Medical Secretary Visa Sponsorship Jobs in Washington
Medical secretary jobs in Washington draw international candidates to health systems like UW Medicine, Providence Health, and MultiCare across Seattle, Tacoma, and Spokane. Washington's dense concentration of academic medical centers and regional hospital networks creates steady openings for visa-sponsored administrative healthcare roles supporting clinical operations.
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Description
DSHS Assistant Secretary, Home and Community Living Administration
Help Shape the Future of Home and Community Living in Washington State
What does it take to lead an organization that helps thousands of Washington residents live with greater independence, dignity, and choice?
It takes vision, sound judgment, and the ability to bring people together to accomplish meaningful work.
The Washington State Department of Social and Health Services (DSHS) is seeking an accomplished executive to lead the Home and Community Living Administration (HCLA). Recognized nationally for its leadership and innovation in long-term care, HCLA supports more than 115,000 older adults and adults with disabilities across Washington State.
This is an opportunity to build on Washington’s leadership in long-term services and supports while guiding an administration through growing service demands, evolving federal requirements, and complex organizational priorities.
About HCLA
HCLA helps older adults and people with disabilities access essential services that support their safety, independence, and connection to their communities.
Through Home and Community Services, Adult Protective Services, Residential Care Services, Management Services Division, and the Office of the Deaf and Hard of Hearing, HCLA works with individuals, families, caregivers, Tribes, unions, service providers, and community organizations to strengthen Washington’s long-term care system.
Organizational Scope
- Workforce: Approximately 3,100 employees statewide.
- Budget: $13.4 billion for the 25-27 biennium.
- Executive leadership: Leads six direct reports responsible for HCLA’s statewide divisions, programs, and operations.
- Service delivery: Statewide services supporting older adults, adults with disabilities, vulnerable adults, families, and caregivers.
The Opportunity
As Assistant Secretary, you’ll join the DSHS executive leadership team and provide strategic direction for HCLA’s statewide programs, operations, and services.
You’ll lead and develop executive teams, establish priorities, and hold leaders accountable for delivering critical services that support the health, safety, and independence of Washington residents. You’ll also build strong relationships and collaborate with community partners to strengthen service delivery.
You’ll guide HCLA through major statewide initiatives, evolving state and federal requirements, fiscal challenges, and increasing demand for long-term services and supports while strengthening leadership capacity and advancing priorities across DSHS.
What You’ll Lead
- Strategic direction: Shape statewide priorities, guide major initiatives, and align HCLA’s work with the Governor’s and Secretary’s goals.
- Executive leadership: Coach and develop senior leaders, delegate authority, establish accountability, and strengthen succession planning.
- Statewide service delivery: Oversee critical services, including case management, adult protective services, and program quality assurance, ensuring services are effective, accessible, and responsive.
- Financial stewardship: Provide oversight of significant operating budgets, establish spending priorities, and balance fiscal responsibility with service delivery needs.
- Policy and systems change: Guide statewide policy, legislative initiatives, evolving federal requirements, and improvements across complex service delivery systems.
- Government and community relationships: Collaborate with legislators, Tribal governments, federal agencies, unions, service providers, and external partners to advance shared priorities.
- Organizational performance: Strengthen accountability, address emerging challenges, and support collaboration and results across the Department.
Experience and Leadership
We’re seeking an accomplished executive with demonstrated success leading complex organizations, including:
- A bachelor’s degree in public administration, business administration, public health, social services, health and human services, or a related field. Relevant experience may substitute year for year for education.
- Demonstrated executive leadership experience overseeing large, complex organizations, multiple programs, and senior leadership teams.
- Experience leading complex community-based healthcare, long-term care, human services, or related service delivery systems.
- Demonstrated financial leadership, including managing multimillion-dollar budgets, allocating resources, and making fiscally responsible decisions.
- Ability to anticipate challenges, exercise sound executive judgment, and navigate complex government and political environments with diplomacy.
- Demonstrated success establishing strategic priorities, delegating responsibility, developing leaders, and delivering organizational results.
- Experience leading organizational change, strengthening performance, and overseeing complex initiatives.
- Knowledge of long-term services and supports, including relevant state and federal programs, policies, and regulatory requirements.
- Strong executive communication skills and the ability to build effective relationships with legislators, community organizations, executive leaders, and external partners.
- A commitment to equity, access, inclusion, and belonging.
Why HCLA?
Washington State has long pioneered long-term services and supports. At HCLA, you’ll work alongside dedicated leaders and staff committed to meeting Washington residents' growing needs.
You’ll help shape statewide policy, strengthen essential public services, develop future leaders, and advance the future of home and community living.
Application process
We anticipate appointing the assistant secretary as early as January 2027.
Applications received by November 13th will receive priority consideration.
We will begin confidential review of applications immediately and continue until an appointment is made.
Please submit a resume and letter of interest to:
Tracie.Kidd@dshs.wa.gov
Your letter of interest should highlight how your experience aligns with leadership competencies and capabilities outlined in this profile.
The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ individuals, immigrants and refugees, and families building financial security.
Supplemental Information
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.
Relationship and Reporting Structure (Nepotism) Disclosure: If you are selected for hire, you must disclose whether you have a relative, household member, close friend, or romantic partner within your potential supervisory chain of command. DSHS has a Relationships and the Reporting Structure policy that prohibits nepotism and can be reviewed here. Applicants whose appointment would result in a prohibited reporting relationship are not eligible for appointment to that position.
Medical Secretary Job Roles in Washington
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Search Medical Secretary Jobs in WashingtonMedical Secretary Jobs in Washington: Frequently Asked Questions
Which visa types realistically fit medical secretary roles in Washington?
Medical secretary positions are generally considered non-specialty-occupation administrative roles, so H-1B visa, E-3 visa, and H-1B1 visas, which require a directly related bachelor's degree for a specialty occupation, are unlikely fits. The most realistic paths are H-2B visa for temporary or seasonal placements, F-1 OPT for recent graduates working in a related field of study, and employer-sponsored green cards through the EB-3 category for skilled or unskilled workers. TN visa does not cover medical secretaries.
Which companies sponsor visas for medical secretaries in Washington?
Washington's largest healthcare employers are the most active sponsors for administrative healthcare roles. UW Medicine, Providence Health and Services, MultiCare Health System, Virginia Mason Franciscan Health, and Seattle Children's have established HR infrastructure for visa sponsorship. Larger hospital networks are better positioned to support green card sponsorship through PERM labor certification, which requires demonstrating no qualified U.S. workers are available for the role.
How to find medical secretary visa sponsorship jobs in Washington?
Migrate Mate lists Washington employers with verified visa sponsorship history, searchable by role and city, making it straightforward to identify health systems actively hiring medical secretaries with sponsorship support. Focus your search on major medical corridors in Seattle, Bellevue, Tacoma, and Spokane, where hospital networks are large enough to maintain dedicated immigration compliance teams capable of managing sponsored placements.
Which cities in Washington have the most medical secretary sponsorship jobs?
Seattle accounts for the largest share of Washington's medical secretary openings, anchored by UW Medical Center, Harborview, and Swedish Health Services. Tacoma hosts MultiCare's flagship campus and several Providence facilities. Spokane serves as the primary healthcare hub for eastern Washington, with Providence and MultiCare both operating major campuses there. Bellevue and Renton have growing outpatient and specialty clinic networks that also generate administrative healthcare openings.
Are there any Washington-specific factors that affect visa sponsorship for medical secretaries?
Washington's concentration of large academic medical centers creates more sponsorship capacity than many states, since these institutions have established immigration legal teams. The state's strong biotech and life sciences sector in the Seattle-Bellevue corridor also generates medical administrative roles adjacent to research operations. Washington has no state income tax, which affects net compensation comparisons but does not change federal visa eligibility or sponsorship requirements for this role category.
What is the prevailing wage for sponsored medical secretary jobs in Washington?
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.