Commercial Finance Manager Jobs in USA with Visa Sponsorship
Commercial Finance Manager roles qualify as H-1B visa specialty occupations, making them viable for visa sponsorship across corporate finance, FP&A, and treasury functions. Employers file a Labor Condition Application before sponsoring, and candidates with CIMA, ACCA, or CPA credentials alongside a relevant bachelor's degree are well-positioned for approval.
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Get Access To All JobsINTRODUCTION
Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
- Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
- Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
- Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
THE OPPORTUNITY:
CAREER OPPORTUNITY OFFERING:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
This position pays between $92,400 - $138,600 based on experience.
We continue to grow our Pricing & Commercial Finance team and are seeking a Manager, Commercial Finance to help drive disciplined financial decision-making across the client lifecycle. This individual will play a leadership role within the Commercial Finance team, with responsibility for new client pricing, ongoing client profitability and forecasting, and financial modeling and pricing for expansions, and renewals with existing clients.
The Manager will partner closely with Operations and other cross-functional leaders to develop financial models, evaluate growth opportunities, monitor client financial performance, and translate financial and operational insights into actionable recommendations. This role will support key commercial decisions related to new business opportunities and client scope expansions, renewals, and other contract changes, ensuring decisions are grounded in a clear understanding of revenue, cost, profitability, and contractual economics.
The ideal candidate will develop a deep understanding of Ensemble’s business, operating model, and client economics. This individual will be comfortable working across multiple data sources and systems, including Workday, Adaptive Planning, and Power BI, and translating complex financial and operational information into clear recommendations for leadership. The Manager will also help advance the team's use of AI, automation, and scalable analytical tools to reduce manual work and improve the speed and quality of decision-making.
This role is remote and will report to the Director of Pricing & Commercial Finance.
Essential Job Functions:
New Client Pricing
- Lead financial due diligence, analyzing historical financials, payroll, accounts payable, staffing, vendor costs, and other key inputs to identify risks, opportunities, and service gaps for large health systems.
- Develop financial models and pricing proposals for new client opportunities with cross-functional partners, translating due diligence findings and operating assumptions into expected revenue, cost, profitability and key risks.
- Lead the internal pricing review and approval process, clearly communicating proposed economics, key assumptions, and risks to executive leadership.
- Monitor early post-go-live financial performance against pricing and implementation assumptions to identify variances and inform future pricing decisions.
Expansions & Renewals
- Develop and present pricing proposals for client expansions, renewals, and contract changes, evaluating the financial impact of scope changes and trade-offs across cost, pricing, contract terms, and expected profitability.
- Maintain visibility into upcoming renewals and contractual milestones to ensure timely financial and pricing support.
- Partner with Operations, Accounting, and other stakeholders to ensure approved contract changes are reflected in billing, financial forecasts, and client profitability expectations.
Client Financial Performance & Forecasting
- Own financial forecasting and profitability analysis across the client portfolio, incorporating financial and operational drivers to maintain an accurate outlook on client performance.
- Monitor client performance against pricing and forecast assumptions, identifying deviations in staffing plans and vendor roadmaps, and other key drivers of profitability.
- Partner with Operations and Partnership Success (Client relationship leaders) to drive financial performance, translating insights into actionable recommendations and tracking actions through resolution.
- Develop reporting and analytical tools that provide leadership with clear visibility into client financial performance, outlook, and key risks and opportunities.
Qualifications
- Bachelor’s degree in finance, accounting, data analytics, or a related field required, or equivalent experience.
- 5+ years of experience in consulting, finance, FP&A, pricing, or financial due diligence.
- Healthcare finance or health system experience preferred.
- Pricing and/or financial due diligence experience preferred, particularly with complex client or service-based businesses.
- Superior financial modeling, quantitative, and analytical skills, with the ability to evaluate revenue, cost, profitability, and key financial trade-offs.
- Strong commercial and financial judgment, with the ability to identify risks and opportunities, challenge assumptions, and translate analysis into actionable recommendations.
- Ability to navigate incomplete or complex financial and operational data, developing sound assumptions and drawing well-supported conclusions to inform pricing and financial decisions.
- Demonstrated ability to influence and partner with cross-functional leaders, including Operations and client-facing teams.
- Experience leading and developing direct reports and fostering a collaborative, high-performing team.
- Excellent written, verbal, and executive presentation skills, with the ability to clearly communicate complex financial concepts and recommendations.
- Advanced Excel and PowerPoint skills; Power BI, Tableau, SQL, or similar analytics experience preferred.
- Ability to manage multiple priorities and deliver high-quality work under tight deadlines.
- Curiosity and comfort leveraging AI and automation to simplify processes and enhance financial analysis and decision-making.
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
- Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Employment Disclaimers – Ensemble
INTRODUCTION
Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
- Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
- Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
- Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
THE OPPORTUNITY:
CAREER OPPORTUNITY OFFERING:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
This position pays between $92,400 - $138,600 based on experience.
We continue to grow our Pricing & Commercial Finance team and are seeking a Manager, Commercial Finance to help drive disciplined financial decision-making across the client lifecycle. This individual will play a leadership role within the Commercial Finance team, with responsibility for new client pricing, ongoing client profitability and forecasting, and financial modeling and pricing for expansions, and renewals with existing clients.
The Manager will partner closely with Operations and other cross-functional leaders to develop financial models, evaluate growth opportunities, monitor client financial performance, and translate financial and operational insights into actionable recommendations. This role will support key commercial decisions related to new business opportunities and client scope expansions, renewals, and other contract changes, ensuring decisions are grounded in a clear understanding of revenue, cost, profitability, and contractual economics.
The ideal candidate will develop a deep understanding of Ensemble’s business, operating model, and client economics. This individual will be comfortable working across multiple data sources and systems, including Workday, Adaptive Planning, and Power BI, and translating complex financial and operational information into clear recommendations for leadership. The Manager will also help advance the team's use of AI, automation, and scalable analytical tools to reduce manual work and improve the speed and quality of decision-making.
This role is remote and will report to the Director of Pricing & Commercial Finance.
Essential Job Functions:
New Client Pricing
- Lead financial due diligence, analyzing historical financials, payroll, accounts payable, staffing, vendor costs, and other key inputs to identify risks, opportunities, and service gaps for large health systems.
- Develop financial models and pricing proposals for new client opportunities with cross-functional partners, translating due diligence findings and operating assumptions into expected revenue, cost, profitability and key risks.
- Lead the internal pricing review and approval process, clearly communicating proposed economics, key assumptions, and risks to executive leadership.
- Monitor early post-go-live financial performance against pricing and implementation assumptions to identify variances and inform future pricing decisions.
Expansions & Renewals
- Develop and present pricing proposals for client expansions, renewals, and contract changes, evaluating the financial impact of scope changes and trade-offs across cost, pricing, contract terms, and expected profitability.
- Maintain visibility into upcoming renewals and contractual milestones to ensure timely financial and pricing support.
- Partner with Operations, Accounting, and other stakeholders to ensure approved contract changes are reflected in billing, financial forecasts, and client profitability expectations.
Client Financial Performance & Forecasting
- Own financial forecasting and profitability analysis across the client portfolio, incorporating financial and operational drivers to maintain an accurate outlook on client performance.
- Monitor client performance against pricing and forecast assumptions, identifying deviations in staffing plans and vendor roadmaps, and other key drivers of profitability.
- Partner with Operations and Partnership Success (Client relationship leaders) to drive financial performance, translating insights into actionable recommendations and tracking actions through resolution.
- Develop reporting and analytical tools that provide leadership with clear visibility into client financial performance, outlook, and key risks and opportunities.
Qualifications
- Bachelor’s degree in finance, accounting, data analytics, or a related field required, or equivalent experience.
- 5+ years of experience in consulting, finance, FP&A, pricing, or financial due diligence.
- Healthcare finance or health system experience preferred.
- Pricing and/or financial due diligence experience preferred, particularly with complex client or service-based businesses.
- Superior financial modeling, quantitative, and analytical skills, with the ability to evaluate revenue, cost, profitability, and key financial trade-offs.
- Strong commercial and financial judgment, with the ability to identify risks and opportunities, challenge assumptions, and translate analysis into actionable recommendations.
- Ability to navigate incomplete or complex financial and operational data, developing sound assumptions and drawing well-supported conclusions to inform pricing and financial decisions.
- Demonstrated ability to influence and partner with cross-functional leaders, including Operations and client-facing teams.
- Experience leading and developing direct reports and fostering a collaborative, high-performing team.
- Excellent written, verbal, and executive presentation skills, with the ability to clearly communicate complex financial concepts and recommendations.
- Advanced Excel and PowerPoint skills; Power BI, Tableau, SQL, or similar analytics experience preferred.
- Ability to manage multiple priorities and deliver high-quality work under tight deadlines.
- Curiosity and comfort leveraging AI and automation to simplify processes and enhance financial analysis and decision-making.
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
- Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Employment Disclaimers – Ensemble
See all Commercial Finance Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Commercial Finance Manager roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Commercial Finance Manager
Map your credentials to specialty occupation standards
USCIS requires a bachelor's degree in a directly related field like finance, accounting, or economics. If your degree is in a broader discipline, gather evidence showing your coursework directly maps to commercial finance functions to preempt an RFE.
Pull prevailing wage data before accepting an offer
Your employer's LCA must certify a wage at or above the prevailing rate for your metro area and experience level. Use the OFLC Wage Search to verify which wage level your role qualifies for before you negotiate, not after the LCA is filed.
Target companies with active PERM and LCA filing history
Corporate finance roles at multinationals, private equity-backed companies, and large publicly traded firms generate consistent sponsorship activity. Use Migrate Mate to find employers with verified LCA filing history for finance manager roles, filtered by city and function.
Clarify your FP&A scope in your resume before applying
Commercial Finance Manager covers a wide functional range. Employers sponsoring H-1B petitions need to demonstrate specialty occupation, so a resume that clearly ties your FP&A, business partnering, or pricing analysis duties to your finance degree strengthens the employer's I-129 filing considerably.
Ask your employer about PERM timing before your H-1B cap year
If you're on OPT or cap-gap, raise PERM labor certification early with your employer. PERM processing through DOL currently runs many months, and filing before your sixth H-1B year protects your ability to extend status while your green card application is pending.
Verify that your job posting language supports specialty occupation
DOL and USCIS scrutinize whether the job description requires a specific degree. If your employer's posting says 'bachelor's preferred' rather than 'required,' ask HR to revise it before the LCA is filed, as vague language is a common source of denials for finance roles.
Frequently Asked Questions
Does a Commercial Finance Manager role qualify as an H-1B specialty occupation?
Yes, in most cases. USCIS requires the role to normally demand a bachelor's degree or higher in a directly related field such as finance, accounting, or economics. Roles with clearly defined FP&A, business partnering, or strategic pricing responsibilities typically satisfy this standard. Generalist management roles with no specific degree requirement are more likely to draw an RFE.
Which visa types are realistic for a Commercial Finance Manager seeking sponsorship?
H-1B is the most common path, subject to the annual cap and lottery. Australian citizens can pursue the E-3 visa, 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 a Labor Condition Application and a qualifying specialty occupation degree. TN visa does not cover this role.
What degree does a Commercial Finance Manager need for H-1B sponsorship?
USCIS looks for a bachelor's degree or higher in finance, accounting, economics, business administration, or a closely related field. Professional qualifications like CPA, CIMA, or ACCA can support your case but don't substitute for a degree in the absence of one. If your degree is in a different discipline, your coursework and job duties need to demonstrate a direct connection to commercial finance functions.
How do I find employers who actively sponsor Commercial Finance Manager roles?
Migrate Mate lists U.S. employers with verified LCA sponsorship history for finance roles, searchable by city and function. Multinational corporations, private equity portfolio companies, and large consumer goods firms tend to sponsor consistently for this role type compared with smaller businesses that may lack in-house immigration infrastructure.
Can a Commercial Finance Manager on H-1B change employers mid-sponsorship?
Yes. Under H-1B portability, you can start working for a new employer once they file a new I-129 petition on your behalf, without waiting for USCIS approval. The new role must still qualify as a specialty occupation. If your green card PERM process was underway with your previous employer, you'll generally need to restart it with the new one unless you've reached a later AC21 portability stage.
What is the prevailing wage requirement for sponsored Commercial 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.