Order To Cash Jobs in USA with Visa Sponsorship
Order to Cash roles sit at the intersection of finance and operations, making them strong candidates for H-1B visa and E-3 visa sponsorship. Employers across tech, manufacturing, and consulting regularly sponsor qualified candidates with accounting, finance, or business degrees for these positions. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsCompany Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer.
Reports to: Chief Accounting Officer (CAO)
Industry focus: Healthcare, Diagnostics, CRO and Technology
About the Role
We are seeking a highly analytical, execution-focused leader to lead global revenue accounting and the enterprise-wide order-to-cash (O2C) function in a high-volume, regulated healthcare, diagnostics and clinical research environment. This role is accountable for accurate revenue recognition, timely billing and cash conversion, effective internal controls, and scalable processes across domestic and international entities.
Reporting to the Chief Accounting Officer, this leader will build and develop the global revenue and O2C organization, partner with commercial and operational leadership, and drive systems transformation. The role combines deep technical accounting expertise with hands-on leadership of complex revenue and reimbursement operations.
Key Responsibilities
Global Revenue Accounting and Close
- Own global revenue accounting policies and the application of U.S. GAAP and ASC 606, with IFRS 15 oversight where applicable, across diagnostic testing, multi-year CRO arrangements, cross-border clinical trials and technology-enabled services.
- Lead complex contract reviews and document accounting conclusions covering performance obligations, variable consideration, bundled arrangements, volume-based pricing, contract modifications, and appropriate measures of progress for services recognized over time.
- Own the monthly and quarterly revenue close, including reconciliations, revenue and receivables variance analysis, unbilled receivables, contract assets, deferred revenue and contract liabilities. Shorten the close cycle while improving accuracy and control effectiveness. Establish governance over significant revenue estimates, including contractual allowances, implicit price concessions, reimbursement assumptions and denial trends. Maintain supportable models and monitor estimate-to-actual performance.
Controls Audit and Financial Reporting
- Maintain effective SOX controls over revenue and O2C, including documentation, control execution, interface completeness and accuracy, and remediation of identified deficiencies. Lead revenue-related support for quarterly reviews and annual audits, prepare and review technical accounting position papers, and partner with financial reporting on revenue disclosures and related SEC filing schedules.
Order to Cash and Commercial Partnership
- Serve as global process owner for O2C, with accountability for billing, invoicing, cash application, accounts receivable aging, collections, and reserves. Establish clear ownership and escalation paths across directly managed teams and cross functional stakeholders.
- Partner with payer relations, market access, laboratory operations and compliance teams to address reimbursement changes, denials and underpayments.
- Partner with Commercial, Legal, Operations, and FP&A on contract terms, billing milestones, pricing tiers and payment structures to improve billing timeliness, cash conversion and accurate revenue recognition.
- Establish operating metrics and improvement targets for overdue receivables, collection effectiveness, billing accuracy, invoice cycle time, cash application and revenue leakage. Track claim denial, appeal and recovery performance where applicable. Provide leadership with actionable analysis of test and service volumes, payer and customer mix, reimbursement trends and revenue estimates; partner with FP&A on revenue forecasting and cash conversion assumptions.
Systems Transformation and Data Governance
- Serve as the principal business owner for Oracle Fusion Cloud ERP and related revenue and O2C platforms. Set business requirements and priorities, partnering with IT and implementation teams on solution design and configuration.
- Ensure complete and accurate automated feeds between Laboratory Information Management Systems (LIMS), billing engines, commercial systems and financial subledgers. Establish interface reconciliations, exception handling and ownership of key contract, customer and pricing data. Drive automation and process standardization across entities and currencies, and integrate acquired businesses into global revenue policies, controls and systems where applicable.
Global Team Leadership
- Build, lead and develop a high-performing global revenue accounting and O2C team, including managers and distributed teams. Establish clear accountability, technical development, succession planning and consistent operating practices. Communicate complex accounting and operational matters clearly to executive leadership and auditors, exercising sound judgment and maintaining a high standard of integrity.
Qualifications and Requirements
Required Qualifications
- Bachelor's degree in Accounting or Finance; an active CPA license or recognized international equivalent, such as Chartered Accountant or ACCA, with demonstrated U.S. GAAP expertise.
- 10+ years of progressive accounting experience, including substantial leadership of revenue accounting and complex O2C operations, with at least five years of people management.
- Public-company accounting experience, including ownership of revenue close processes, SOX controls, audit support and revenue-related financial reporting.
- Deep practical expertise in ASC 606 and U.S. GAAP, including personally developing, documenting and defending accounting conclusions for complex revenue arrangements.
- Relevant healthcare or diagnostics revenue accounting experience.
- Experience with project-based or long-term service arrangements, including contract modifications, variable consideration and revenue recognized over time.
- Experience leading revenue and O2C processes in a multi-entity, multi-currency environment and collaborating across international teams.
- Demonstrated success improving close speed, collection performance, billing accuracy, revenue estimate accuracy or control effectiveness.
- Experience leading revenue or O2C systems implementations and process transformation, with strong analytical skills and the ability to assess high-volume financial and operational data.
- Strong executive presence, written and verbal communication skills, and the ability to influence commercial, legal, laboratory operations, payer relations and finance stakeholders.
Preferred Qualifications
- Bachelor’s degree in accounting, Finance or a related discipline.
- Big 4 or national public accounting firm experience, preferably serving SEC registrants.
- Direct experience with Oracle Fusion Cloud ERP in a multi-entity environment, including revenue, receivables and related subledger integrations preferred.
- Practical experience with CRO or clinical trial contracts, and technology-enabled revenue models.
- Experience integrating acquisitions, leading offshore resources, and using advanced Excel and business intelligence tools to improve revenue and O2C reporting.
AI & Digital Fluency
Demonstrate curiosity, sound judgment, and the ability to critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards, and regulatory requirements to improve the efficiency, effectiveness, and quality of work.
Hybrid Work Model: This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
The annualized base salary ranges for the primary location and any additional locations are listed below. This range does not include benefits or, if applicable, bonus, commission, or equity. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need.
Primary Location: Palo Alto, CA
Primary Location Base Pay Range: $234,500 - $322,450
Other US Location(s) Base Pay Range: $199,325 - $274,083
If the role is performed in Colorado, the pay range for this job is: $211,050 - $290,205
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to Peopleteam@guardanthealth.com
A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.
Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer.
Reports to: Chief Accounting Officer (CAO)
Industry focus: Healthcare, Diagnostics, CRO and Technology
About the Role
We are seeking a highly analytical, execution-focused leader to lead global revenue accounting and the enterprise-wide order-to-cash (O2C) function in a high-volume, regulated healthcare, diagnostics and clinical research environment. This role is accountable for accurate revenue recognition, timely billing and cash conversion, effective internal controls, and scalable processes across domestic and international entities.
Reporting to the Chief Accounting Officer, this leader will build and develop the global revenue and O2C organization, partner with commercial and operational leadership, and drive systems transformation. The role combines deep technical accounting expertise with hands-on leadership of complex revenue and reimbursement operations.
Key Responsibilities
Global Revenue Accounting and Close
- Own global revenue accounting policies and the application of U.S. GAAP and ASC 606, with IFRS 15 oversight where applicable, across diagnostic testing, multi-year CRO arrangements, cross-border clinical trials and technology-enabled services.
- Lead complex contract reviews and document accounting conclusions covering performance obligations, variable consideration, bundled arrangements, volume-based pricing, contract modifications, and appropriate measures of progress for services recognized over time.
- Own the monthly and quarterly revenue close, including reconciliations, revenue and receivables variance analysis, unbilled receivables, contract assets, deferred revenue and contract liabilities. Shorten the close cycle while improving accuracy and control effectiveness. Establish governance over significant revenue estimates, including contractual allowances, implicit price concessions, reimbursement assumptions and denial trends. Maintain supportable models and monitor estimate-to-actual performance.
Controls Audit and Financial Reporting
- Maintain effective SOX controls over revenue and O2C, including documentation, control execution, interface completeness and accuracy, and remediation of identified deficiencies. Lead revenue-related support for quarterly reviews and annual audits, prepare and review technical accounting position papers, and partner with financial reporting on revenue disclosures and related SEC filing schedules.
Order to Cash and Commercial Partnership
- Serve as global process owner for O2C, with accountability for billing, invoicing, cash application, accounts receivable aging, collections, and reserves. Establish clear ownership and escalation paths across directly managed teams and cross functional stakeholders.
- Partner with payer relations, market access, laboratory operations and compliance teams to address reimbursement changes, denials and underpayments.
- Partner with Commercial, Legal, Operations, and FP&A on contract terms, billing milestones, pricing tiers and payment structures to improve billing timeliness, cash conversion and accurate revenue recognition.
- Establish operating metrics and improvement targets for overdue receivables, collection effectiveness, billing accuracy, invoice cycle time, cash application and revenue leakage. Track claim denial, appeal and recovery performance where applicable. Provide leadership with actionable analysis of test and service volumes, payer and customer mix, reimbursement trends and revenue estimates; partner with FP&A on revenue forecasting and cash conversion assumptions.
Systems Transformation and Data Governance
- Serve as the principal business owner for Oracle Fusion Cloud ERP and related revenue and O2C platforms. Set business requirements and priorities, partnering with IT and implementation teams on solution design and configuration.
- Ensure complete and accurate automated feeds between Laboratory Information Management Systems (LIMS), billing engines, commercial systems and financial subledgers. Establish interface reconciliations, exception handling and ownership of key contract, customer and pricing data. Drive automation and process standardization across entities and currencies, and integrate acquired businesses into global revenue policies, controls and systems where applicable.
Global Team Leadership
- Build, lead and develop a high-performing global revenue accounting and O2C team, including managers and distributed teams. Establish clear accountability, technical development, succession planning and consistent operating practices. Communicate complex accounting and operational matters clearly to executive leadership and auditors, exercising sound judgment and maintaining a high standard of integrity.
Qualifications and Requirements
Required Qualifications
- Bachelor's degree in Accounting or Finance; an active CPA license or recognized international equivalent, such as Chartered Accountant or ACCA, with demonstrated U.S. GAAP expertise.
- 10+ years of progressive accounting experience, including substantial leadership of revenue accounting and complex O2C operations, with at least five years of people management.
- Public-company accounting experience, including ownership of revenue close processes, SOX controls, audit support and revenue-related financial reporting.
- Deep practical expertise in ASC 606 and U.S. GAAP, including personally developing, documenting and defending accounting conclusions for complex revenue arrangements.
- Relevant healthcare or diagnostics revenue accounting experience.
- Experience with project-based or long-term service arrangements, including contract modifications, variable consideration and revenue recognized over time.
- Experience leading revenue and O2C processes in a multi-entity, multi-currency environment and collaborating across international teams.
- Demonstrated success improving close speed, collection performance, billing accuracy, revenue estimate accuracy or control effectiveness.
- Experience leading revenue or O2C systems implementations and process transformation, with strong analytical skills and the ability to assess high-volume financial and operational data.
- Strong executive presence, written and verbal communication skills, and the ability to influence commercial, legal, laboratory operations, payer relations and finance stakeholders.
Preferred Qualifications
- Bachelor’s degree in accounting, Finance or a related discipline.
- Big 4 or national public accounting firm experience, preferably serving SEC registrants.
- Direct experience with Oracle Fusion Cloud ERP in a multi-entity environment, including revenue, receivables and related subledger integrations preferred.
- Practical experience with CRO or clinical trial contracts, and technology-enabled revenue models.
- Experience integrating acquisitions, leading offshore resources, and using advanced Excel and business intelligence tools to improve revenue and O2C reporting.
AI & Digital Fluency
Demonstrate curiosity, sound judgment, and the ability to critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards, and regulatory requirements to improve the efficiency, effectiveness, and quality of work.
Hybrid Work Model: This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
The annualized base salary ranges for the primary location and any additional locations are listed below. This range does not include benefits or, if applicable, bonus, commission, or equity. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need.
Primary Location: Palo Alto, CA
Primary Location Base Pay Range: $234,500 - $322,450
Other US Location(s) Base Pay Range: $199,325 - $274,083
If the role is performed in Colorado, the pay range for this job is: $211,050 - $290,205
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to Peopleteam@guardanthealth.com
A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.
See all 647+ Order To Cash Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Order To Cash roles.
Get Access To All JobsTips for Finding Order To Cash Jobs
Frame your degree as a specialty occupation match
USCIS requires a specific bachelor's degree for H-1B eligibility. A degree in accounting, finance, or business administration maps cleanly to Order to Cash roles. Highlight that connection explicitly in your resume and any employer conversations about sponsorship.
Target employers with a sponsorship track record
Large corporations in tech, manufacturing, and professional services sponsor Order to Cash professionals regularly. Companies running SAP or Oracle ERP environments especially need specialized talent and are more accustomed to navigating the H-1B and E-3 sponsorship process.
Emphasize ERP system expertise in your application
Proficiency in SAP S/4HANA, Oracle NetSuite, or similar platforms significantly strengthens your specialty occupation case. USCIS looks for roles requiring specialized knowledge, and ERP expertise is a concrete signal that generic candidates cannot easily substitute for you.
Understand the LCA requirement before your first interview
Your employer must file a Labor Condition Application with the Department of Labor before submitting your H-1B petition. Knowing this process helps you ask informed questions early and signals to employers that sponsoring you will not require extensive hand-holding.
Australian candidates should ask about the E-3 visa specifically
The E-3 visa is available only to Australian citizens and has a 10,500 annual cap that has never been fully used. There is no lottery, approvals move faster than H-1B, and the application can be filed directly at a U.S. consulate in Australia.
Document your process ownership, not just your task list
Sponsorship applications benefit from evidence that your role requires specialized judgment. Describe how you own end-to-end revenue cycle processes, identify discrepancies, and coordinate cross-functionally. This framing supports the specialty occupation argument your employer will need to make.
Frequently Asked Questions
Does an Order to Cash role qualify as a specialty occupation for H-1B purposes?
Generally yes, provided the position requires a bachelor's degree or higher in a specific field like accounting, finance, or business administration. Roles that accept any degree regardless of field can face challenges. Employers should document that the job duties require specialized theoretical and practical application of financial knowledge, not just general business skills.
Which visa types are most common for Order to Cash professionals seeking U.S. sponsorship?
H-1B visa is the most common pathway, used by employers across industries for finance and operations roles. Australian citizens have the additional option of the E-3 visa, which has no lottery and can be processed directly at a U.S. consulate. L-1 visa transfers are also possible for candidates moving within a multinational company into an Order to Cash function.
What degree do I need for an employer to sponsor me in an Order to Cash role?
A bachelor's degree in accounting, finance, business administration, or a related field is the standard requirement. Some roles accept equivalent combinations of education and experience under USCIS's three-for-one substitution rule, where three years of relevant work experience can substitute for one year of formal education. A degree in an unrelated field weakens the specialty occupation argument significantly.
How can I find Order to Cash jobs where employers are open to visa sponsorship?
Migrate Mate is built specifically for internationally sponsored job seekers and filters for roles where employers have demonstrated willingness to sponsor. Browsing Order to Cash listings on Migrate Mate lets you focus your search on companies that have already worked through the sponsorship process, saving time you would otherwise spend screening out non-sponsoring employers manually.
Are H-1B approval rates high for finance and Order to Cash roles?
Finance and accounting roles have historically seen solid H-1B approval rates, particularly when the job description clearly requires a specific degree field and the employer provides strong documentation of specialty occupation status. Roles with vague educational requirements or duties that overlap heavily with general administrative work tend to face higher rates of Requests for Evidence from USCIS.
What is the prevailing wage requirement for sponsored Order To Cash 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.