Director Of Financial Operations Jobs in USA with Visa Sponsorship
Director of Financial Operations roles attract H-1B sponsorship from large corporations, private equity-backed companies, and healthcare systems. Most employers require a CPA or MBA, and specialty occupation approval is strong for candidates with a finance or accounting degree. For detailed occupation requirements, see the O*NET profile.
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Title: Director of Financial Operations - Clinical Practice Group
Employee Classification: Director, Financial Operations
Campus: University of North Texas - Health Science Center
Division: HSC-Health Systems
SubDivision-Department: HSC-Health Systems & Clinical Aff
Department: HSC-HSC Health Administration-335001
Job Location: Fort Worth
Salary: Commensurate with Experience
FTE: 1.000000
Retirement Eligibility: TRS Eligible
About Us - Values Overview
Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and University of North Texas Health at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000+ students across our system, and awarding nearly 12,000 degrees each year.
We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities. We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team.
Learn more about the UNT System and how we live our values at www.UNTSystem.edu.
Department Summary
As the clinical practice group of UNT Health Fort Worth, we provide comprehensive primary and multispecialty care. Our reach extends across Fort Worth, Denton, and Dallas, delivering expert care through our clinics, in-home visits, hospitals, and long-term care facilities.
We utilize interprofessional teams, where physicians, advanced practice practitioners, therapists, pharmacists, and specialized staff work collaboratively.
We intentionally integrate healthcare students, residents, and fellows into care delivery at select practice locations, fostering the development of future health professionals while optimizing patient care delivery.
Position Overview
The Director, Financial Operations for the UNT Health Clinical Practice Group provides strategic financial oversight and operational support for the clinical practice group. This role is responsible for the integrity of the annual budget, financial analysis and modeling, and the optimization of clinical expenses. By bridging the gap between finance and clinical operations, the Director supports key financial activities required for clinical practice operations.
Minimum Qualifications
Master's degree in a relevant field with six (6) years of related experience with financial analysis, budget reports, accounting principles; or any equivalent combination of education and experience.
Knowledge, Skills and Abilities
- Understanding of GAPP.
- Knowledge of the patient billing lifecycle.
- Understanding of clinic financial and operations.
- Provider productivity metrics.
- How operational flow impacts financial outcomes.
- Financial modeling, variance analysis, and strategic budgeting.
- Cross-functional collaboration.
- Problem solving.
Preferred Qualifications
Master's degree or CPA designation preferred.
Job Duties
- Strategic Budget Development & Fiscal Maintenance:
- Lead the annual budget development process and provide ongoing maintenance for the clinical practice group.
- Collaborate with clinical department heads to forecast volumes, revenues, and expenditures.
- Conduct monthly variance analysis to identify and resolve discrepancies between actuals and budget.
- Maintain long-range financial plans that align with the group’s growth objectives and care delivery standards.
- Financial Planning, Personnel Budgeting, and Feasibility Analysis:
- Directly support department clinical and practice leadership with routine financial tracking and budget projections.
- Personnel Oversight: Maintain salary expense allocations; process ePar transactions and ensure personnel funding aligns with clinical funding models.
- Feasibility Studies: Complete specific clinical operations analysis for new and existing services, including break-even and Return on Investment (ROI) assessments.
- Financial Analysis and Operational Excellence:
- Partner with Operations and Revenue Cycle Management (RCM) teams to analyze reimbursement patterns and payer trends; conduct service-level and reimbursement break-even analyses to ensure clinical activities are financially sustainable.
- Use financial analysis to evaluate the effectiveness of clinical spend, ensuring that resources (labor, supplies, and overhead) are deployed to yield the highest possible operational and clinical return.
Physical Requirements
- Communicating with others to exchange information.
- Moving about to accomplish tasks or moving from one worksite to another.
- Repeating motions that may include the wrists, hands and/or fingers.
- Sedentary work that primarily involves sitting/standing.
Environmental Hazards
- No adverse environmental conditions expected.
Work Schedule
M-F 8-5
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit –and takes actions to prevent – discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking), and retaliation on the basis of race, color, religion, national origin, sex, age, disability, genetic information, or veteran status in its application, employment practices, and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination, harassment, and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist, or participate in a related investigation or proceeding.

Title: Director of Financial Operations - Clinical Practice Group
Employee Classification: Director, Financial Operations
Campus: University of North Texas - Health Science Center
Division: HSC-Health Systems
SubDivision-Department: HSC-Health Systems & Clinical Aff
Department: HSC-HSC Health Administration-335001
Job Location: Fort Worth
Salary: Commensurate with Experience
FTE: 1.000000
Retirement Eligibility: TRS Eligible
About Us - Values Overview
Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and University of North Texas Health at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000+ students across our system, and awarding nearly 12,000 degrees each year.
We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities. We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team.
Learn more about the UNT System and how we live our values at www.UNTSystem.edu.
Department Summary
As the clinical practice group of UNT Health Fort Worth, we provide comprehensive primary and multispecialty care. Our reach extends across Fort Worth, Denton, and Dallas, delivering expert care through our clinics, in-home visits, hospitals, and long-term care facilities.
We utilize interprofessional teams, where physicians, advanced practice practitioners, therapists, pharmacists, and specialized staff work collaboratively.
We intentionally integrate healthcare students, residents, and fellows into care delivery at select practice locations, fostering the development of future health professionals while optimizing patient care delivery.
Position Overview
The Director, Financial Operations for the UNT Health Clinical Practice Group provides strategic financial oversight and operational support for the clinical practice group. This role is responsible for the integrity of the annual budget, financial analysis and modeling, and the optimization of clinical expenses. By bridging the gap between finance and clinical operations, the Director supports key financial activities required for clinical practice operations.
Minimum Qualifications
Master's degree in a relevant field with six (6) years of related experience with financial analysis, budget reports, accounting principles; or any equivalent combination of education and experience.
Knowledge, Skills and Abilities
- Understanding of GAPP.
- Knowledge of the patient billing lifecycle.
- Understanding of clinic financial and operations.
- Provider productivity metrics.
- How operational flow impacts financial outcomes.
- Financial modeling, variance analysis, and strategic budgeting.
- Cross-functional collaboration.
- Problem solving.
Preferred Qualifications
Master's degree or CPA designation preferred.
Job Duties
- Strategic Budget Development & Fiscal Maintenance:
- Lead the annual budget development process and provide ongoing maintenance for the clinical practice group.
- Collaborate with clinical department heads to forecast volumes, revenues, and expenditures.
- Conduct monthly variance analysis to identify and resolve discrepancies between actuals and budget.
- Maintain long-range financial plans that align with the group’s growth objectives and care delivery standards.
- Financial Planning, Personnel Budgeting, and Feasibility Analysis:
- Directly support department clinical and practice leadership with routine financial tracking and budget projections.
- Personnel Oversight: Maintain salary expense allocations; process ePar transactions and ensure personnel funding aligns with clinical funding models.
- Feasibility Studies: Complete specific clinical operations analysis for new and existing services, including break-even and Return on Investment (ROI) assessments.
- Financial Analysis and Operational Excellence:
- Partner with Operations and Revenue Cycle Management (RCM) teams to analyze reimbursement patterns and payer trends; conduct service-level and reimbursement break-even analyses to ensure clinical activities are financially sustainable.
- Use financial analysis to evaluate the effectiveness of clinical spend, ensuring that resources (labor, supplies, and overhead) are deployed to yield the highest possible operational and clinical return.
Physical Requirements
- Communicating with others to exchange information.
- Moving about to accomplish tasks or moving from one worksite to another.
- Repeating motions that may include the wrists, hands and/or fingers.
- Sedentary work that primarily involves sitting/standing.
Environmental Hazards
- No adverse environmental conditions expected.
Work Schedule
M-F 8-5
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit –and takes actions to prevent – discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking), and retaliation on the basis of race, color, religion, national origin, sex, age, disability, genetic information, or veteran status in its application, employment practices, and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination, harassment, and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist, or participate in a related investigation or proceeding.
How to Get Visa Sponsorship in Director Of Financial Operations
Lead with your CPA or CFA credential
Credentialed finance professionals have a stronger H-1B specialty occupation case. USCIS scrutinizes director-level roles less when the petition is anchored to a specific professional license or advanced certification directly tied to the position.
Target employers with a proven sponsorship history
Large public companies, Fortune 500 firms, and private equity-backed businesses file H-1B petitions regularly for senior finance roles. Their legal and HR infrastructure makes the sponsorship process faster and less prone to errors that delay approval.
Align your degree field precisely to the role
USCIS expects a direct connection between your academic background and the position. A degree in accounting, finance, or business administration maps cleanly to Director of Financial Operations and strengthens the specialty occupation argument in your employer's petition.
Request premium processing from the start
At the director level, employers rarely hesitate to pay for premium processing. A 15-business-day USCIS adjudication window protects your start date and gives both sides confidence during onboarding, especially when replacing a departing finance leader.
Prepare a strong organizational chart for your petition
USCIS wants to see where you sit in the company hierarchy. A clear org chart showing your direct reports, peer directors, and reporting line to the CFO or COO strengthens the argument that the role genuinely requires specialized expertise.
Understand that EAD holders are highly competitive applicants
If you hold an EAD through OPT, STEM extension, or an approved I-140, you can start immediately without triggering a new H-1B cap season. Employers recognize this advantage, and it often removes sponsorship hesitation entirely for senior finance hires.
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Get Access To All JobsFrequently Asked Questions
Does a Director of Financial Operations qualify as a specialty occupation for H-1B purposes?
Yes, in most cases. USCIS generally accepts Director of Financial Operations as a specialty occupation when the employer requires at least a bachelor's degree in accounting, finance, or a related field. The role's complexity, oversight of financial reporting, and technical nature of the work all support the specialty occupation argument. Petitions are strongest when the job description avoids generic management language and emphasizes the specific analytical and regulatory functions the role performs.
What degree do I need to get H-1B sponsorship as a Director of Financial Operations?
A bachelor's degree in accounting, finance, business administration, or economics is the typical baseline. Many employers at the director level prefer or require a master's degree or MBA, and a CPA significantly strengthens your petition. If your degree is in an adjacent field, your employer's attorney will need to show how your coursework and experience align directly with the technical demands of the financial operations role.
Which types of employers are most likely to sponsor a Director of Financial Operations?
Large corporations, healthcare systems, private equity portfolio companies, and publicly traded firms are the most consistent sponsors for this role. These organizations have dedicated immigration counsel and established HR processes for managing H-1B petitions. You can browse Director of Financial Operations roles from verified sponsoring employers on Migrate Mate, which filters specifically for companies that have filed sponsorship petitions in the past.
How does the H-1B lottery affect my chances of landing this role?
If you're subject to the H-1B cap, your petition enters the annual lottery held each March for an October 1 start date. Selection is not guaranteed regardless of your qualifications. However, if you're already on OPT or STEM OPT, your employer can file your petition while you remain authorized to work, and many employers will cap-exempt institutions, such as universities or nonprofits, which bypass the lottery entirely. Cap-exempt roles are worth actively seeking at this level.
Can I switch employers mid-H-1B as a Director of Financial Operations?
Yes. H-1B portability allows you to start working for a new employer as soon as they file a new H-1B transfer petition on your behalf, without waiting for approval. Your new employer must file before your current status expires. Because Director of Financial Operations is a well-defined specialty occupation role, transfer petitions for this job title tend to move through USCIS without significant complications, especially with premium processing.
What is the prevailing wage requirement for sponsored Director Of Financial Operations 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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