TN Visa Regional Medical Director Jobs
Regional Medical Director roles qualify for TN visa sponsorship under the USMCA's physician and medical practitioner categories. Canadian citizens can secure TN status at the port of entry or via consular processing, while Mexican nationals require advance consular processing. Employers sponsoring this role must document that the position requires a licensed physician with demonstrated clinical leadership.
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We build trust among our communities and our people by cultivating the right team for every job. We are committed to fostering a creative and collaborative culture with a focus on career growth and balance in the workplace.
AP has diligently built a strong foundation of expertise, experience and exceptional results. We continually invest in our talented team by providing the latest tools, technologies and training necessary to stay ahead of the curve. We set our employees up for long-term success through mentorship opportunities and professional growth and advancement for every person in every role.
We recognize the contributions of our team members with unique experiences and capabilities and strive to establish a work environment that maximizes our collective potential. Going beyond the build for our employees lays a strong foundation for success across AP. We commit to a balanced, value-centered work environment for meaningful projects, careers and talent.
Job Description:
Adolfson and Peterson Construction is currently hiring a Regional Controller for our Midwest Region based out of Bloomington (moving soon to Edina).
The Regional Controller is the finance leader for the region, responsible for accounting, financial reporting, forecasting, cash flow management, and project financial performance. This role partners closely with Operations to drive profitable project execution, optimize working capital, and provide timely financial insights that support business decisions.
The Regional Controller leads the regional accounting team, ensures compliance with company policies and internal controls, collaborates with Corporate and shared services teams, supports risk management and surety relationships, and champions AP’s Incident and Injury Free (IIF) culture.
Responsibilities:
- Take personal responsibility for working safely within an Incident and Injury Free (IIF) culture.
- Be a champion to support IIF efforts for working safely and building a culture of care and concern within the organization that reinforces the behavioral aspects of working and living safely.
- Maintain a relationship with safety to hold responsibility for personal safety, the safety of each person in the company, and the IIF performance of the entire workforce.
- As a leader, consistently communicate and reinforce the tenets of an IIF workplace. Be willing to discuss a personal commitment and desire for all team members to work safely and attain an IIF workplace.
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As a leader, ensure that processes and procedures that support an IIF culture are maintained and reviewed for continuous improvement.
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Lead regional accounting and financial operations ensuring compliance with company expectations, policies, processes, and internal controls.
- Drive accurate, timely month close, balance sheet governance, reconciliations and management reporting in partnership with the Corporate Controller.
- Provide audit support as needed.
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Coordinate effectively with shared services teams that perform designated accounting activities. Set clear regional accounting requirements, ensure timely field input and approvals, resolve expectations and continuously improve handoffs and cycle times.
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Own the region’s WIP process and job cost integrity including contract setup, cost coding, earned revenue/billings analysis, under/over billings, retainage and change management.
- Lead monthly project/WIP review cadence with Operations to validate cost-to complete, margin and forecast accuracy.
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Ensure project budgets, cost structures and contract set ups are established accurately to support complete cost capture, reporting integrity and financial accountability.
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Develop the annual regional budget and rolling forecasts; provide clear variance analysis and insights.
- Build financial models and scenarios analyses to support pursuits, staffing, equipment and overhead management.
- Drive billings and collections performance; proactively manage age receivables and dispute resolution.
- Ensure AP execution and payment practices are aligned to contract terms and company controls including lien waivers, joint checks, retainage and compliance documentation.
- Maintain short-and-mid-range cash forecasts by project and for the region.
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Oversee significant vendor payment processes and contractual compliance to support effective supplier relationships and mitigate financial risk.
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Partner closely with project teams to ensure a consistent understanding of project financial performance and coach Project Managers and field leaders on key financial drivers, including WIP, cost-to-complete forecasting, margin performance, cash flow, and working capital management.
- Support the review and negotiation of owner contract terms and subcontract agreements to ensure alignment with company standards and risk management objectives.
- Proactively identify risks and opportunities to maximize project profitability, strengthen accountability for financial accuracy, and ensure timely project closeout.
- Elevate significant project risks with actionable recommendations, partnering with operational leaders to develop and execute effective mitigation strategies.
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Support negotiation and administration of master subcontract agreements and related contract frameworks.
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Act as regional liaison to sureties and risk management; support surety reporting packages and presentations as needed; ensure compliance with bond requirements; manage builder’s risk allocations and reconciliation to projects as appropriate; support Subguard administration where applicable; coordinate claims and lien/bond matters with internal partners, provide TCIP reporting overnight and external counsel/consultants.
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Partner with Corporate tax resources to manage regional tax matters and compliance including sales and use tax, fuel tax, property tax, state and local filings and corporate income tax reporting requirements.
- Understand, monitor, and resolve changes in local and regional tax laws including sales and use tax, gas tax, property tax, and corporate income taxes.
- Ensure that local and regional tax deposits and related reports for state and local entities are made as required by law.
- Maintain business or contracting licensing forms and returns with state and city governments or agencies.
- Ensure required tax filings, remittances, deposits and supporting documentation are completed accurately and timely.
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Support 179D job reporting.
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Lead or oversee subcontractor prequalification process. Monitor subcontractor financial risk, payment performance, joint check agreements, tax levies, and bankruptcy notices; partner with Operations and Legal to mitigate risk and resolve disputes.
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Hire, develop and retain a high-performing regional accounting/finance team.
- Establish clear performance expectations.
- Drive standard work, process improvements and stronger system utilization across region and shared services to increase accuracy, efficiency and predictability.
Other duties as assigned.
Requirements
- History of progressively more responsible leadership experience and proven results including:
- Bachelor’s degree in accounting, finance, business administration, or related field and 8+ years of progressive accounting/finance experience, including construction/general contracting experience preferred. Demonstrated ownership of WIP, job cost, cost-to-complete/forecasting, and strong working capital disciplines. CPA preferred.
- Demonstrated financial acumen, including experience creating financial analyses for business decision support.
- Proficiency in Microsoft Office (advanced Excel required). Experience with project-based construction ERP/accounting systems and reporting tools preferred.
- Working knowledge of GC contract terms and compliance requirements (e.g., pay applications, change orders, billings/retainage, lien waivers, joint checks, and subcontractor documentation).
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Ability to influence outcomes through strong collaboration with Operations, Legal, and Business Services.
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Demonstrated integrity and ethical standards.
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Experience in a complex business as an active participant in driving growth and change; demonstrated effectiveness in driving operations and executing plans.
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Ability to identify talent, create and develop teams, and build trust and engagement.
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Capability to identify and capitalize on opportunities quickly; ability to maintain effective balance between strategic and tactical priorities.
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Experience in driving accountability for financial and operational effectiveness, integrating and aligning efforts within teams, monitoring results, and tackling problems directly.
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Experience cultivating an active network of relationships, driving collaboration and alignment, relating well to key colleagues, and connecting with team members at all levels.
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Ability to drive to the core of complex issues and provide insightful and constructive feedback.
Estimated Pay:
$137,000.00 - $231,000.00
Benefits:
- Medical, Dental, Vision and Life Insurance
- Health Savings Account
- 401(k)
- Flexible Spending Accounts (Dependent & Medical Reimbursement)
- Paid Time Off (PTO) and Holidays
- Tuition Assistance Program
- Employee Referral Bonus
Adolfson & Peterson Construction’s (AP) ability to adapt and innovate has driven our success for more than 80 years. We are consistently ranked among the top construction managers and general contractors in the nation while maintaining one of the safest records in the industry. We bring positive and measurable change to the communities where we live, work and build. And we invest in new processes and technology to be operationally excellent and remain at the forefront of the ever-changing industry.
We have been committed to quality, innovation, safety and strong relationships since our beginning in 1946. AP offers preconstruction, construction and contracting services to commercial, education, healthcare, hospitality, industrial, multifamily, municipal, data center, and senior living markets with offices across Arizona, Colorado, Minnesota, North Dakota, Texas, and Wyoming. We employ more than 850 team members who strive for excellence and embody loyalty, trust and genuine love for what they do.
We go beyond the build for our communities and our people.
Adolfson & Peterson Construction is an Equal Employment Opportunity Employer
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Regional Medical Director
Verify your medical license transfers cleanly
TN visa approval for Regional Medical Directors depends on holding an unrestricted U.S. state medical license or demonstrating active licensure in Canada or Mexico. Confirm your credentials are recognized in the state where the role is based before applying.
Target health systems with multi-state physician networks
Large hospital groups and integrated delivery networks hire Regional Medical Directors to oversee multiple facilities, making them more familiar with TN sponsorship requirements for physician leadership roles than single-site practices or small clinics.
Request a TN support letter tied to clinical oversight
The employer's TN support letter must describe your regional oversight duties, physician credentialing responsibilities, and required medical degree. Generic leadership language without clinical specificity is a common cause of TN denials at this level.
Distinguish the role from a purely administrative position
CBP officers may question whether a Regional Medical Director role is managerial rather than professional. Your offer letter should explicitly reference clinical decision-making authority and active physician practice to satisfy the TN specialty occupation standard.
Use Migrate Mate to find employers experienced with visa sponsorship
Not every health system has sponsored work visas for physician leadership roles. Migrate Mate surfaces employers with recent visa filings and experience supporting international professionals, so you're targeting organizations already familiar with visa sponsorship processes and equipped to navigate the requirements for regional medical director positions.
Prepare for Canadian port-of-entry processing with complete documentation
Canadian citizens can obtain TN status directly at a U.S. land border or pre-clearance airport. Bring your medical degree, state license, and the employer support letter in a single organized package to avoid secondary inspection delays.
Regional Medical Director TN Visa: Frequently Asked Questions
Does a Regional Medical Director role qualify for TN visa status?
Yes, provided the position requires a licensed physician and involves clinical oversight responsibilities rather than purely administrative management. CBP evaluates whether the role falls within the physician or medical practitioner category under USMCA. Your employer's support letter should specify your medical degree requirement, clinical authority, and regional scope of practice to support that classification.
How does TN compare to H-1B for Regional Medical Director positions?
TN has no annual lottery and no numerical cap for Canadian citizens, so you can pursue a Regional Medical Director role without waiting for a random selection cycle. H-1B visa subjects most applicants to a lottery with no guarantee of selection. Mexican nationals face a TN annual cap of 5,500, but TN still avoids the H-1B lottery entirely and can be processed at a consulate with faster turnaround than most H-1B visa timelines.
How do I find employers experienced with visa sponsorship for medical director roles?
Migrate Mate is built specifically for this search. It surfaces employers with recent visa filings who have experience sponsoring work visas, so you're not cold-applying to health systems unfamiliar with visa sponsorship processes. Targeting employers experienced with visa sponsorship significantly reduces the risk of an employer declining to support your TN application, since they already understand the sponsorship landscape and can provide the support letter required for TN status at the port of entry.
Can a Regional Medical Director work across multiple states on a single TN visa?
A single TN approval can cover multi-state regional responsibilities if the primary employment location and employer are clearly identified in the petition. If you spend substantial time working in a second state, confirm with your employer that the offer letter and support documentation accurately reflect your regional oversight structure, since CBP approval is tied to the specific employer and role described.
What happens to TN status if the health system is acquired or restructured?
A corporate acquisition or merger that changes your legal employer typically requires a new TN filing because TN status is employer-specific. If your employing entity changes its name or tax identification number through a restructuring, treat it as a new employer situation and file before the transition completes. Continuing to work under the original TN after an uncovered employer change creates a status violation.