Principal UX Designer Jobs in USA with Visa Sponsorship
Principal UX Designer roles qualify for H-1B visa sponsorship as a specialty occupation requiring a bachelor's degree in a directly related field. Employers file a Labor Condition Application before sponsoring, and the annual H-1B cap and lottery apply. No-lottery alternatives like O-1 visa and EB-1 suit candidates with demonstrated design leadership.
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Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Join athenahealth’s quest to make healthcare work the way it should.
athenahealth is looking for designers who can dive into complex design challenges and create solutions to help transform the healthcare industry. If you’re a talented, innovative, and strategic designer motivated to make a difference in healthcare, we want to talk to you.
Position Summary
We’re looking for a multifaceted Principal Experience Designer to join the Medication Management team within our Clinicals product. This role combines hands-on experience design with strategic design leadership, requiring someone who can both shape the long-term direction of our product and translate that vision into thoughtful, effective solutions. Working closely with a multidisciplinary agile R&D team, you’ll develop a deep understanding of the needs and workflows of providers and clinical staff, identify opportunities to improve their experiences, and help drive meaningful improvements that ease the burden on humans in healthcare.
About the Team
The Medication Management (Meds) team develops efficient, intuitive experiences across a system that sends over 17 million prescriptions per month. It provides clinicians with information about patients’ medications and supports medication management and vaccine administration so they can deliver high-quality patient care.
We envision a future where medication management is effortless, intelligent, and connected, so every patient can start and stay on the treatment that is best for them. As part of the Meds zone, you’ll work to create more tailored experiences related to ordering and reconciliation, medication list management, and medication adherence, reimagining and optimizing capabilities our users consistently identify as essential to their work.
A successful candidate will embrace the challenge of elevating design within an enterprise product team. You’ll champion our users, develop a clear point of view on UX decisions, and work both independently and collaboratively to influence outcomes across the zone. You enjoy finding ways to drive incremental but significant improvements that keep us moving toward a greater long-term vision.
Role Location
This is a hybrid role based in Boston, MA. Domestic travel is expected a few times per year to conduct onsite research with our customers, shadowing clinicians who use our products.
Essential Job Responsibilities
- Conduct generative research to inform product strategy, identify opportunities, and define project scope.
- Translate complex clinical workflows and user needs into intuitive product experiences, from early concepts through detailed interaction design and implementation.
- Collaborate with cross-functional colleagues to establish a long-term vision for complex problem spaces and translate that vision into manageable phases of work.
- Guide teams through decisions and tradeoffs related to project scope, design strategy, and implementation, balancing user needs, risks, dependencies, and business constraints.
- Create workflows, journey maps, vision documents, and other artifacts to influence product backlog prioritization and planning.
- Plan and facilitate workshops to interpret research, frame problems, identify opportunities, explore solutions, and align teams on next steps.
- Foster empathy for users through storytelling and compelling, shareable research and design artifacts.
- Help define success criteria and metrics to evaluate design outcomes.
Additional Job Responsibilities
- Proactively build relationships across product teams and organizational boundaries to promote collaboration, cohesion, and consistency across the full user experience.
- Mentor junior designers and guide cross-functional colleagues through design reviews and collaborative problem-solving.
- Contribute to team-wide initiatives that strengthen design processes and practices.
- Adapt to evolving business and team needs with flexibility, initiative, and a willingness to contribute wherever needed to achieve results.
Expected Education & Experience
- 8+ years of professional UX experience.
- Demonstrated ability to influence across functions and product areas, incorporating diverse perspectives while developing and advocating for a clear point of view.
- Deep knowledge of UX practices within agile software development, including ideation, interaction design, user research, and evaluative testing.
- Extensive experience conducting and synthesizing user research, immersing yourself in complex problem spaces, and translating insights into actionable product decisions.
- Strong analytical thinking, problem-framing, and communication skills, with the ability to navigate ambiguity, consider risks and constraints, and make timely decisions.
- Hands-on experience with or exposure to emerging AI tools, with the ability to explore new tools independently and apply them thoughtfully to accelerate work and create meaningful value.
- Portfolio demonstrating the ability to tell a compelling story about discovering problems, defining solutions, influencing strategy, and collaborating on successful execution.
Expected Compensation
$153,000 - $259,000* The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and doers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
https://www.athenahealth.com/careers/equal-opportunity
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Get Access To All JobsTips for Finding Visa Sponsorship as a Principal UX Designer
Frame your portfolio for specialty occupation
USCIS evaluates whether your role requires a specific bachelor's degree, not just any degree. Structure your portfolio to show that your work demanded specialized HCI, interaction design, or cognitive psychology knowledge, not general creativity or business acumen.
Verify prevailing wage before accepting an offer
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your location and role level. Run the OFLC Wage Search using the correct SOC category before you negotiate, so you know the floor the employer is legally bound to meet.
Target companies with dedicated UX leadership tracks
Principal-level UX roles require employers to justify the specialty occupation classification at a senior level. Firms with established UX practices, design systems teams, or research operations are more likely to have filed for this title before and understand the documentation required.
Use Migrate Mate to find verified sponsoring employers
Filter your job search to companies with confirmed LCA filing history for UX and design roles. Migrate Mate shows employers with verified sponsorship history so you're not cold-applying to companies that have never navigated the H-1B process for a design hire.
Build an O-1 evidence file as a parallel path
If you have conference keynotes, published case studies, design awards, or peer-reviewed UX research, document them now. O-1A petitions bypass the H-1B lottery entirely, and Principal-level designers often have enough evidence to qualify without realizing it.
Clarify who files and who pays before you sign
Employers must file and pay for the I-129 petition. Ask your recruiter explicitly whether the company covers premium processing and legal fees, and get the timeline in writing. Delays between offer acceptance and petition filing can affect your start date if you're transitioning from OPT or CPT.
Frequently Asked Questions
Does a Principal UX Designer role qualify as a specialty occupation for H-1B purposes?
Yes, Principal UX Designer roles typically qualify because USCIS looks for evidence that the position requires at least a bachelor's degree in a directly related field such as interaction design, human-computer interaction, or cognitive science. The 'principal' seniority level strengthens the case, since it implies a degree of theoretical and specialized expertise beyond general design skill. Your employer documents this in the LCA and I-129 petition.
What degree background do employers expect for H-1B sponsorship at this level?
Most employers sponsoring Principal UX Designers expect a bachelor's degree in interaction design, human-computer interaction, psychology, or a closely related field. A general fine arts or graphic design degree can work if your coursework or experience emphasizes user research methodology and information architecture. The key is that your degree aligns with the specific duties in the job description, not just design broadly.
How does the H-1B lottery affect my chances of getting sponsored as a Principal UX Designer?
The H-1B cap applies to most private-sector Principal UX Designer roles, meaning your petition enters the annual lottery alongside all other cap-subject petitions. The lottery rules have changed recently and no longer follow a simple random draw. Because selection isn't guaranteed, it's worth identifying whether you also qualify for the O-1A visa, which has no lottery, or whether your employer has cap-exempt status such as a university or nonprofit research institution.
Where can I find employers actively sponsoring Principal UX Designer roles?
Migrate Mate lists employers with verified LCA filing history for UX and design roles, so you can focus your search on companies that have already navigated the H-1B process for this job category. This saves time compared to applying broadly and discovering sponsorship limitations late in the process.
Can I transfer my H-1B to a new employer mid-year as a Principal UX Designer?
Yes. If you're already in H-1B status, you can start with a new employer once the new petition is filed with USCIS, without waiting for approval. This is H-1B portability and it applies regardless of where you are in your current H-1B period. Your new employer must file a fresh I-129 and a certified LCA at the prevailing wage for the new location and role level before you begin work.
What is the prevailing wage requirement for sponsored Principal UX Designer 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.