OT Visa Sponsorship Jobs in North Carolina
Occupational therapy visa sponsorship jobs in North Carolina are concentrated in health systems like Novant Health, Atrium Health, and UNC Health, alongside pediatric clinics and skilled nursing facilities across Charlotte, Raleigh, and Durham. North Carolina's growing population and strong healthcare infrastructure make it an active market for internationally trained OTs seeking employer-sponsored roles.
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Get Access To All JobsLocation: Charlotte
Other locations: Anywhere in Country
Salary: Competitive
Date: Oct 9, 2026
Job description
Requisition ID: 1750992
Location: Anywhere in Country
At EY, we’re all in to shape your future with confidence.
We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
US EST (Eastern Standard Time) 8AM-5PM EST – as most Product Owners are based in the U.S. and require interaction during their workday.
As an OT Defects Senior Architecture & Governance professional, you will be responsible for providing operational support for the overall issues management and associated defects creation, monitoring and tracking against the client's current referenced architecture, overseeing and governing operational technology (OT) systems to enhance security and ensure overall compliance. You support the manager and work within a team of experts to ensure that OT architectures align with organizational goals and industry standards, promoting secure and efficient operations.
JOB SUMMARY:
We are seeking a highly skilled and detail-oriented OT Senior Architecture & Governance Issues/Defect Solution Analyst to join our Operational Technology (OT) team. This role is pivotal in driving architectural integrity, governance compliance, and effective defect and issue resolution across OT environments.
- You will collaborate with cross-functional teams to ensure that OT systems are secure, compliant, and continuously improved through structured governance and defect management processes.
- In the role of OT Defects Senior Architecture & Governance, you will support the OT manager by providing defects/issues tracking and monitoring, architecture oversight and approvals for OT systems, VLANs, and controls, ensuring that all designs and implementations meet security, compliance, and operational requirements. Additionally, you will assist in overall operations, reporting focusing on processes, milestones, and deliverables.
Key Responsibilities
- Review and validate OT system designs for alignment with enterprise architecture standards.
- Maintain and evolve governance frameworks, SOPs, and documentation.
- Support change review boards and architecture decision forums.
Defect & Issue Management
- Lead defect intake, triage, and remediation cycles.
- Track and report on new and existing defects, accepted risks, and remediation progress.
- Facilitate weekly defect review meetings and ensure timely follow-ups with stakeholders.
Collaboration & Communication
- Partner with OT architects, system owners, cybersecurity teams, and DECA to resolve issues.
- Provide guidance and support to site teams on governance and defect-related matters.
- Communicate clearly across technical and non-technical audiences.
Continuous Improvement
- Identify gaps in current documentation and propose updates.
-
Contribute to the development of standard work and LEAN process improvements.
-
Provide architecture oversight for OT systems, ensuring alignment with organizational goals and industry standards.
- Review and approve architectural designs and implementations for OT solutions, focusing on security, compliance, and operational efficiency.
- Establish governance frameworks and best practices for OT architecture and design processes.
- Collaborate with cross-functional teams to assess architectural designs and provide recommendations for improvements.
- Facilitate decision-making processes related to OT architecture, ensuring stakeholder alignment and buy-in.
- Conduct risk assessments and impact analyses for proposed changes to OT systems and architectures.
- Stay current with emerging trends, technologies, and regulatory requirements in the OT space to inform governance practices.
- Develop and maintain documentation related to OT architecture standards, guidelines, and governance processes.
Technical Skills
- Experience and knowledge on Operational Technology (OT) environments and governance
- Experience with end-to-end issues management and exception/defects
- Experience with defect intake, exception review, and change request workflows.
- Ability to build and manage SOPs, trackers, and reporting templates
- Strong familiarity, background, and/or understanding of manufacturing, shopfloor, ICS, building management, or other OT environments - and their associated safety, quality, and production considerations
- Experience with Security architecture design and assessment of technologies such as SaaS, PaaS, IaaS, AI/ML, ZTA etc.
- Familiarity with cybersecurity frameworks, including NERC CIP, NIS, CIS, NIST CSF, ISO 27001, ISA/IEC 62443
- Ability to apply these frameworks to OT environments and defect resolution processes
- Security controls, such as firewalls, IDS/IPS, encryption, and access management.
- Risk-based Mindset, to include remediation and migration planning and tracking
- ServiceNow and Optro usage experience
Soft Skills
- Ability to analyze and resolve problems. Demonstrated ability to lead programs/projects.
- Ability to assess complex OT architectures and defect patterns, identify root causes, and propose effective solutions. Ability to work closely with cross-functional teams including cybersecurity, engineering, and product owners to align on defect resolution and architecture decisions.
- Precision in tracking defects, remediation and or mitigation, documenting architecture standards, and ensuring compliance reporting
- Ability to lead calls with Product Owners and client stakeholders and clearly articulate review reasoning and rationale
What we look for
We are looking for people who strive to lead themselves, their teams, and their communities, people who can foster effective teamwork to drive results. We’re interested in authentic communicators with the ability to collaborate with EY colleagues across various teams who want to develop personally and professionally in a dynamic organization.
What we offer you
At EY, we harness our collective strength to empower you to shape your future with confidence through professional growth, personal fulfillment and an inclusive culture. Learn more at ey.com/us/careers.
- The salary range for this job is:
- New York City, Boston, and Washington DC Metro Areas, Washington State, and Southern California offices – $92,900 to $153,900
- Bay Area California offices – $96,000 to $160,500
- All other offices locations in the US, including Sacramento – $77,500 to $140,900
- Individual salaries within these ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
Are you ready to shape your future with confidence? Apply today.
- To make the most of your application experience, please limit yourself to two applications within a six-month period.
- EY accepts applications for this position on an ongoing basis.
- For those living in California, please click here for additional information.
- At EY, our values set the foundation for how we work and the behaviors we expect of our people. Any misrepresentation or falsification of information or lack of integrity at any point in the recruiting process may result in withdrawal of your candidacy, revocation of an offer or immediate termination of employment.
EY | Building a better working world
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
All in to shape the future with confidence.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY’s Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com.
Location: Charlotte
Other locations: Anywhere in Country
Salary: Competitive
Date: Oct 9, 2026
Job description
Requisition ID: 1750992
Location: Anywhere in Country
At EY, we’re all in to shape your future with confidence.
We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
US EST (Eastern Standard Time) 8AM-5PM EST – as most Product Owners are based in the U.S. and require interaction during their workday.
As an OT Defects Senior Architecture & Governance professional, you will be responsible for providing operational support for the overall issues management and associated defects creation, monitoring and tracking against the client's current referenced architecture, overseeing and governing operational technology (OT) systems to enhance security and ensure overall compliance. You support the manager and work within a team of experts to ensure that OT architectures align with organizational goals and industry standards, promoting secure and efficient operations.
JOB SUMMARY:
We are seeking a highly skilled and detail-oriented OT Senior Architecture & Governance Issues/Defect Solution Analyst to join our Operational Technology (OT) team. This role is pivotal in driving architectural integrity, governance compliance, and effective defect and issue resolution across OT environments.
- You will collaborate with cross-functional teams to ensure that OT systems are secure, compliant, and continuously improved through structured governance and defect management processes.
- In the role of OT Defects Senior Architecture & Governance, you will support the OT manager by providing defects/issues tracking and monitoring, architecture oversight and approvals for OT systems, VLANs, and controls, ensuring that all designs and implementations meet security, compliance, and operational requirements. Additionally, you will assist in overall operations, reporting focusing on processes, milestones, and deliverables.
Key Responsibilities
- Review and validate OT system designs for alignment with enterprise architecture standards.
- Maintain and evolve governance frameworks, SOPs, and documentation.
- Support change review boards and architecture decision forums.
Defect & Issue Management
- Lead defect intake, triage, and remediation cycles.
- Track and report on new and existing defects, accepted risks, and remediation progress.
- Facilitate weekly defect review meetings and ensure timely follow-ups with stakeholders.
Collaboration & Communication
- Partner with OT architects, system owners, cybersecurity teams, and DECA to resolve issues.
- Provide guidance and support to site teams on governance and defect-related matters.
- Communicate clearly across technical and non-technical audiences.
Continuous Improvement
- Identify gaps in current documentation and propose updates.
-
Contribute to the development of standard work and LEAN process improvements.
-
Provide architecture oversight for OT systems, ensuring alignment with organizational goals and industry standards.
- Review and approve architectural designs and implementations for OT solutions, focusing on security, compliance, and operational efficiency.
- Establish governance frameworks and best practices for OT architecture and design processes.
- Collaborate with cross-functional teams to assess architectural designs and provide recommendations for improvements.
- Facilitate decision-making processes related to OT architecture, ensuring stakeholder alignment and buy-in.
- Conduct risk assessments and impact analyses for proposed changes to OT systems and architectures.
- Stay current with emerging trends, technologies, and regulatory requirements in the OT space to inform governance practices.
- Develop and maintain documentation related to OT architecture standards, guidelines, and governance processes.
Technical Skills
- Experience and knowledge on Operational Technology (OT) environments and governance
- Experience with end-to-end issues management and exception/defects
- Experience with defect intake, exception review, and change request workflows.
- Ability to build and manage SOPs, trackers, and reporting templates
- Strong familiarity, background, and/or understanding of manufacturing, shopfloor, ICS, building management, or other OT environments - and their associated safety, quality, and production considerations
- Experience with Security architecture design and assessment of technologies such as SaaS, PaaS, IaaS, AI/ML, ZTA etc.
- Familiarity with cybersecurity frameworks, including NERC CIP, NIS, CIS, NIST CSF, ISO 27001, ISA/IEC 62443
- Ability to apply these frameworks to OT environments and defect resolution processes
- Security controls, such as firewalls, IDS/IPS, encryption, and access management.
- Risk-based Mindset, to include remediation and migration planning and tracking
- ServiceNow and Optro usage experience
Soft Skills
- Ability to analyze and resolve problems. Demonstrated ability to lead programs/projects.
- Ability to assess complex OT architectures and defect patterns, identify root causes, and propose effective solutions. Ability to work closely with cross-functional teams including cybersecurity, engineering, and product owners to align on defect resolution and architecture decisions.
- Precision in tracking defects, remediation and or mitigation, documenting architecture standards, and ensuring compliance reporting
- Ability to lead calls with Product Owners and client stakeholders and clearly articulate review reasoning and rationale
What we look for
We are looking for people who strive to lead themselves, their teams, and their communities, people who can foster effective teamwork to drive results. We’re interested in authentic communicators with the ability to collaborate with EY colleagues across various teams who want to develop personally and professionally in a dynamic organization.
What we offer you
At EY, we harness our collective strength to empower you to shape your future with confidence through professional growth, personal fulfillment and an inclusive culture. Learn more at ey.com/us/careers.
- The salary range for this job is:
- New York City, Boston, and Washington DC Metro Areas, Washington State, and Southern California offices – $92,900 to $153,900
- Bay Area California offices – $96,000 to $160,500
- All other offices locations in the US, including Sacramento – $77,500 to $140,900
- Individual salaries within these ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
Are you ready to shape your future with confidence? Apply today.
- To make the most of your application experience, please limit yourself to two applications within a six-month period.
- EY accepts applications for this position on an ongoing basis.
- For those living in California, please click here for additional information.
- At EY, our values set the foundation for how we work and the behaviors we expect of our people. Any misrepresentation or falsification of information or lack of integrity at any point in the recruiting process may result in withdrawal of your candidacy, revocation of an offer or immediate termination of employment.
EY | Building a better working world
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
All in to shape the future with confidence.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY’s Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com.
OT Job Roles in North Carolina
See all 69+ OT Jobs in North Carolina
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Search OT Jobs in North CarolinaOT Jobs in North Carolina: Frequently Asked Questions
Which companies sponsor visas for OTs in North Carolina?
Large health systems are the most consistent sponsors. Novant Health, Atrium Health, UNC Health, and Duke Health have histories of sponsoring internationally trained occupational therapists. Skilled nursing facility operators and pediatric therapy networks also hire sponsored OTs across the state. Sponsorship willingness varies by facility and role, so confirming directly with each employer's HR or recruitment team is important.
Which visa types are most common for OT roles in North Carolina?
The H-1B visa is the most common visa for occupational therapists in North Carolina, as OT qualifies as a specialty occupation requiring at least a master's degree. The H-1B is subject to an annual lottery, so timing matters. EB-3 immigrant visa sponsorship is also available through some hospital systems for OTs willing to pursue a longer-term path to permanent residence.
Which cities in North Carolina have the most OT sponsorship jobs?
Charlotte and Raleigh-Durham account for the highest concentration of OT sponsorship jobs, driven by major hospital networks and a large and growing patient population. Greensboro and Winston-Salem also have active hiring from health systems like Cone Health and Atrium Health Wake Forest Baptist. Rural areas occasionally have openings but sponsorship is less common outside major metro regions.
How to find ot visa sponsorship jobs in North Carolina?
Migrate Mate is built specifically for international job seekers and filters OT roles in North Carolina by visa sponsorship eligibility, so you avoid applying to employers who don't sponsor. Search Migrate Mate for occupational therapist positions in Charlotte, Raleigh, Durham, and Greensboro to find health systems and therapy networks actively hiring internationally trained OTs with H-1B or EB-3 sponsorship.
Are there any North Carolina-specific considerations for internationally trained OTs seeking sponsorship?
North Carolina requires occupational therapists to hold a state license from the North Carolina Board of Occupational Therapy before practicing. International applicants typically need to have their credentials evaluated through NBCOT and meet English proficiency requirements. Some employers will initiate the H-1B petition process before your license is fully issued, but verifying this with each employer is essential before accepting an offer.
What is the prevailing wage for sponsored ot jobs in North Carolina?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.