worksite for scheduled meetings, training sessions, leadership events, and other departmental or organizational business needs as determined by management.
Position Summary
The Mgr. PFS Billing & Follow-up is responsible for the billing, follow up, and accounts receivable management of commercial, government and/or self-pay patients. The manager may oversee cash posting and refunds, HB Information Technology team under the revenue cycle and/or customer service. This person will coordinate the interaction between Patient Financial Services and all other departments within the Premier hospitals.
The Mgr. PFS Billing & Follow-up will set goals, policies, procedures and standards for these functions within the PFS department that support the overall hospital and revenue cycle goals. This person will manage and develop supervisors within the respective areas and will demonstrate ownership of unit performance to achieve PHP System goals and objectives.
The Mgr. PFS Billing & Follow-up will provide management of clinical trial research billing and follow-up processes (if applicable to job duties).
This individual will be responsible for ensuring all staff members adhere to all state and federal regulations, work within the guidelines set forth by Corporate Compliance throughout Premier Health Partners and perform at expectations according to the guidelines and standards specified by leadership.
Education
Minimal Level of Education Required: Bachelor’s Degree
Type of degree: Bachelor’s degree in finance, business or associated field is required
Area of study or major: N/A
Preferred educational qualifications: CPA or MBA preferred
LICENSURE/CERTIFICATION/REGISTRATION
Management engineering or other project management certification preferred
Experience
Minimum Level of Experience Required: 3 - 5 years of job-related experience
Prior job title or occupational experience: N/A
Prior specific functional responsibilities: N/A
Preferred experience: N/A
Other experience requirements: Experience in finance, billing and follow-up operations required. Must be able to perform complex mathematical calculations and interpret data. General knowledge of compliance is required.
KNOWLEDGE/SKILLS
Excellent written and verbal communication skills, proven leadership abilities and advanced interpersonal skills are necessary in order to provide effective leadership to assigned staff, and to maintain effective communications with a variety of internal and external customers.
Must be able to communicate effectively with Directors, Vice President, Revenue Cycle, and other Executives.
Critical thinking and problem-solving skills are essential and must be able to multi-task a variety of responsibilities.
Understanding of patient accounts procedures and analytical capability required. Proficient in Microsoft Office, Excel, and patient accounting systems.
See all 104+ OPT Finance Systems Manager Jobs
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Get Access To All JobsTips for Finding OPT Sponsorship as a Finance Systems Manager
Target employers with active ERP implementations
Companies mid-implementation on Oracle, SAP, or Workday are actively hiring systems managers and are more likely to sponsor. These projects run 18 to 36 months, giving you natural leverage when H-1B visa sponsorship conversations come up.
Frame your degree as a systems qualification
Finance Systems Manager roles typically require a degree in MIS, accounting information systems, or computer science. Explicitly connect your coursework to the role in your resume and cover letter to strengthen the specialty occupation case for future H-1B sponsorship.
Prioritize mid-size companies over large enterprises
Mid-size firms running lean finance teams often need a single systems owner urgently. That urgency increases willingness to sponsor. Large enterprises may have internal mobility programs that deprioritize OPT candidates who need sponsorship within 12 months.
Highlight STEM OPT eligibility upfront
Many hiring managers do not know that finance systems roles often qualify for the 24-month STEM OPT extension. Mentioning this in early conversations reframes you as a three-year hire, not a one-year risk, and changes the sponsorship calculus significantly.
Obtain certifications in key ERP platforms
A Workday, SAP, or Oracle certification signals employer-ready skills and reduces training costs. Finance teams facing system migrations will see you as immediately useful, making the sponsorship investment easier to justify to HR and finance leadership.
Align your OPT start date with Q1 hiring cycles
Finance departments finalize budgets and headcount in Q4, with most hires starting in Q1. Timing your OPT activation to align with January start dates puts you in the pool when Finance Systems Manager roles are most actively filled.
Finance Systems Manager OPT: Frequently Asked Questions
Do Finance Systems Manager roles qualify for the STEM OPT extension?
Many Finance Systems Manager positions qualify for the 24-month STEM OPT extension, particularly when the role is classified under CIP codes like Management Information Systems (11.0401) or Computer and Information Systems Management (11.1001). The key factor is whether your degree and the role's technical requirements align with a designated STEM field. Confirm your school's DSO can certify the extension before accepting an offer.
Will employers sponsor an H-1B for a Finance Systems Manager on OPT?
Yes, Finance Systems Manager roles are strong candidates for H-1B sponsorship because they typically require a specialized degree in MIS, accounting information systems, or computer science, which satisfies the specialty occupation requirement. Employers running major ERP implementations are especially motivated to retain systems talent. Use Migrate Mate to find Finance Systems Manager roles at companies with a history of sponsoring work visas.
What degree backgrounds support a Finance Systems Manager OPT application?
Degrees in Management Information Systems, Accounting Information Systems, Finance with a technology concentration, or Computer Science are the strongest fits. These fields map directly to the technical and financial responsibilities of the role and support both the specialty occupation argument for H-1B petitions and STEM OPT extension eligibility. A degree in general business or finance alone may require additional documentation.
How much time does an OPT student actually have to secure sponsorship in this role?
With standard OPT you have 12 months. If your degree qualifies for STEM OPT, that extends to 36 months total. The H-1B lottery runs once annually with an October 1 start date, so timing matters. If you start OPT in January, you may need to file for cap-subject H-1B within your first three months of employment to maintain status without a gap.
Are there specific industries where Finance Systems Manager OPT jobs are most common?
Financial services, healthcare, manufacturing, and technology companies with large finance operations are the heaviest employers of Finance Systems Managers. Firms actively upgrading legacy systems to cloud-based ERP platforms hire most aggressively. These companies also tend to have established immigration programs, making sponsorship conversations more straightforward than at smaller firms without prior experience hiring OPT candidates.