Business Finance Manager Jobs in USA with Visa Sponsorship
Business Finance Manager roles qualify for H-1B visa and E-3 visa sponsorship as specialty occupations requiring at least a bachelor's degree in finance, accounting, or a related field. Employers in financial services, technology, and healthcare regularly file LCAs for this title, making it one of the more accessible corporate finance roles for international candidates.
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Get Access To All JobsINTRODUCTION
The Pharmacy Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.
ENTITY
Medical University Hospital Authority (MUHA)
WORKER TYPE
Employee
WORKER SUB-TYPE
Regular
COST CENTER
CC004415 SYS - ICCE - Pharmacy
PAY RATE TYPE
Salary
PAY GRADE
Health-36
SCHEDULED WEEKLY HOURS
40
WORK SHIFT
JOB DESCRIPTION
MUSC Business and Finance Manager
PHARMACY ENTERPRISE
Position Summary
The Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.
KEY RESPONSIBILITIES
- Lead monthly General Ledger reviews, budget-to-actual analyses, financial reconciliations, and variance reporting for pharmacy departments and cost centers.
- Coordinate annual operating and capital budgets, forecasts, accruals, journal entries, and period-end reporting.
- Develop executive dashboards, scorecards, key performance indicators, and recurring financial and operational reports.
- Analyze revenue, expenses, labor, drug spend, utilization, reimbursement, rebates, and high-cost medication trends.
- Develop pro formas, financial models, business plans, scenario analyses, capital requests, and FTE justifications.
- Evaluate the financial performance and sustainability of existing and proposed pharmacy services.
- Identify opportunities to increase revenue, improve margins, reduce costs, and optimize resources.
- Support financial analysis for specialty pharmacy, medication management services, 340B operations, supply chain, infusion, retail, and other pharmacy programs.
- Assess the potential financial impact of reimbursement, regulatory, manufacturer, and market changes.
- Establish standardized financial workflows, reporting practices, internal controls, and data-validation processes.
- Prepare decision-ready presentations and recommendations for pharmacy executives, finance committees, and organizational leadership.
- Lead and develop assigned business, finance, and analytics staff.
- Collaborate with Pharmacy, Finance, Accounting, Supply Chain, Revenue Cycle, Human Resources, Information Solutions, and operational leaders.
REQUIRED QUALIFICATIONS
- Pharm D or Rph, and MBA, MHA or experience
- Five years of progressive experience in healthcare finance, pharmacy business operations, budgeting, financial analysis, accounting, or business analytics.
- Experience with budgeting, forecasting, variance analysis, financial modeling, and executive reporting.
- Previous supervisory, team leadership, or project leadership experience.
- Advanced proficiency in Microsoft Excel and financial reporting tools.
PREFERRED QUALIFICATIONS
- Master of Finance, Master of Accounting, or another relevant advanced degree.
- Active pharmacist licensure when required by the position’s scope.
- Experience within an academic medical center, integrated health system, or complex multi-site pharmacy enterprise.
- Experience with Axiom, Workday, Power BI, Tableau, or similar financial and analytics platforms.
- Knowledge of pharmacy reimbursement, pharmaceutical purchasing, specialty pharmacy, 340B, medication management, and contracting.
KNOWLEDGE, SKILLS, AND ABILITIES
- Strong financial, analytical, problem-solving, and strategic planning skills.
- Ability to interpret complex data and develop practical business recommendations.
- Effective executive communication, presentation, and relationship-management skills.
- Strong organizational skills with the ability to manage multiple priorities and recurring deadlines.
- Demonstrated leadership, sound judgment, attention to detail, and commitment to data integrity.
- Ability to collaborate across clinical, operational, financial, and administrative teams.
ADDITIONAL JOB DESCRIPTION
Education: Bachelor's degree or equivalent education and/or relevant work experience
Work Experience: 10 years progressive work experience and 5 years management experience.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
INTRODUCTION
The Pharmacy Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.
ENTITY
Medical University Hospital Authority (MUHA)
WORKER TYPE
Employee
WORKER SUB-TYPE
Regular
COST CENTER
CC004415 SYS - ICCE - Pharmacy
PAY RATE TYPE
Salary
PAY GRADE
Health-36
SCHEDULED WEEKLY HOURS
40
WORK SHIFT
JOB DESCRIPTION
MUSC Business and Finance Manager
PHARMACY ENTERPRISE
Position Summary
The Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.
KEY RESPONSIBILITIES
- Lead monthly General Ledger reviews, budget-to-actual analyses, financial reconciliations, and variance reporting for pharmacy departments and cost centers.
- Coordinate annual operating and capital budgets, forecasts, accruals, journal entries, and period-end reporting.
- Develop executive dashboards, scorecards, key performance indicators, and recurring financial and operational reports.
- Analyze revenue, expenses, labor, drug spend, utilization, reimbursement, rebates, and high-cost medication trends.
- Develop pro formas, financial models, business plans, scenario analyses, capital requests, and FTE justifications.
- Evaluate the financial performance and sustainability of existing and proposed pharmacy services.
- Identify opportunities to increase revenue, improve margins, reduce costs, and optimize resources.
- Support financial analysis for specialty pharmacy, medication management services, 340B operations, supply chain, infusion, retail, and other pharmacy programs.
- Assess the potential financial impact of reimbursement, regulatory, manufacturer, and market changes.
- Establish standardized financial workflows, reporting practices, internal controls, and data-validation processes.
- Prepare decision-ready presentations and recommendations for pharmacy executives, finance committees, and organizational leadership.
- Lead and develop assigned business, finance, and analytics staff.
- Collaborate with Pharmacy, Finance, Accounting, Supply Chain, Revenue Cycle, Human Resources, Information Solutions, and operational leaders.
REQUIRED QUALIFICATIONS
- Pharm D or Rph, and MBA, MHA or experience
- Five years of progressive experience in healthcare finance, pharmacy business operations, budgeting, financial analysis, accounting, or business analytics.
- Experience with budgeting, forecasting, variance analysis, financial modeling, and executive reporting.
- Previous supervisory, team leadership, or project leadership experience.
- Advanced proficiency in Microsoft Excel and financial reporting tools.
PREFERRED QUALIFICATIONS
- Master of Finance, Master of Accounting, or another relevant advanced degree.
- Active pharmacist licensure when required by the position’s scope.
- Experience within an academic medical center, integrated health system, or complex multi-site pharmacy enterprise.
- Experience with Axiom, Workday, Power BI, Tableau, or similar financial and analytics platforms.
- Knowledge of pharmacy reimbursement, pharmaceutical purchasing, specialty pharmacy, 340B, medication management, and contracting.
KNOWLEDGE, SKILLS, AND ABILITIES
- Strong financial, analytical, problem-solving, and strategic planning skills.
- Ability to interpret complex data and develop practical business recommendations.
- Effective executive communication, presentation, and relationship-management skills.
- Strong organizational skills with the ability to manage multiple priorities and recurring deadlines.
- Demonstrated leadership, sound judgment, attention to detail, and commitment to data integrity.
- Ability to collaborate across clinical, operational, financial, and administrative teams.
ADDITIONAL JOB DESCRIPTION
Education: Bachelor's degree or equivalent education and/or relevant work experience
Work Experience: 10 years progressive work experience and 5 years management experience.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
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Get Access To All JobsTips for Finding Visa Sponsorship as a Business Finance Manager
Match your degree to the role
USCIS requires a direct relationship between your degree field and the Business Finance Manager position. A finance, accounting, or economics degree clears this easily, but a general business degree may trigger an RFE if the job description emphasizes specialized financial modeling or FP&A.
Verify prevailing wage before negotiating
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your location and job level. Use the OFLC Wage Search to check Level II and Level III rates for financial managers in your target metro before you enter salary discussions.
Target employers with active LCA filing history
Use Migrate Mate to find companies that have filed LCAs for Business Finance Manager or related financial management titles, so you're applying to employers already familiar with the sponsorship process rather than educating them from scratch.
Flag FP&A and strategic duties in your resume
Employers struggle to justify H-1B sponsorship for roles that read like general management. Lead your resume with duties tied to financial forecasting, variance analysis, and capital planning, which map clearly to the specialty occupation definition USCIS applies to this title.
Understand the PERM timeline for green card planning
If your employer is open to green card sponsorship, ask about starting the PERM labor certification process early in your H-1B term. For Business Finance Manager roles, PERM audits are common, so a realistic timeline from filing to approval often runs two to three years.
Prepare a degree equivalency letter proactively
If you hold a three-year bachelor's degree or completed your finance education outside the U.S., get a credential evaluation from a NACES-approved evaluator before your employer files the petition. Waiting until USCIS issues an RFE adds months to your timeline.
Frequently Asked Questions
Does a Business Finance Manager role qualify as a specialty occupation for H-1B purposes?
Yes. USCIS consistently recognizes Business Finance Manager as a specialty occupation because the role normally requires at least a bachelor's degree in finance, accounting, economics, or a closely related field. The key is that your employer's job description must specify that degree requirement, not just list it as preferred. Generic management language without a field-specific degree requirement can lead to an RFE.
Which visa types are realistic for a Business Finance Manager seeking sponsorship?
H-1B is the most common path for most nationalities, subject to the annual cap and lottery. Australian citizens can apply for the E-3, which has a separate cap that has never been exhausted and requires no lottery. Chilean and Singaporean nationals may qualify for the H-1B1 visa. All three require the employer to file a certified LCA with DOL before the visa application proceeds.
How do I find employers actively sponsoring Business Finance Manager roles?
Migrate Mate lists employers with verified LCA sponsorship history for financial management roles, so you can focus your applications on companies that have already committed to sponsoring this title rather than cold-pitching the idea to hiring managers unfamiliar with the process.
Will a three-year bachelor's degree in finance satisfy USCIS requirements for this role?
A three-year bachelor's degree from Australia, India, or the UK can satisfy the U.S. bachelor's degree equivalency requirement, but it typically needs supporting documentation. USCIS accepts a credential evaluation from a NACES-approved evaluator, and in some cases progressive work experience can supplement a shorter degree. Submit the evaluation with the initial I-129 petition rather than waiting for an RFE.
Can my employer file for H-1B sponsorship if they've never sponsored a visa before?
Yes, there's no prior sponsorship history required. The employer must obtain a certified LCA from DOL, then file the I-129 petition with USCIS. First-time sponsors often face longer preparation timelines because HR teams need to establish payroll records and legal representation. Building this runway into your offer negotiation, ideally three to four months before the intended start date, reduces the risk of timing gaps.
What is the prevailing wage requirement for sponsored Business Finance Manager 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.