Clinical Consultant Jobs in USA with Visa Sponsorship
Clinical Consultant roles qualify for H-1B visa and O-1 visa sponsorship when the position requires a clinical degree, typically an MD, PharmD, or advanced nursing credential. Most employers in healthcare consulting, medical devices, and pharma sponsor these roles directly. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Clinical Consultant is responsible for reviewing large claim notices to identify potential risks, setting up and monitoring claimants in POWER, and notifying relevant stakeholders as risk levels change. The role also involves educating internal and external customers about clinical trends, researching disease states using reputable resources, and assessing opportunities for cost containment.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Review and assess large claim notices for potential risks. (approx. 25%)
- Set-up potential large dollar claimants in POWER for ongoing risk assessment and allocation of reserves
- Continue to follow these claimants on a monthly or bi-weekly basis depending on the severity and change in treatment
- Know when to set these claimants up based on clinical and cost knowledge
- Complete review of LCNs within 48 business hours of receipt
- Notify underwriter and claims auditor of potential risk when first notice received and again as risk changes
- Educate non-medical internal and external customers regarding clinical trends, treatments, possible outcomes
- Research medical conditions and disease states for appropriate treatment for specific conditions
- Utilize reputable clinical resources for research as needed such as NCCN, CDC, Predict Dx
- Assess all claimants for potential cost containment opportunities. (approx. 20%)
- Collaborate with TPA, case manager, claims auditor, underwriter, vendor to discuss and place appropriate cost containment measures
- Maintain timely diary follow-up of all claimants open in POWER. (10%)
- Index all documentation received
- Co-manage complex medical cases with Transplant/Dialysis coordinator
- Provide clinical claim file review for claims auditor as needed. (5%)
- Perform appropriate research for each clinical claim file review request
- Provide discussion/answer questions for claims auditor as needed
- Perform experimental/investigational file reviews for Claims
- Review PYCS to assist claim auditor in setting appropriate reserves based on known or anticipated cost
- Reviewed all documents indexed into the package for each cost estimator request (approx. 40% but during busy season-end of August to December approx. 75%)
- Perform appropriate research for each cost estimator request
- Identify all actual and potential risks for each cost estimator request
- Document clinical summary and estimate cost of care for each individual identified as at risk
- Provide re-review of additional information for updated cost estimates as needed
- Complete requests for cost estimates on new business within 24 business hours of receipt and on renewal business within 48 business hours of receipt
- Provide discussion/answer questions for underwriter as needed
- Complete Hot Claims reports as needed. This is used to track large claims and any cost containment strategies put in place
- Attend monthly Account Management/Sales calls
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Current and unrestricted RN license in the state of residence
- 5+ years of clinical experience
- 2+ years of ER, critical care or oncology experience
- 2+ years of experience working in an insurance or managed care company, or working with a third-party administrator
- Proficient in Microsoft Excel
Preferred Qualifications:
- Employer Stop Loss experience
- Computer proficiency, specifically solid typing skills and Internet research skills
- Demonstrated ability to multitask and remain organized
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Clinical Consultant is responsible for reviewing large claim notices to identify potential risks, setting up and monitoring claimants in POWER, and notifying relevant stakeholders as risk levels change. The role also involves educating internal and external customers about clinical trends, researching disease states using reputable resources, and assessing opportunities for cost containment.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Review and assess large claim notices for potential risks. (approx. 25%)
- Set-up potential large dollar claimants in POWER for ongoing risk assessment and allocation of reserves
- Continue to follow these claimants on a monthly or bi-weekly basis depending on the severity and change in treatment
- Know when to set these claimants up based on clinical and cost knowledge
- Complete review of LCNs within 48 business hours of receipt
- Notify underwriter and claims auditor of potential risk when first notice received and again as risk changes
- Educate non-medical internal and external customers regarding clinical trends, treatments, possible outcomes
- Research medical conditions and disease states for appropriate treatment for specific conditions
- Utilize reputable clinical resources for research as needed such as NCCN, CDC, Predict Dx
- Assess all claimants for potential cost containment opportunities. (approx. 20%)
- Collaborate with TPA, case manager, claims auditor, underwriter, vendor to discuss and place appropriate cost containment measures
- Maintain timely diary follow-up of all claimants open in POWER. (10%)
- Index all documentation received
- Co-manage complex medical cases with Transplant/Dialysis coordinator
- Provide clinical claim file review for claims auditor as needed. (5%)
- Perform appropriate research for each clinical claim file review request
- Provide discussion/answer questions for claims auditor as needed
- Perform experimental/investigational file reviews for Claims
- Review PYCS to assist claim auditor in setting appropriate reserves based on known or anticipated cost
- Reviewed all documents indexed into the package for each cost estimator request (approx. 40% but during busy season-end of August to December approx. 75%)
- Perform appropriate research for each cost estimator request
- Identify all actual and potential risks for each cost estimator request
- Document clinical summary and estimate cost of care for each individual identified as at risk
- Provide re-review of additional information for updated cost estimates as needed
- Complete requests for cost estimates on new business within 24 business hours of receipt and on renewal business within 48 business hours of receipt
- Provide discussion/answer questions for underwriter as needed
- Complete Hot Claims reports as needed. This is used to track large claims and any cost containment strategies put in place
- Attend monthly Account Management/Sales calls
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Current and unrestricted RN license in the state of residence
- 5+ years of clinical experience
- 2+ years of ER, critical care or oncology experience
- 2+ years of experience working in an insurance or managed care company, or working with a third-party administrator
- Proficient in Microsoft Excel
Preferred Qualifications:
- Employer Stop Loss experience
- Computer proficiency, specifically solid typing skills and Internet research skills
- Demonstrated ability to multitask and remain organized
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See all 347+ Clinical Consultant Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Clinical Consultant roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Consultant
Lead with your clinical licensure
Employers sponsoring Clinical Consultants want to see your active U.S. clinical license front and center. State licensing requirements vary, so clarify your licensure status early in conversations to avoid wasting time on roles you can't legally perform.
Target employers with a sponsorship track record
Large medical device companies, pharma firms, and hospital systems sponsor Clinical Consultants far more reliably than small practices. Focus your search on organizations with dedicated HR immigration teams, which signals an established sponsorship process rather than a one-off arrangement.
Clarify the specialty occupation standard upfront
USCIS requires H-1B roles to qualify as specialty occupations. Clinical Consultant positions tied to a specific clinical discipline, oncology, cardiology, pharmacovigilance, meet this standard more clearly than generalist roles, so emphasize your specialized clinical focus in applications.
Understand your degree equivalency if you trained abroad
If your clinical degree is from a non-U.S. institution, get a credential evaluation from a NACES-approved evaluator before applying. Many employers won't proceed with sponsorship until equivalency is confirmed, and it can take several weeks to complete.
Ask about cap-exempt employer options
Hospitals affiliated with universities and nonprofit research institutions are often cap-exempt H-1B sponsors, meaning they can file year-round without waiting for the lottery. Clinical Consultants working in these settings can start much sooner than those going through the annual cap.
Document your clinical impact quantitatively
Sponsoring employers need to justify the hire to USCIS. Prepare documentation showing patient outcomes, protocol improvements, or revenue tied to your clinical work. Concrete metrics make the sponsorship case stronger and reduce the risk of a Request for Evidence.
Frequently Asked Questions
Which visa types are most common for Clinical Consultant roles?
The H-1B visa is the most common path for Clinical Consultants, provided the role requires a specific clinical degree. O-1A visas are an option for those with exceptional credentials, peer-reviewed publications, or significant industry recognition. TN visa status applies to Canadian and Mexican nationals with qualifying clinical degrees under the USMCA professional categories, particularly physicians and pharmacists.
Does my clinical degree need to exactly match the job title to qualify for H-1B sponsorship?
Not exactly, but the connection must be direct and defensible. A PharmD supporting a pharmacovigilance consulting role, or an MD in a clinical science position at a medical device company, satisfies USCIS's specialty occupation standard. Where rejections happen is when the degree field is broad and the role doesn't clearly require that specific clinical background, USCIS will issue an RFE in those cases.
How hard is it for Clinical Consultants to get H-1B sponsorship approved?
Approval rates are generally strong when the clinical degree requirement is well-documented. USCIS scrutinizes Clinical Consultant petitions more carefully than traditional engineering or IT roles because the specialty occupation link can be less obvious. Employers with experienced immigration counsel who can write a detailed support letter, outlining why the role requires a specific clinical degree, see significantly fewer Requests for Evidence.
Where should I look for Clinical Consultant jobs that offer visa sponsorship?
Migrate Mate filters job listings specifically by visa sponsorship eligibility, which removes the guesswork of cold-applying to roles that won't support an H-1B or O-1 visa. Most sponsoring Clinical Consultant roles come from medical device companies, contract research organizations, pharma manufacturers, and large integrated health systems, all well-represented on the platform.
Can I work as a Clinical Consultant on OPT before my employer files an H-1B?
Yes. If you're a recent graduate, you can begin working under OPT while your employer prepares your H-1B petition. STEM OPT extension may not apply unless your clinical program qualifies under a designated STEM field, pharmacy and some public health programs do, medicine generally does not. Your employer must file the H-1B before your OPT expires to maintain continuous work authorization through the cap-gap period.
What is the prevailing wage requirement for sponsored Clinical Consultant 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.