Controller Jobs in USA with Visa Sponsorship
Controller positions qualify for H-1B and other work visas as specialty occupations requiring accounting or finance degrees. Most controllers handle financial reporting, compliance, and team management, responsibilities that clearly meet USCIS specialty occupation standards. Large corporations and growing startups frequently sponsor controllers. For detailed occupation requirements, see the O*NET profile.
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INTRODUCTION
Leads Lexington Medical Center (LMC) and its subsidiaries in the maintenance of accounting principles, practices, and procedures. Maintains all accounting records and is responsible for the accurate and timely compilation of all organizational financial information. The position will ensure the organization maintains appropriate policies, systems, and controls that support accountability, stewardship, and compliance with all regulatory and GAAP, FASB, and GASB reporting requirements. The Controller will work with operational leaders to provide strategic financial analysis to improve financial performance. Direct supervision Assistant Controller - Operations, Accounting Manager, GL Manager, Budget Manager, Fixed Asset Manager.
ROLE AND RESPONSIBILITIES
Essential Functions
- Establish and maintain an ongoing consolidated accounting system on behalf of LMC to meet needs and provide complete and accurate records
- Provides analysis of the organization’s income, expenditures, and capital asset values with comparisons to previous periods
- Effectively communicate the financial condition of the organization to the AVP of Finance and other members of leadership
- Serves as a consultant regarding the organization’s financial affairs, development of operating policies and procedures, departments’ needs and problems
- Ensures that the organization is compliant with debt covenants
- Responsible for the timely and accurate preparation of the monthly financial and operational reports
- Reviews and provides logical explanations for monthly, quarterly, and annual variances in general ledger and statistical accounts
- Prepares quarterly consolidated financial statements and appropriate ratios
- Prepares annual consolidating financial statements and footnotes for auditors
- Provides analysis and support for all external auditors and coordinates audit
Duties & Responsibilities
- Prepares and affects timely filing of federal, state, hospital association, third party, and other financial reports as required
- Administer and monitor an effective system of internal controls
- Maintains compliance with all laws and applicable regulatory requirements. Acts promptly to comply with required changes
- Reviews, monitors, and evaluates the third party reimbursement. Based on expected reimbursement, analyzes and adjusts the allowance accounts
- Presents constructive feedback regarding system or process failures and participates in resolution with work partners in a proactive and positive manner
- Selects, trains/orients and assigns department staff (either directly or through subordinate supervisor). Develops standards of performance, evaluates performance, and initiates or makes recommendations for personnel actions
- Enhances professional growth and development through participation in education programs, current literature, in-service meetings, and workshops
- Responsible for special projects as requested or other duties as assigned
- Performs all other duties as assigned
BASIC QUALIFICATIONS
Minimum Education: Bachelor's Degree in Accounting or Finance
Minimum Years of Experience: 6 Years of healthcare accounting experience; 5 Years of experience as a hospital controller
Substitutable Education & Experience (Optional): 5 Years of experience as a hospital controller can be substituted for a Certified Public Accountant (CPA) license
Required Certifications/Licensure: None
Required Training: Demonstrated ability to supervise personnel
PREFERRED QUALIFICATIONS
Certified Public Accountant (CPA) license and 5+ Years of experience as a hospital controller
COMPENSATION
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
- Day ONE medical, dental and life insurance benefits
- Health care and dependent care flexible spending accounts (FSAs)
- Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%
- Employer paid life insurance – equal to 1x salary
- Employee may elect supplemental life insurance with low cost premiums up to 3x salary
- Adoption assistance
- LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
- Tuition reimbursement
- Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

INTRODUCTION
Leads Lexington Medical Center (LMC) and its subsidiaries in the maintenance of accounting principles, practices, and procedures. Maintains all accounting records and is responsible for the accurate and timely compilation of all organizational financial information. The position will ensure the organization maintains appropriate policies, systems, and controls that support accountability, stewardship, and compliance with all regulatory and GAAP, FASB, and GASB reporting requirements. The Controller will work with operational leaders to provide strategic financial analysis to improve financial performance. Direct supervision Assistant Controller - Operations, Accounting Manager, GL Manager, Budget Manager, Fixed Asset Manager.
ROLE AND RESPONSIBILITIES
Essential Functions
- Establish and maintain an ongoing consolidated accounting system on behalf of LMC to meet needs and provide complete and accurate records
- Provides analysis of the organization’s income, expenditures, and capital asset values with comparisons to previous periods
- Effectively communicate the financial condition of the organization to the AVP of Finance and other members of leadership
- Serves as a consultant regarding the organization’s financial affairs, development of operating policies and procedures, departments’ needs and problems
- Ensures that the organization is compliant with debt covenants
- Responsible for the timely and accurate preparation of the monthly financial and operational reports
- Reviews and provides logical explanations for monthly, quarterly, and annual variances in general ledger and statistical accounts
- Prepares quarterly consolidated financial statements and appropriate ratios
- Prepares annual consolidating financial statements and footnotes for auditors
- Provides analysis and support for all external auditors and coordinates audit
Duties & Responsibilities
- Prepares and affects timely filing of federal, state, hospital association, third party, and other financial reports as required
- Administer and monitor an effective system of internal controls
- Maintains compliance with all laws and applicable regulatory requirements. Acts promptly to comply with required changes
- Reviews, monitors, and evaluates the third party reimbursement. Based on expected reimbursement, analyzes and adjusts the allowance accounts
- Presents constructive feedback regarding system or process failures and participates in resolution with work partners in a proactive and positive manner
- Selects, trains/orients and assigns department staff (either directly or through subordinate supervisor). Develops standards of performance, evaluates performance, and initiates or makes recommendations for personnel actions
- Enhances professional growth and development through participation in education programs, current literature, in-service meetings, and workshops
- Responsible for special projects as requested or other duties as assigned
- Performs all other duties as assigned
BASIC QUALIFICATIONS
Minimum Education: Bachelor's Degree in Accounting or Finance
Minimum Years of Experience: 6 Years of healthcare accounting experience; 5 Years of experience as a hospital controller
Substitutable Education & Experience (Optional): 5 Years of experience as a hospital controller can be substituted for a Certified Public Accountant (CPA) license
Required Certifications/Licensure: None
Required Training: Demonstrated ability to supervise personnel
PREFERRED QUALIFICATIONS
Certified Public Accountant (CPA) license and 5+ Years of experience as a hospital controller
COMPENSATION
We are committed to offering quality, cost-effective benefits choices for our employees and their families:
- Day ONE medical, dental and life insurance benefits
- Health care and dependent care flexible spending accounts (FSAs)
- Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%
- Employer paid life insurance – equal to 1x salary
- Employee may elect supplemental life insurance with low cost premiums up to 3x salary
- Adoption assistance
- LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
- Tuition reimbursement
- Student loan forgiveness
Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.
How to Get Visa Sponsorship in Controller
Target companies with complex financial operations
Multi-entity corporations, publicly traded companies, and businesses with international operations need controllers who understand GAAP compliance and consolidated reporting. These roles clearly demonstrate specialty occupation requirements.
Highlight technical accounting expertise
Emphasize ERP systems experience, SOX compliance knowledge, and advanced Excel/financial modeling skills. Technical competencies strengthen your H-1B case by showing specialized knowledge beyond basic bookkeeping.
Consider management-level positions
Senior controller and assistant controller roles often have clearer specialty occupation justification due to supervisory responsibilities and strategic financial planning requirements that require advanced business education.
Apply to growing companies approaching IPO
Companies preparing for public offerings need controllers experienced with SEC reporting and audit processes. These specialized requirements make visa sponsorship cases stronger and more defensible.
Focus on CPA firms with advisory services
Public accounting firms offering controller services to clients frequently sponsor international talent. These positions combine accounting expertise with client management, supporting specialty occupation classification.
Research non-profit sector opportunities
Large non-profits need controllers for grant compliance and financial transparency. These roles often have clear educational requirements and may face less visa sponsorship competition than corporate positions.
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Get Access To All JobsFrequently Asked Questions
Does a controller position qualify for H-1B sponsorship?
Yes, controller positions typically qualify as specialty occupations requiring a bachelor's degree in accounting, finance, or business administration. The role involves complex financial analysis, GAAP compliance, and strategic planning that clearly meets USCIS specialty occupation standards. Most controllers manage teams and oversee financial reporting processes that require advanced education.
What degree do I need for controller visa sponsorship?
You need a bachelor's degree in accounting, finance, business administration, or a closely related field. A CPA certification strengthens your application but isn't always required. If your degree is in an unrelated field, you can use the three-for-one rule where three years of progressive accounting experience substitutes for one year of education.
Do controller positions have good H-1B approval rates?
Controller positions generally have strong approval rates when the job description emphasizes complex financial analysis, regulatory compliance, and team management responsibilities. USCIS approves most controller petitions that clearly demonstrate the role requires specialized accounting knowledge and a relevant bachelor's degree. Avoid generic bookkeeping language in job descriptions.
Can I get sponsored as a controller without a CPA?
Yes, many controller positions don't require CPA certification for visa sponsorship. The specialty occupation requirement focuses on your degree and the complexity of job duties, not professional licenses. However, CPA certification can strengthen your case and make you more competitive with employers willing to sponsor visas.
Which companies sponsor controllers for work visas?
Large corporations, publicly traded companies, and growing startups frequently sponsor controllers. Companies with complex financial operations, multiple entities, or international subsidiaries have stronger business needs for controller-level expertise. Mid-market companies preparing for IPOs also actively recruit and sponsor international controller talent for SEC compliance expertise.
What is the prevailing wage requirement for sponsored Controller 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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