Executive Secretary Jobs in USA with Visa Sponsorship
Executive Secretary roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree in a directly related field. Employers file a Labor Condition Application before sponsoring, and H-1B status runs up to three years, extendable to six. No annual lottery slot is guaranteed, so targeting active sponsors early matters.
Find Executive Secretary JobsOverview
Showing 5 of 8+ Executive Secretary jobs
See all Executive Secretary Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Executive Secretary roles.
Get Access To All JobsINTRODUCTION
The Executive Secretary – Behavioral Health & Operations provides comprehensive administrative, operational, and executive-level support to the Director of Behavioral Health and designated senior Operations leadership. This position requires an individual who is highly organized, technologically proficient, detail-oriented, resourceful, and capable of independently managing multiple priorities in a fast-paced healthcare environment. The Executive Secretary serves as a central administrative resource for the Behavioral Health Department and supports departmental operations through calendar management, meeting coordination, data entry and reporting, document preparation, patient complaint coordination, supply and work-order management, telephone management, and general administrative support. The position requires regular interaction with patients, employees, clinical providers, department leaders, vendors, and senior leadership and therefore requires excellent judgment, professionalism, discretion, confidentiality, and communication skills.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Provide comprehensive administrative support to the Director of Behavioral Health and designated senior Operations leadership.
- Manage complex calendars, appointments, meetings, conference calls, and scheduling priorities.
- Coordinate meetings, including scheduling participants, reserving meeting space, preparing agendas and supporting materials, and documenting follow-up items.
- Prepare professional correspondence, memoranda, letters, presentations, reports, meeting minutes, and other administrative documents.
- Draft routine communications on behalf of departmental leadership and appropriately route correspondence requiring executive review.
- Maintain organized electronic and physical files, departmental records, correspondence, reports, and administrative documentation.
- Track assignments, deadlines, departmental initiatives, and outstanding action items and provide appropriate follow-up.
- Exercise discretion when handling confidential employee, patient, operational, and organizational information.
QUALIFICATIONS
- High school diploma or equivalent required.
- Associate degree preferred; bachelor's degree in Business Administration, Healthcare Administration, Behavioral Health, Public Administration, or a related field strongly preferred.
- Minimum of three years of progressively responsible administrative or executive support experience preferred.
- Healthcare, ambulatory care, Behavioral Health, FQHC, hospital, or medical-office experience strongly preferred.
- Prior experience supporting a director, senior leader, executive, or multiple department leaders strongly preferred.
- Bilingual fluency is required. Spanish/English strongly preferred based upon organizational and patient population needs.
- Demonstrated experience using an electronic health record system.
- NextGen experience required or demonstrated advanced proficiency with a comparable ambulatory EHR with the ability to become proficient in NextGen quickly.
INTRODUCTION
The Executive Secretary – Behavioral Health & Operations provides comprehensive administrative, operational, and executive-level support to the Director of Behavioral Health and designated senior Operations leadership. This position requires an individual who is highly organized, technologically proficient, detail-oriented, resourceful, and capable of independently managing multiple priorities in a fast-paced healthcare environment. The Executive Secretary serves as a central administrative resource for the Behavioral Health Department and supports departmental operations through calendar management, meeting coordination, data entry and reporting, document preparation, patient complaint coordination, supply and work-order management, telephone management, and general administrative support. The position requires regular interaction with patients, employees, clinical providers, department leaders, vendors, and senior leadership and therefore requires excellent judgment, professionalism, discretion, confidentiality, and communication skills.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Provide comprehensive administrative support to the Director of Behavioral Health and designated senior Operations leadership.
- Manage complex calendars, appointments, meetings, conference calls, and scheduling priorities.
- Coordinate meetings, including scheduling participants, reserving meeting space, preparing agendas and supporting materials, and documenting follow-up items.
- Prepare professional correspondence, memoranda, letters, presentations, reports, meeting minutes, and other administrative documents.
- Draft routine communications on behalf of departmental leadership and appropriately route correspondence requiring executive review.
- Maintain organized electronic and physical files, departmental records, correspondence, reports, and administrative documentation.
- Track assignments, deadlines, departmental initiatives, and outstanding action items and provide appropriate follow-up.
- Exercise discretion when handling confidential employee, patient, operational, and organizational information.
QUALIFICATIONS
- High school diploma or equivalent required.
- Associate degree preferred; bachelor's degree in Business Administration, Healthcare Administration, Behavioral Health, Public Administration, or a related field strongly preferred.
- Minimum of three years of progressively responsible administrative or executive support experience preferred.
- Healthcare, ambulatory care, Behavioral Health, FQHC, hospital, or medical-office experience strongly preferred.
- Prior experience supporting a director, senior leader, executive, or multiple department leaders strongly preferred.
- Bilingual fluency is required. Spanish/English strongly preferred based upon organizational and patient population needs.
- Demonstrated experience using an electronic health record system.
- NextGen experience required or demonstrated advanced proficiency with a comparable ambulatory EHR with the ability to become proficient in NextGen quickly.
See all Executive Secretary Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Executive Secretary roles.
Get Access To All JobsTips for Finding Executive Secretary Jobs
Frame your degree as directly related
H-1B eligibility hinges on a specialty occupation link between your degree and the role. Business administration, office management, or communications degrees map clearly. A general arts degree without supporting coursework can trigger a Request for Evidence from USCIS.
Verify prevailing wage before negotiating salary
Your employer must pay the DOL prevailing wage for your specific location and job level. Run the OFLC Wage Search for your metro area before you receive an offer so you know the floor and can negotiate from an informed position.
Target companies with LCA filing history in administrative roles
Many employers sponsor engineers but have never filed an LCA for an Executive Secretary. Use Migrate Mate to find employers with verified sponsorship history specifically in administrative and business operations roles, not just tech or healthcare.
Get your credentials evaluated before applying
If your bachelor's degree is from outside the U.S., have a credential evaluation completed before submitting applications. Employers and USCIS need confirmation your foreign degree is equivalent to a U.S. four-year degree for specialty occupation purposes.
Ask about PERM before accepting any offer
If a company can only offer H-1B sponsorship with no long-term green card path, your options reset after six years of H-1B status. Ask early whether the employer is willing to initiate PERM labor certification within your first two years.
Clarify H-1B transfer terms during negotiation
If you're already in H-1B status with another employer, you can start with a new employer once the new petition is filed. Confirm the new employer understands this portability rule so you don't face an unnecessary gap between roles.
Frequently Asked Questions
Does an Executive Secretary role qualify as a specialty occupation for H-1B purposes?
It depends on how the employer defines the role and what degree they require. If the job description mandates a bachelor's degree in a specific field like business administration or communications, it can qualify. Generic administrative titles that accept any degree or equivalent experience often fail the specialty occupation test at USCIS, so the job description wording matters significantly.
Which visa types are realistic for Executive Secretary candidates seeking sponsorship?
H-1B is the primary option for degree-holding candidates. Australian citizens can apply for the E-3 visa, which has a separate annual cap that has never been exhausted and requires no lottery. Chilean and Singaporean nationals may qualify for the H-1B1 visa. TN visa is not available for Executive Secretary roles because the position is not on the USMCA profession list.
How do I find employers who actively sponsor Executive Secretary roles?
Browse Migrate Mate to identify employers with verified sponsorship history in administrative and business support roles. Many companies sponsor freely in engineering or IT but have little experience sponsoring for executive-level administrative positions, so targeting firms with a track record in this category saves significant time.
What degree field do I need for an Executive Secretary H-1B application?
USCIS looks for a direct relationship between the degree field and the job duties. Business administration, office management, organizational communications, and public administration are the strongest fits. A degree in an unrelated field, even a four-year one, may not satisfy the specialty occupation requirement unless supplemented by graduate coursework or a related minor.
Can an employer use OPT or STEM OPT to hire an Executive Secretary before committing to H-1B?
Yes, if you're an F-1 student with a qualifying degree in a related field, your employer can hire you on OPT while evaluating fit before sponsoring H-1B. Standard OPT lasts 12 months. STEM OPT extension is only available if the role falls under a STEM-designated CIP code and the employer is enrolled in E-Verify, which is less common for administrative roles.
What is the prevailing wage requirement for sponsored Executive Secretary 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.