Head Of Business Operations Jobs in USA with Visa Sponsorship
Head of Business Operations roles attract H-1B visa sponsorship from mid-size and enterprise employers across tech, healthcare, and finance. Most require a bachelor's degree in business, operations, or a related field, with demonstrated leadership managing cross-functional teams. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsDate: Sep 24, 2026
Category: Sales
Location: Union City, CA, US, 94587-1234
Candidate must reside in the APAC Region.
About Company
Mizuho OSI is the leader in the markets for specialty surgery and patient positioning. The company’s portfolio includes specialty surgical tables for procedure-specific approaches that improve patient outcomes in spine and orthopedic surgeries along with disposable and reusable surgical patient care products.
Job Summary
Reporting to the Senior Director of International Sales, the Head of Business is accountable for the company’s commercial performance and brand reputation within the assigned region.
This role leads a hybrid commercial model, managing both distributor partners and direct sales teams, ensuring optimal route-to-market execution based on regional dynamics. This role is responsible for driving sustainable revenue growth, strengthening partner performance, and delivering high-quality customer engagement across all channels.
Key Responsibilities
Regional Commercial Leadership
- Define and execute the regional commercial strategy, optimizing the balance between distributor-led and direct sales channels.
- Deliver and exceed regional revenue targets, ensuring profitable and sustainable growth.
- Own regional business planning, including forecasting, budgeting, and resource allocation.
Distributor Management (Primary Focus in Distributor-Led Markets)
- Develop and execute a structured distributor strategy aligned to regional growth objectives.
- Drive distributor accountability through clear KPIs, performance tracking, and formal business reviews.
- Identify and address capability gaps through training, coaching, and commercial support.
- Ensure consistent brand representation, pricing discipline, and compliance across all distributor activities.
- Partner with the Senior Director of International Sales to lead contract negotiations and manage commercial terms with distributor partners.
Direct Sales Leadership (Primary Focus in Direct Markets)
- Build, lead, and develop high-performing direct sales teams across the region.
- Drive disciplined sales execution, pipeline management, and conversion performance.
- Establish clear performance metrics and accountability frameworks for all team members.
- Coach and develop team capability to ensure strong clinical, technical, and commercial expertise.
- Identify opportunities to transition from distributor to direct models where strategically appropriate.
Market Development and Customer Engagement
- Build and maintain strong relationships with key surgeons, KOLs, and healthcare institutions.
- Identify new market opportunities and drive expansion strategies.
- Ensure consistent, high-quality customer engagement across all channels.
Cross-Functional Collaboration
- Partner with Marketing to drive product positioning, market development, and demand generation.
- Collaborate with Sales Training to enhance capability across both distributor and direct sales teams.
- Align with Regulatory, Operations, and Finance to ensure compliant and efficient market execution.
Performance and Governance
- Lead structured quarterly business reviews across both distributor and direct sales channels.
- Ensure accurate and timely forecasting (weekly, monthly, annual).
- Maintain full compliance with company policies, quality systems, and regulatory requirements.
Talent and Organization Development
- Recruit, develop, and retain top talent across both direct and indirect sales structures.
- Build succession plans and strengthen leadership capability within the region.
- Foster a high-performance, accountable, and collaborative culture.
Qualifications & Requirements
- Bachelor’s degree in business or related field; MBA preferred.
- 5+ years of experience in international regional sales leadership within medical devices or a related industry.
- Proven track record managing both distributor networks and direct sales teams.
- Strong commercial acumen, including contract negotiation and channel strategy.
- Demonstrated ability to drive growth in complex, multi-market environments.
- Excellent leadership, coaching, and stakeholder management skills.
- Strong analytical and strategic thinking capabilities.
- Ability to travel internationally approximately 70%.
Key Success Factors
- Ability to optimize route-to-market (distributor vs direct).
- Strong partner management and influence without direct control.
- Execution discipline across diverse markets.
- Commercial agility and strategic decision-making.
EOE STATEMENT
Mizuho OSI is an Equal Opportunity Employer and makes business decisions based on job related criteria only. Company policy prohibits unlawful discrimination based on race, color, religious creed, gender, religion, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition including genetic characteristics, sexual orientation, sexual identity, or any other consideration made unlawful by federal, state or local laws.
Mizuho OSI conducts criminal conviction background checks and drug screening through a third-party screening vendor which includes searches of address history, criminal convictions, court records, education verification, employment verification, and reference checks. In addition, depending on the nature of the position for which you are applying, a motor vehicle driving report, a credit report, and/or ID checks in other non-U.S. countries are also included.
Criminal conviction background checks will run after an applicant has received and accepted a conditional offer of employment. After a conditional offer is made and before any background check is performed, applicants will receive background check disclosure and consent forms under state and federal laws, such as the Fair Credit Reporting Act and the Investigative Consumer Reporting Agencies Act. Existence of a criminal record is not an automatic bar to employment. An assessment will be made about whether the conviction has a direct and adverse relationship to the job in question. No job offer will be withdrawn, and no adverse action will be taken against any employee, based on the results of a criminal conviction background check, without an individualized assessment of whether the applicant’s conviction history has direct and adverse relationship with the specific duties of the job in question.
Top Reasons To Join The Mizuho OSI Team
- Privately held company with a tradition of market leadership and best-in-class innovation
- Fast-paced entrepreneurial culture focused on dramatically improving patient outcomes through personal empowerment
- Emphasis on continuous improvement and celebration of our values of R.E.S.P.E.C.T. and the Mizuho OSI Way.
- Create innovative solutions designed and manufactured at our HQ in Northern California
The Mizuho OSI Way
In 1978, we set out to change the way patients undergo surgery. As a Mizuho OSI customer, you can expect our commitment to the following…
- We commit to your satisfaction. If you are dissatisfied, we will strive to make it right.
- We do things the right way. We commit to hire people with competence, generosity and a caring attitude.
- We motivate our employees to use their individual strengths to provide creative solutions, changes, and innovations.
- We anticipate your needs through customer experiences, thus nurturing our relationships.
Collectively, this creates an environment that enables and inspires healthcare professionals to improve the lives of patients.
Dare to go further. Care to do more.
BENEFITS
At Mizuho OSI, we believe better solutions and decisions are born of diversity and are proudly an EEO/AA employer. We offer a comprehensive benefits package that includes: medical, dental, vision, life insurance, 401k with matching, educational assistance and more.
FOR OUR SERVICE MEMBERS AND VETERANS
Mizuho OSI values the service Veterans and their family members have given to our country and we support the hiring of returning Service Members and military spouses. If you are a Veteran or wounded warrior and would like assistance with the employment process at Mizuho OSI, please contact HR at (510) 429-1500.
FOR PERSONS WITH DISABILITIES
If you are a person with a disability or a disabled Veteran and are applying for a job with Mizuho OSI, we would like to ensure your application process goes as smoothly as possible. If you need additional assistance, information or answers to your questions, feel free to contact HR at (510) 429-1500.
Date: Sep 24, 2026
Category: Sales
Location: Union City, CA, US, 94587-1234
Candidate must reside in the APAC Region.
About Company
Mizuho OSI is the leader in the markets for specialty surgery and patient positioning. The company’s portfolio includes specialty surgical tables for procedure-specific approaches that improve patient outcomes in spine and orthopedic surgeries along with disposable and reusable surgical patient care products.
Job Summary
Reporting to the Senior Director of International Sales, the Head of Business is accountable for the company’s commercial performance and brand reputation within the assigned region.
This role leads a hybrid commercial model, managing both distributor partners and direct sales teams, ensuring optimal route-to-market execution based on regional dynamics. This role is responsible for driving sustainable revenue growth, strengthening partner performance, and delivering high-quality customer engagement across all channels.
Key Responsibilities
Regional Commercial Leadership
- Define and execute the regional commercial strategy, optimizing the balance between distributor-led and direct sales channels.
- Deliver and exceed regional revenue targets, ensuring profitable and sustainable growth.
- Own regional business planning, including forecasting, budgeting, and resource allocation.
Distributor Management (Primary Focus in Distributor-Led Markets)
- Develop and execute a structured distributor strategy aligned to regional growth objectives.
- Drive distributor accountability through clear KPIs, performance tracking, and formal business reviews.
- Identify and address capability gaps through training, coaching, and commercial support.
- Ensure consistent brand representation, pricing discipline, and compliance across all distributor activities.
- Partner with the Senior Director of International Sales to lead contract negotiations and manage commercial terms with distributor partners.
Direct Sales Leadership (Primary Focus in Direct Markets)
- Build, lead, and develop high-performing direct sales teams across the region.
- Drive disciplined sales execution, pipeline management, and conversion performance.
- Establish clear performance metrics and accountability frameworks for all team members.
- Coach and develop team capability to ensure strong clinical, technical, and commercial expertise.
- Identify opportunities to transition from distributor to direct models where strategically appropriate.
Market Development and Customer Engagement
- Build and maintain strong relationships with key surgeons, KOLs, and healthcare institutions.
- Identify new market opportunities and drive expansion strategies.
- Ensure consistent, high-quality customer engagement across all channels.
Cross-Functional Collaboration
- Partner with Marketing to drive product positioning, market development, and demand generation.
- Collaborate with Sales Training to enhance capability across both distributor and direct sales teams.
- Align with Regulatory, Operations, and Finance to ensure compliant and efficient market execution.
Performance and Governance
- Lead structured quarterly business reviews across both distributor and direct sales channels.
- Ensure accurate and timely forecasting (weekly, monthly, annual).
- Maintain full compliance with company policies, quality systems, and regulatory requirements.
Talent and Organization Development
- Recruit, develop, and retain top talent across both direct and indirect sales structures.
- Build succession plans and strengthen leadership capability within the region.
- Foster a high-performance, accountable, and collaborative culture.
Qualifications & Requirements
- Bachelor’s degree in business or related field; MBA preferred.
- 5+ years of experience in international regional sales leadership within medical devices or a related industry.
- Proven track record managing both distributor networks and direct sales teams.
- Strong commercial acumen, including contract negotiation and channel strategy.
- Demonstrated ability to drive growth in complex, multi-market environments.
- Excellent leadership, coaching, and stakeholder management skills.
- Strong analytical and strategic thinking capabilities.
- Ability to travel internationally approximately 70%.
Key Success Factors
- Ability to optimize route-to-market (distributor vs direct).
- Strong partner management and influence without direct control.
- Execution discipline across diverse markets.
- Commercial agility and strategic decision-making.
EOE STATEMENT
Mizuho OSI is an Equal Opportunity Employer and makes business decisions based on job related criteria only. Company policy prohibits unlawful discrimination based on race, color, religious creed, gender, religion, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition including genetic characteristics, sexual orientation, sexual identity, or any other consideration made unlawful by federal, state or local laws.
Mizuho OSI conducts criminal conviction background checks and drug screening through a third-party screening vendor which includes searches of address history, criminal convictions, court records, education verification, employment verification, and reference checks. In addition, depending on the nature of the position for which you are applying, a motor vehicle driving report, a credit report, and/or ID checks in other non-U.S. countries are also included.
Criminal conviction background checks will run after an applicant has received and accepted a conditional offer of employment. After a conditional offer is made and before any background check is performed, applicants will receive background check disclosure and consent forms under state and federal laws, such as the Fair Credit Reporting Act and the Investigative Consumer Reporting Agencies Act. Existence of a criminal record is not an automatic bar to employment. An assessment will be made about whether the conviction has a direct and adverse relationship to the job in question. No job offer will be withdrawn, and no adverse action will be taken against any employee, based on the results of a criminal conviction background check, without an individualized assessment of whether the applicant’s conviction history has direct and adverse relationship with the specific duties of the job in question.
Top Reasons To Join The Mizuho OSI Team
- Privately held company with a tradition of market leadership and best-in-class innovation
- Fast-paced entrepreneurial culture focused on dramatically improving patient outcomes through personal empowerment
- Emphasis on continuous improvement and celebration of our values of R.E.S.P.E.C.T. and the Mizuho OSI Way.
- Create innovative solutions designed and manufactured at our HQ in Northern California
The Mizuho OSI Way
In 1978, we set out to change the way patients undergo surgery. As a Mizuho OSI customer, you can expect our commitment to the following…
- We commit to your satisfaction. If you are dissatisfied, we will strive to make it right.
- We do things the right way. We commit to hire people with competence, generosity and a caring attitude.
- We motivate our employees to use their individual strengths to provide creative solutions, changes, and innovations.
- We anticipate your needs through customer experiences, thus nurturing our relationships.
Collectively, this creates an environment that enables and inspires healthcare professionals to improve the lives of patients.
Dare to go further. Care to do more.
BENEFITS
At Mizuho OSI, we believe better solutions and decisions are born of diversity and are proudly an EEO/AA employer. We offer a comprehensive benefits package that includes: medical, dental, vision, life insurance, 401k with matching, educational assistance and more.
FOR OUR SERVICE MEMBERS AND VETERANS
Mizuho OSI values the service Veterans and their family members have given to our country and we support the hiring of returning Service Members and military spouses. If you are a Veteran or wounded warrior and would like assistance with the employment process at Mizuho OSI, please contact HR at (510) 429-1500.
FOR PERSONS WITH DISABILITIES
If you are a person with a disability or a disabled Veteran and are applying for a job with Mizuho OSI, we would like to ensure your application process goes as smoothly as possible. If you need additional assistance, information or answers to your questions, feel free to contact HR at (510) 429-1500.
See all 10,196+ Head Of Business Operations Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Head Of Business Operations roles.
Get Access To All JobsTips for Finding Head Of Business Operations Jobs
Target companies with established sponsorship track records
Employers who have sponsored H-1B visas before have internal processes in place, making approval smoother and faster. Mid-size tech and healthcare companies often sponsor operations leadership roles more readily than early-stage startups.
Emphasize your degree's direct relevance to the role
USCIS requires a specific degree-to-job match for H-1B specialty occupation status. A degree in business administration, operations management, or industrial engineering maps cleanly to this title and strengthens your petition considerably.
Quantify your operational impact in every application
Sponsoring employers need to justify the hire to USCIS. Concrete metrics, cost reductions, efficiency gains, team growth managed, demonstrate the specialized value you bring and give your employer a stronger case for sponsorship.
Understand that general management roles face more USCIS scrutiny
Operations leadership titles can attract requests for evidence if the job duties appear broadly managerial. Ensure your role description details specialized functions like process optimization, systems architecture, or vendor contract management rather than general oversight.
Start the sponsorship conversation during or after the offer stage
Raising visa needs too early can create hesitation. Once an employer signals strong interest or extends an offer, that's the right moment to confirm they can sponsor and confirm the timeline for Labor Condition Application filing.
Browse verified sponsoring employers on Migrate Mate
Not every company that posts operations leadership jobs will sponsor visas. Migrate Mate filters for employers with active sponsorship history, saving you from applying to roles where visa support is unlikely from the outset.
Frequently Asked Questions
Does a Head of Business Operations role qualify as an H-1B specialty occupation?
It can, but it depends on how the role is defined. USCIS requires that a bachelor's degree in a specific field be the normal minimum for the position. Roles focused on process engineering, systems optimization, or financial operations analysis qualify more consistently than broadly defined general management titles. Your employer's job description needs to emphasize the specialized, degree-required nature of the work.
What degree does an employer typically require to sponsor this role?
Most employers sponsoring Head of Business Operations roles require a bachelor's degree in business administration, operations management, industrial engineering, finance, or a closely related field. A general degree in an unrelated discipline weakens the specialty occupation argument. A master's degree in business or operations can strengthen both your petition and your competitiveness for senior-level openings.
How do I find employers who will actually sponsor a Head of Business Operations visa?
Sponsorship willingness varies significantly by company size and industry. Migrate Mate lists Head of Business Operations jobs from employers with verified sponsorship histories, so you're not guessing which postings are viable. Focusing your search there avoids wasted applications to companies that don't have the infrastructure or willingness to file an H-1B visa petition for an operations leadership hire.
What increases the risk of an H-1B RFE for this job title?
USCIS frequently issues Requests for Evidence for operations roles that appear broadly managerial rather than requiring a specific degree. Risk increases if the job description includes language like 'oversee daily operations' without specifying the technical or specialized function involved. Employers can mitigate this by detailing the specialized duties, the specific educational background required, and how the role differs from general administration.
Can I transfer my H-1B to a Head of Business Operations role at a new company?
Yes. H-1B portability allows you to change employers while maintaining valid status, provided your new employer files a transfer petition before your current authorized stay expires. The new role must also qualify as a specialty occupation. Operations leadership positions at companies with prior H-1B sponsorship experience tend to process transfers more efficiently, since the employer already understands the LCA and I-129 filing requirements.
What is the prevailing wage requirement for sponsored Head Of Business 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.