COO Visa Sponsorship Jobs in North Dakota
Chief Operating Officer roles in North Dakota are concentrated in Bismarck and Fargo, spanning energy companies like Basin Electric Power Cooperative, healthcare systems such as Sanford Health and Essentia Health, and agricultural enterprises tied to the state's grain and processing industries. Visa sponsorship at the COO level is selective and typically involves established organizations with dedicated HR and legal resources.
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Get Access To All JobsAssistant Director Clinical Regulatory Operations
Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, Fargo offices.
Candidates must reside within commutable distance of that location or be willing to relocate.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of Clinical leaders are living our mission to make health care easier and lives better. As a member of the Transformation, Quality, and Learning team, our Assistant Director Clinical Regulatory Operations leads a clinical regulatory operations team that serves as a strategic partner to HSO clinical business leaders — enabling the pursuit of improved affordability, operational efficiency, quality, and member experience within a framework of regulatory compliance. This role ensures all Health Services Operations (HSO) operate in compliance with CMS, state, NCQA, Privacy, and contractual requirements — while applying improvement science to advance operations toward sustainable excellence. The role will partner with Cambia regulatory stakeholders and clinical business owners to identify and operationalize evolving requirements, establish scalable monitoring and remediation frameworks, and facilitate operational simplification by aligning processes across teams and lines of business where appropriate – all in service of creating a person-focused health care experience.
As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.
Ready to lead regulatory excellence at the intersection of compliance and innovation during health care's most transformative era? Want to shape how multiple health systems work together—building the compliance framework that enables better care for thousands of members? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications
- Bachelor's degree in Healthcare Administration, Nursing, Public Health, or a related field (Master's preferred)
- 5 years of leadership experience
- 7 years of health insurance or managed care experience focused on regulatory compliance, quality management, or clinical operations — or an equivalent combination of education and experience
Skills and Attributes:
- Demonstrated knowledge of CMS, state, NCQA, HIPAA/Privacy, and managed care contract compliance requirements as applied across Utilization Management & Appeals, Care Management, Pharmacy, and Payment Integrity.
- Ability to interpret complex regulatory requirements and translate them into clear, actionable operational guidance for diverse audiences.
- Demonstrated competency in designing and executing compliance monitoring, auditing, and reporting programs in a health plan or managed care environment.
- Demonstrated knowledge and application of improvement science methodologies (e.g., PDSA, Lean, Six Sigma), with the ability to drive operational improvement beyond compliance monitoring.
- Demonstrated ability to analyze and align operational processes across multiple teams and lines of business to achieve standardization, simplification, and scalability.
- Experience leading cross-functional regulatory implementation efforts in collaboration with clinical operations, legal, compliance, and regulatory affairs.
- Ability to identify compliance gaps, conduct root cause analysis, and lead data-driven remediation across operational teams.
- Experience leveraging automation, data analytics, and technology to enhance compliance monitoring and program effectiveness; familiarity with dashboard development or workflow automation preferred.
- Demonstrated competency in resource and project management, including budgeting, workforce planning, and managing to deliverables.
- Ability to develop and lead teams across multiple locations or remote environments, including hiring, goal setting, coaching, and development.
- Strong written and verbal communication skills, including regulatory memos, executive reporting, and presentations.
- Experience writing policies and procedures and developing monitoring and auditing tools.
- Experience with AI tools and technologies to enhance productivity and decision-making highly desired.
What You Will Do at Cambia:
- Partners with Regulatory Affairs, Quality, Legal, Compliance, and clinical business owners to identify, interpret, and operationalize new and evolving regulatory requirements across all HSO program areas (Utilization Management & Appeals, Care Management, Pharmacy, Payment Integrity). Serves as strategic partner to HSO clinical leaders, enabling improved affordability, operational efficiency, quality, and member experience within regulatory guardrails.
- Facilitates operational simplification by systematically comparing and aligning processes across teams and lines of business—standardizing where appropriate to reduce redundancy, scale consistent compliance practices, and streamline operations using improvement science methodologies.
- Designs and executes regulatory compliance programs using structured improvement models (PDSA, Lean, Six Sigma) to drive program maturity and advance operations toward embedded operational excellence. Continuously evaluates program efficiency to streamline processes, eliminate waste, and optimize resources.
- Establishes and continuously improves audit and monitoring processes, incorporating automation, dashboards, and real-time reporting in partnership with data, analytics, and technology teams. Develops compliance reporting frameworks leveraging automation and data visualization to provide leadership with timely, actionable insights on compliance status, risk exposure, and program performance.
- Manages corrective action plans from internal monitoring, external audits, and accreditation surveys—applying root cause analysis to address systemic drivers and ensure sustainable remediation. Collaborates with Cambia Regulatory stakeholders to identify emerging compliance trends, detect risk areas, and recommend proactive mitigation strategies while ensuring legislative, regulatory, and accreditation changes are implemented within required timeframes.
- Leads NCQA accreditation readiness activities including gap assessments, mock audits, and submission preparation. Oversees the HSO Rapid Resolution Team managing complex member escalation cases with systematic root cause analysis and trend monitoring. Oversees the Clinical Review Inter-rater Reliability program ensuring evidence-based, objective reviews with structured calibration processes, statistically valid sampling, and performance benchmarks aligned with NCQA, URAC, and industry best practices.
- Handles all management responsibilities including performance reviews, development, hiring, coaching, and retention. Manages department budget, authorizes expenditures, monitors workforce allocation, and oversees project plans. Establishes long-term department goals in conjunction with division leadership and acts as liaison between HSO program areas and enterprise stakeholders.
- As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.
FTEs Supervised
- 30 FTEs
LI-Hybrid
Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.
- Oregon, Washington, Utah, and Idaho: The expected hiring range is $136,000 - $184,000, the full salary range is $128,000 - $208,000 and the bonus target is 20%.
- North Dakota: The expected hiring range is $128,144.30 - $173,371.70, the full salary range is $113,780 - $187,737 and the bonus target is 15%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Assistant Director Clinical Regulatory Operations
Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, Fargo offices.
Candidates must reside within commutable distance of that location or be willing to relocate.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia’s dedicated team of Clinical leaders are living our mission to make health care easier and lives better. As a member of the Transformation, Quality, and Learning team, our Assistant Director Clinical Regulatory Operations leads a clinical regulatory operations team that serves as a strategic partner to HSO clinical business leaders — enabling the pursuit of improved affordability, operational efficiency, quality, and member experience within a framework of regulatory compliance. This role ensures all Health Services Operations (HSO) operate in compliance with CMS, state, NCQA, Privacy, and contractual requirements — while applying improvement science to advance operations toward sustainable excellence. The role will partner with Cambia regulatory stakeholders and clinical business owners to identify and operationalize evolving requirements, establish scalable monitoring and remediation frameworks, and facilitate operational simplification by aligning processes across teams and lines of business where appropriate – all in service of creating a person-focused health care experience.
As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.
Ready to lead regulatory excellence at the intersection of compliance and innovation during health care's most transformative era? Want to shape how multiple health systems work together—building the compliance framework that enables better care for thousands of members? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications
- Bachelor's degree in Healthcare Administration, Nursing, Public Health, or a related field (Master's preferred)
- 5 years of leadership experience
- 7 years of health insurance or managed care experience focused on regulatory compliance, quality management, or clinical operations — or an equivalent combination of education and experience
Skills and Attributes:
- Demonstrated knowledge of CMS, state, NCQA, HIPAA/Privacy, and managed care contract compliance requirements as applied across Utilization Management & Appeals, Care Management, Pharmacy, and Payment Integrity.
- Ability to interpret complex regulatory requirements and translate them into clear, actionable operational guidance for diverse audiences.
- Demonstrated competency in designing and executing compliance monitoring, auditing, and reporting programs in a health plan or managed care environment.
- Demonstrated knowledge and application of improvement science methodologies (e.g., PDSA, Lean, Six Sigma), with the ability to drive operational improvement beyond compliance monitoring.
- Demonstrated ability to analyze and align operational processes across multiple teams and lines of business to achieve standardization, simplification, and scalability.
- Experience leading cross-functional regulatory implementation efforts in collaboration with clinical operations, legal, compliance, and regulatory affairs.
- Ability to identify compliance gaps, conduct root cause analysis, and lead data-driven remediation across operational teams.
- Experience leveraging automation, data analytics, and technology to enhance compliance monitoring and program effectiveness; familiarity with dashboard development or workflow automation preferred.
- Demonstrated competency in resource and project management, including budgeting, workforce planning, and managing to deliverables.
- Ability to develop and lead teams across multiple locations or remote environments, including hiring, goal setting, coaching, and development.
- Strong written and verbal communication skills, including regulatory memos, executive reporting, and presentations.
- Experience writing policies and procedures and developing monitoring and auditing tools.
- Experience with AI tools and technologies to enhance productivity and decision-making highly desired.
What You Will Do at Cambia:
- Partners with Regulatory Affairs, Quality, Legal, Compliance, and clinical business owners to identify, interpret, and operationalize new and evolving regulatory requirements across all HSO program areas (Utilization Management & Appeals, Care Management, Pharmacy, Payment Integrity). Serves as strategic partner to HSO clinical leaders, enabling improved affordability, operational efficiency, quality, and member experience within regulatory guardrails.
- Facilitates operational simplification by systematically comparing and aligning processes across teams and lines of business—standardizing where appropriate to reduce redundancy, scale consistent compliance practices, and streamline operations using improvement science methodologies.
- Designs and executes regulatory compliance programs using structured improvement models (PDSA, Lean, Six Sigma) to drive program maturity and advance operations toward embedded operational excellence. Continuously evaluates program efficiency to streamline processes, eliminate waste, and optimize resources.
- Establishes and continuously improves audit and monitoring processes, incorporating automation, dashboards, and real-time reporting in partnership with data, analytics, and technology teams. Develops compliance reporting frameworks leveraging automation and data visualization to provide leadership with timely, actionable insights on compliance status, risk exposure, and program performance.
- Manages corrective action plans from internal monitoring, external audits, and accreditation surveys—applying root cause analysis to address systemic drivers and ensure sustainable remediation. Collaborates with Cambia Regulatory stakeholders to identify emerging compliance trends, detect risk areas, and recommend proactive mitigation strategies while ensuring legislative, regulatory, and accreditation changes are implemented within required timeframes.
- Leads NCQA accreditation readiness activities including gap assessments, mock audits, and submission preparation. Oversees the HSO Rapid Resolution Team managing complex member escalation cases with systematic root cause analysis and trend monitoring. Oversees the Clinical Review Inter-rater Reliability program ensuring evidence-based, objective reviews with structured calibration processes, statistically valid sampling, and performance benchmarks aligned with NCQA, URAC, and industry best practices.
- Handles all management responsibilities including performance reviews, development, hiring, coaching, and retention. Manages department budget, authorizes expenditures, monitors workforce allocation, and oversees project plans. Establishes long-term department goals in conjunction with division leadership and acts as liaison between HSO program areas and enterprise stakeholders.
- As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.
FTEs Supervised
- 30 FTEs
LI-Hybrid
Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.
- Oregon, Washington, Utah, and Idaho: The expected hiring range is $136,000 - $184,000, the full salary range is $128,000 - $208,000 and the bonus target is 20%.
- North Dakota: The expected hiring range is $128,144.30 - $173,371.70, the full salary range is $113,780 - $187,737 and the bonus target is 15%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
COO Job Roles in North Dakota
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Search COO Jobs in North DakotaCOO Jobs in North Dakota: Frequently Asked Questions
Which companies sponsor visas for COOs in North Dakota?
The most active visa sponsors for senior executive roles in North Dakota tend to be large, institutionally structured employers. Basin Electric Power Cooperative, Sanford Health, Essentia Health, and major agricultural processors like CHS Inc. have the HR infrastructure to support executive sponsorship. Smaller regional firms occasionally sponsor, but COO-level sponsorship is far more common among organizations with dedicated legal and compliance teams.
Which visa types are most common for COO roles in North Dakota?
The H-1B visa is the most common visa category for COO roles, as the position typically qualifies as a specialty occupation requiring a bachelor's degree or higher in a relevant field such as business administration or management. The O-1A is an option for candidates with demonstrated extraordinary achievement. Some multinational candidates may qualify for an L-1A intracompany transferee visa if moving from a related entity abroad into a North Dakota operation.
Which cities in North Dakota have the most COO sponsorship jobs?
Fargo is North Dakota's largest city and generates the most executive-level hiring activity, with a growing healthcare, technology, and financial services sector. Bismarck, the state capital, is the center for energy, government-adjacent organizations, and regional healthcare systems. Grand Forks also sees COO-level activity, partly driven by the University of North Dakota's affiliated health and research institutions and nearby defense-related employers at Grand Forks Air Force Base.
How to find coo visa sponsorship jobs in North Dakota?
Migrate Mate filters COO-level roles specifically by visa sponsorship eligibility, making it easier to identify North Dakota employers who are actively open to sponsoring international executives. Because COO positions are rarely advertised with explicit sponsorship language, using a platform built around sponsorship signals, like Migrate Mate, saves significant time compared to sorting through general job listings that don't surface that information.
What state-specific factors should international COO candidates in North Dakota be aware of?
North Dakota's economy is heavily tied to energy, agriculture, and healthcare, so COO candidates with sector experience in those industries have the strongest positioning. The state has a relatively small labor market, meaning COO openings are infrequent and competitive. Employers sponsoring at the executive level must demonstrate that the prevailing wage requirement under DOL guidelines is met, which is determined by occupation, location, and level, not negotiated independently.
What is the prevailing wage for sponsored coo jobs in North Dakota?
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.