Audit Specialist Jobs in USA with Visa Sponsorship
Audit Specialist roles are actively sponsored through H-1B visa and TN visas, with employers ranging from Big Four accounting firms to large financial institutions. A bachelor's degree in accounting, finance, or a related field is the standard requirement for sponsorship eligibility. For detailed occupation requirements, see the O*NET profile.
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INTRODUCTION
Our mission is to detect cancer early, when it can be cured. We are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care. We are a healthcare company, pioneering new technologies to advance early cancer detection. We have built a multi-disciplinary organization of scientists, engineers, and physicians and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome one of medicine’s greatest challenges. GRAIL is headquartered in the bay area of California, with locations in Washington, D.C., North Carolina, and the United Kingdom. It is supported by leading global investors and pharmaceutical, technology, and healthcare companies.
ROLE AND RESPONSIBILITIES
The Lead Quality Audit Specialist is responsible for supporting the development, implementation and maintenance of the internal audit program. This role will also support other Quality Management Systems (QMS) activities as needed. This role is based at our Durham, North Carolina, office. It offers a flexible work arrangement, with the ability to work from GRAIL's office or from home. Our current flexible work arrangement policy requires that a minimum of 60%, or 24 hours, of your total work week be on-site. Your specific schedule, determined in collaboration with your manager, will align with team and business needs and could exceed the 60% requirement for the site.
- Responsible for creating annual internal audit schedules, developing internal audit plans and coordinating activities with cross-functional teams.
- Function as a lead auditor for internal audits and perform audits to ensure compliance to procedures and regulatory standards by examining and analyzing records, reports, procedures and related documentation; Provide recommendations for continuous improvement to strengthen the internal processes and structure.
- Responsible for documenting audit findings and monitoring corrective actions associated with the audit findings until closure.
- Responsible for developing and maintaining policies and procedures for an effective and compliant internal audit program. Develop, prepare and maintain various QMS metrics and dashboards for management review and quality monitoring.
- Manage and lead the lifecycle requirements for the electronic QMS.
- Assist with QMS activities, such as CAPAs, non-conformance, deviations, supplier quality, complaints, process monitoring and improvement, and batch records review.
- Provide training, guidance, and support to the company for QMS related policies and procedures.
- Develop solutions to routine assigned activities of moderate scope and complexity.
- Independently determine and develop an approach to solutions for moderate/complex problems.
- Provide continuous assessment and identify areas of improvement for the QMS.
- Lead process improvement projects of low/medium complexity.
- Other duties as assigned.
BASIC QUALIFICATIONS
- BA/BS (or equivalent industry experience) with 5+ years of relevant experience including 3+ years of experience in the life sciences industry, preferably in an FDA medical device/IVD regulated environment.
- Lead Auditor Certification is required.
- Strong working knowledge of FDA QMSR/cGMP and ISO 13485, ISO 14971 regulations.
- Must have good verbal, written, communication and organizational skills, and be able to work in a cross-functional team environment.
- Ability to perform a variety of duties involving critical thinking, analysis, evaluation, and judgment in support of QMS activities.
- Ability to work on complex problems in which analysis of situations or data requires an in-depth evaluation of various factors.
- Ability to prioritize tasks and deliver assignments with high quality in a timely manner.
PHYSICAL DEMANDS & WORKING ENVIRONMENT
- Primarily desk-based work with extended periods of computer use.
- Frequent typing and screen interaction.
- Occasional light lifting up to 10 lbs.
- Quiet to moderate noise level in an office or remote setting.
- Collaborative team environment with virtual or in-person meetings.
- Ability to travel approximately 10% as audit needs require.
COMPENSATION
The expected, full-time, annual base pay scale for this position is $94K - $118K for NC. Actual base pay will consider skills, experience, and location. This role may be eligible for other forms of compensation, including an annual bonus and/or incentives, subject to the terms of the applicable plans and Company discretion. This range reflects a good-faith estimate of the range that the Company reasonably expects to pay for the position upon hire; the actual compensation offered may vary depending on factors such as the candidate’s qualifications. Employees in this role are also eligible for GRAIL’s comprehensive and competitive benefits package, offered in accordance with our applicable plans and policies. This package currently includes flexible time-off or vacation; a 401(k) retirement plan with employer match; medical, dental, and vision coverage; and carefully selected mindfulness programs.
GRAIL is an equal employment opportunity employer, and we are committed to building a workplace where every individual can thrive, contribute, and grow. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, disability, status as a protected veteran, or any other class or characteristic protected by applicable federal, state, and local laws. Additionally, GRAIL will consider for employment qualified applicants with arrest and conviction records in a manner consistent with applicable law and provide reasonable accommodations to qualified individuals with disabilities. Please contact us at rc@grailbio.com if you require an accommodation to apply for an open position. GRAIL maintains a drug-free workplace. We welcome job-seekers from all backgrounds to join us!

INTRODUCTION
Our mission is to detect cancer early, when it can be cured. We are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care. We are a healthcare company, pioneering new technologies to advance early cancer detection. We have built a multi-disciplinary organization of scientists, engineers, and physicians and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome one of medicine’s greatest challenges. GRAIL is headquartered in the bay area of California, with locations in Washington, D.C., North Carolina, and the United Kingdom. It is supported by leading global investors and pharmaceutical, technology, and healthcare companies.
ROLE AND RESPONSIBILITIES
The Lead Quality Audit Specialist is responsible for supporting the development, implementation and maintenance of the internal audit program. This role will also support other Quality Management Systems (QMS) activities as needed. This role is based at our Durham, North Carolina, office. It offers a flexible work arrangement, with the ability to work from GRAIL's office or from home. Our current flexible work arrangement policy requires that a minimum of 60%, or 24 hours, of your total work week be on-site. Your specific schedule, determined in collaboration with your manager, will align with team and business needs and could exceed the 60% requirement for the site.
- Responsible for creating annual internal audit schedules, developing internal audit plans and coordinating activities with cross-functional teams.
- Function as a lead auditor for internal audits and perform audits to ensure compliance to procedures and regulatory standards by examining and analyzing records, reports, procedures and related documentation; Provide recommendations for continuous improvement to strengthen the internal processes and structure.
- Responsible for documenting audit findings and monitoring corrective actions associated with the audit findings until closure.
- Responsible for developing and maintaining policies and procedures for an effective and compliant internal audit program. Develop, prepare and maintain various QMS metrics and dashboards for management review and quality monitoring.
- Manage and lead the lifecycle requirements for the electronic QMS.
- Assist with QMS activities, such as CAPAs, non-conformance, deviations, supplier quality, complaints, process monitoring and improvement, and batch records review.
- Provide training, guidance, and support to the company for QMS related policies and procedures.
- Develop solutions to routine assigned activities of moderate scope and complexity.
- Independently determine and develop an approach to solutions for moderate/complex problems.
- Provide continuous assessment and identify areas of improvement for the QMS.
- Lead process improvement projects of low/medium complexity.
- Other duties as assigned.
BASIC QUALIFICATIONS
- BA/BS (or equivalent industry experience) with 5+ years of relevant experience including 3+ years of experience in the life sciences industry, preferably in an FDA medical device/IVD regulated environment.
- Lead Auditor Certification is required.
- Strong working knowledge of FDA QMSR/cGMP and ISO 13485, ISO 14971 regulations.
- Must have good verbal, written, communication and organizational skills, and be able to work in a cross-functional team environment.
- Ability to perform a variety of duties involving critical thinking, analysis, evaluation, and judgment in support of QMS activities.
- Ability to work on complex problems in which analysis of situations or data requires an in-depth evaluation of various factors.
- Ability to prioritize tasks and deliver assignments with high quality in a timely manner.
PHYSICAL DEMANDS & WORKING ENVIRONMENT
- Primarily desk-based work with extended periods of computer use.
- Frequent typing and screen interaction.
- Occasional light lifting up to 10 lbs.
- Quiet to moderate noise level in an office or remote setting.
- Collaborative team environment with virtual or in-person meetings.
- Ability to travel approximately 10% as audit needs require.
COMPENSATION
The expected, full-time, annual base pay scale for this position is $94K - $118K for NC. Actual base pay will consider skills, experience, and location. This role may be eligible for other forms of compensation, including an annual bonus and/or incentives, subject to the terms of the applicable plans and Company discretion. This range reflects a good-faith estimate of the range that the Company reasonably expects to pay for the position upon hire; the actual compensation offered may vary depending on factors such as the candidate’s qualifications. Employees in this role are also eligible for GRAIL’s comprehensive and competitive benefits package, offered in accordance with our applicable plans and policies. This package currently includes flexible time-off or vacation; a 401(k) retirement plan with employer match; medical, dental, and vision coverage; and carefully selected mindfulness programs.
GRAIL is an equal employment opportunity employer, and we are committed to building a workplace where every individual can thrive, contribute, and grow. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, age, disability, status as a protected veteran, or any other class or characteristic protected by applicable federal, state, and local laws. Additionally, GRAIL will consider for employment qualified applicants with arrest and conviction records in a manner consistent with applicable law and provide reasonable accommodations to qualified individuals with disabilities. Please contact us at rc@grailbio.com if you require an accommodation to apply for an open position. GRAIL maintains a drug-free workplace. We welcome job-seekers from all backgrounds to join us!
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Get Access To All JobsTips for Finding Visa Sponsorship as an Audit Specialist
Target employers with H-1B filing history
Big Four firms and large financial institutions file H-1B petitions for Audit Specialists regularly. Focusing on employers with a documented sponsorship track record significantly improves your odds of receiving an offer with visa support.
Confirm your degree field matches the role
H-1B sponsorship for Audit Specialist positions requires a specialty occupation determination. Your degree in accounting, finance, or a closely related field must directly correspond to the audit duties listed in the job description.
Understand CPA status affects your candidacy
Holding or actively pursuing a CPA license strengthens your sponsorship case considerably. Employers and USCIS both view professional licensure as evidence the role requires specialized expertise, which supports the specialty occupation classification.
Apply before the H-1B lottery registration window
H-1B cap-subject positions require employers to register in March each year. Starting your job search well before that window ensures your employer can submit your registration on time without missing the annual cutoff.
Consider TN status if you are Canadian or Mexican
Accountants and auditors are a listed TN profession under the USMCA agreement. Canadian and Mexican nationals can often begin work faster through TN status, which does not involve a lottery and can be processed at the border.
Prepare detailed employment verification documents
Audit Specialist petitions often require offer letters specifying duties, a degree that matches the role, and sometimes prior employer verification letters. Having these documents organized before your employer files saves time and reduces the risk of a delay.
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Find Audit Specialist JobsFrequently Asked Questions
Does an Audit Specialist role qualify as an H-1B specialty occupation?
Yes, in most cases. USCIS generally recognizes audit roles as specialty occupations when the position requires a bachelor's degree or higher in accounting, finance, or a related field. The key is that the job description must reflect duties that genuinely require that specific degree, not just any bachelor's degree in any field. Generic audit roles at smaller companies with vague degree requirements have faced RFEs on this basis.
What visa types are most common for sponsored Audit Specialist positions?
H-1B is the most common path for Audit Specialists from countries outside Canada and Mexico. Canadian and Mexican nationals can often use TN status under the USMCA, which lists accountants as a qualifying profession and avoids the H-1B lottery entirely. Some multinational firms also use L-1 transfers for audit professionals moving from an overseas office to a U.S. role.
Does having a CPA license improve my sponsorship chances?
It does, meaningfully. A CPA license or active candidacy strengthens the specialty occupation argument because it demonstrates the role requires state-recognized professional expertise. Employers at Big Four firms and regional audit practices often prefer CPA candidates partly because it simplifies the H-1B petition and reduces the risk of USCIS issuing a Request for Evidence about whether the role truly requires a specialized degree.
Where can I find Audit Specialist jobs that offer visa sponsorship?
Migrate Mate is the best starting point. The platform filters specifically for roles that offer visa sponsorship, so you are not wasting time applying to positions where sponsorship is unavailable. Audit Specialist listings on Migrate Mate include details about employer type and sponsorship history, which helps you prioritize applications toward firms with a track record of filing H-1B or TN petitions for this role.
Can a three-year bachelor's degree from outside the U.S. qualify for H-1B sponsorship as an Audit Specialist?
It can, but it requires a credential evaluation. USCIS does not automatically accept three-year degrees as equivalent to a U.S. four-year bachelor's. A credential evaluation from a recognized organization is typically required to establish equivalency. For audit roles specifically, a three-year accounting degree from countries like India or Australia, combined with relevant work experience and professional certifications, is often found equivalent, but outcomes vary by petitioner and adjudicator.
What is the prevailing wage requirement for sponsored Audit Specialist jobs?
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.
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