Revenue Cycle Management Jobs in USA with Visa Sponsorship
Revenue cycle management roles, including medical billers, coders, and RCM analysts, qualify for H-1B and TN visa sponsorship when the position requires a bachelor's degree in health information management, business, or a related field. Employers range from hospital systems to specialized RCM vendors. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsIt's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.
Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve.
Job Summary
The VP, Revenue Cycle Management leads and scales enterprise-wide revenue cycle strategy and operations, encompassing billing, collections, reimbursement, and payer performance to ensure exceptional financial outcomes aligned with organizational goals and deliverables. This role serves as the executive owner of Revenue Cycle Management (RCM), driving optimization, regulatory compliance, technology enablement, and cross-functional collaboration across the entire revenue cycle continuum.
The leader translates corporate strategy into actionable revenue cycle initiatives, builds and mentors high-performing teams, and ensures operational excellence through disciplined performance management, data transparency, and continuous improvement. This role functions as the enterprise subject matter expert for revenue cycle strategy, payer relationships, audits, acquisitions, and growth initiatives.
Key Responsibilities
Enterprise Revenue Cycle Strategy & Optimization
- Lead and scale enterprise-wide revenue cycle strategy and operations, including billing, collections, and reimbursement to drive exceptional financial performance aligned with organizational goals and deliverables
- Serve as the executive leader accountable for optimizing RCM operations while minimizing revenue leakage and ensuring long-term scalability
- Translate corporate strategy into actionable RCM initiatives and technology-enabled solutions that enhance automation, efficiency, and sustainability
Financial Performance, Metrics & Revenue Integrity
- Define and deliver on key operational and financial performance metrics, including DSO, aging buckets, clean claim rate, denial rate, and cash collections
- Monitor denial rates and denial drivers, implementing strategies to reduce risk and improve reimbursement outcomes
- Develop KPI dashboards to ensure enterprise-wide visibility, accountability, and performance transparency at all organizational levels
Compliance, Risk Management & Regulatory Oversight
- Maintain rigorous compliance with all regulatory, payer, and contractual requirements
- Establish and enforce enterprise-wide standards, policies, and internal controls to safeguard revenue integrity
- Monitor regulatory changes, payer policies, and industry trends to proactively adapt strategy and mitigate compliance risk
Payer Strategy, Contracting & Reimbursement Optimization
- Oversee payer contract strategy and execution, leveraging data and performance insights to strengthen negotiation outcomes
- Improve reimbursement terms through disciplined analysis of payer performance and contract compliance
- Serve as executive subject matter expert for payer negotiations, audits, and contract interpretation
Cross-Functional Leadership & Enterprise Collaboration
- Drive cross-functional partnerships with client engagement, operations, finance, IT, legal, and payer relations to optimize end-to-end revenue cycle performance
- Serve as executive leader supporting RFPs, contract negotiations, implementations, audits, and due diligence activities
- Act as a strategic advisor across the enterprise to ensure revenue cycle alignment with business priorities
Team Leadership, Talent Development & Succession
- Build, lead, and scale a high-performing, diverse, and agile revenue cycle organization
- Mentor and develop leaders to ensure succession readiness, leadership continuity, and continuous professional growth
- Champion accountability, engagement, and leadership excellence across the revenue cycle function
Growth Enablement, Integration & Change Leadership
- Direct the integration of new services, acquisitions, and technologies into existing revenue operations
- Ensure seamless onboarding, system alignment, and continuity of revenue streams during periods of growth and transformation
- Lead change initiatives that enhance scalability while maintaining financial integrity and operational continuity
Continuous Improvement & Client Experience
- Champion a culture of continuous improvement focused on efficiency, accuracy, and operational excellence
- Drive initiatives that enhance client satisfaction while strengthening revenue cycle performance
- Leverage data, automation, and process optimization to continuously improve outcomes across the revenue lifecycle
Required Skills:
- Experience working with Managed Medicaid payers and navigating state-specific billing rules. Understanding of value-based payment trends and potential Medicaid policy shifts.
- Exceptional executive presence with the ability to influence C-level stakeholders and navigate complex matrixed organizations.
- Strategic thinking and change leadership capabilities; demonstrated ability to align operational plans with broader business goals.
- Deep expertise in all aspects of revenue cycle, including payer contract strategy, denials management, value-based care reimbursement, and regulatory compliance.
- Strong financial acumen and ability to interpret and act on complex data sets and financial models.
- Excellent communication, presentation, and negotiation skills across diverse stakeholder groups.
- Proven ability to build and lead large, high-performing teams through growth and transformation.
- Familiarity with enterprise technology platforms (e.g., Epic, Workday, Oracle Cerner, etc.) and RCM automation tools and platforms, including clearing houses.
- Strong project management discipline with a results-driven approach to driving enterprise initiatives.
Qualifications
Education:
Bachelor’s Degree required. Master’s degree in Business Administration, Healthcare Administration, Finance, or related field strongly preferred.
Experience:
Minimum 15 years of progressive leadership experience in revenue cycle management within healthcare – ideally Medicaid home health, HCBS, or CDPAP, including at least 5 years in an executive leadership role. Equivalent combination of education and/or experience.
- Certification: Certified Revenue Cycle Executive (CRCE), HFMA certifications, or equivalent preferred.
Working Conditions:
Remote office with a hybrid executive office setting; some travel may be required based on organizational needs.
Supervisory Responsibility:
Directly leads senior revenue cycle leaders; indirectly responsible for 50+ team members across multiple functions and locations.
Compensation Range: $220,000 - $250,000 annually
The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified.
PPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.
Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve.
Job Summary
The VP, Revenue Cycle Management leads and scales enterprise-wide revenue cycle strategy and operations, encompassing billing, collections, reimbursement, and payer performance to ensure exceptional financial outcomes aligned with organizational goals and deliverables. This role serves as the executive owner of Revenue Cycle Management (RCM), driving optimization, regulatory compliance, technology enablement, and cross-functional collaboration across the entire revenue cycle continuum.
The leader translates corporate strategy into actionable revenue cycle initiatives, builds and mentors high-performing teams, and ensures operational excellence through disciplined performance management, data transparency, and continuous improvement. This role functions as the enterprise subject matter expert for revenue cycle strategy, payer relationships, audits, acquisitions, and growth initiatives.
Key Responsibilities
Enterprise Revenue Cycle Strategy & Optimization
- Lead and scale enterprise-wide revenue cycle strategy and operations, including billing, collections, and reimbursement to drive exceptional financial performance aligned with organizational goals and deliverables
- Serve as the executive leader accountable for optimizing RCM operations while minimizing revenue leakage and ensuring long-term scalability
- Translate corporate strategy into actionable RCM initiatives and technology-enabled solutions that enhance automation, efficiency, and sustainability
Financial Performance, Metrics & Revenue Integrity
- Define and deliver on key operational and financial performance metrics, including DSO, aging buckets, clean claim rate, denial rate, and cash collections
- Monitor denial rates and denial drivers, implementing strategies to reduce risk and improve reimbursement outcomes
- Develop KPI dashboards to ensure enterprise-wide visibility, accountability, and performance transparency at all organizational levels
Compliance, Risk Management & Regulatory Oversight
- Maintain rigorous compliance with all regulatory, payer, and contractual requirements
- Establish and enforce enterprise-wide standards, policies, and internal controls to safeguard revenue integrity
- Monitor regulatory changes, payer policies, and industry trends to proactively adapt strategy and mitigate compliance risk
Payer Strategy, Contracting & Reimbursement Optimization
- Oversee payer contract strategy and execution, leveraging data and performance insights to strengthen negotiation outcomes
- Improve reimbursement terms through disciplined analysis of payer performance and contract compliance
- Serve as executive subject matter expert for payer negotiations, audits, and contract interpretation
Cross-Functional Leadership & Enterprise Collaboration
- Drive cross-functional partnerships with client engagement, operations, finance, IT, legal, and payer relations to optimize end-to-end revenue cycle performance
- Serve as executive leader supporting RFPs, contract negotiations, implementations, audits, and due diligence activities
- Act as a strategic advisor across the enterprise to ensure revenue cycle alignment with business priorities
Team Leadership, Talent Development & Succession
- Build, lead, and scale a high-performing, diverse, and agile revenue cycle organization
- Mentor and develop leaders to ensure succession readiness, leadership continuity, and continuous professional growth
- Champion accountability, engagement, and leadership excellence across the revenue cycle function
Growth Enablement, Integration & Change Leadership
- Direct the integration of new services, acquisitions, and technologies into existing revenue operations
- Ensure seamless onboarding, system alignment, and continuity of revenue streams during periods of growth and transformation
- Lead change initiatives that enhance scalability while maintaining financial integrity and operational continuity
Continuous Improvement & Client Experience
- Champion a culture of continuous improvement focused on efficiency, accuracy, and operational excellence
- Drive initiatives that enhance client satisfaction while strengthening revenue cycle performance
- Leverage data, automation, and process optimization to continuously improve outcomes across the revenue lifecycle
Required Skills:
- Experience working with Managed Medicaid payers and navigating state-specific billing rules. Understanding of value-based payment trends and potential Medicaid policy shifts.
- Exceptional executive presence with the ability to influence C-level stakeholders and navigate complex matrixed organizations.
- Strategic thinking and change leadership capabilities; demonstrated ability to align operational plans with broader business goals.
- Deep expertise in all aspects of revenue cycle, including payer contract strategy, denials management, value-based care reimbursement, and regulatory compliance.
- Strong financial acumen and ability to interpret and act on complex data sets and financial models.
- Excellent communication, presentation, and negotiation skills across diverse stakeholder groups.
- Proven ability to build and lead large, high-performing teams through growth and transformation.
- Familiarity with enterprise technology platforms (e.g., Epic, Workday, Oracle Cerner, etc.) and RCM automation tools and platforms, including clearing houses.
- Strong project management discipline with a results-driven approach to driving enterprise initiatives.
Qualifications
Education:
Bachelor’s Degree required. Master’s degree in Business Administration, Healthcare Administration, Finance, or related field strongly preferred.
Experience:
Minimum 15 years of progressive leadership experience in revenue cycle management within healthcare – ideally Medicaid home health, HCBS, or CDPAP, including at least 5 years in an executive leadership role. Equivalent combination of education and/or experience.
- Certification: Certified Revenue Cycle Executive (CRCE), HFMA certifications, or equivalent preferred.
Working Conditions:
Remote office with a hybrid executive office setting; some travel may be required based on organizational needs.
Supervisory Responsibility:
Directly leads senior revenue cycle leaders; indirectly responsible for 50+ team members across multiple functions and locations.
Compensation Range: $220,000 - $250,000 annually
The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified.
PPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
How to Get Visa Sponsorship in Revenue Cycle Management
Target hospital systems and large health networks
Large health systems like HCA Healthcare, CommonSpirit, and Tenet Health file LCAs regularly for RCM roles and have established immigration infrastructure. They're far more likely to sponsor than smaller independent medical practices or billing companies.
Confirm your role qualifies as a specialty occupation
USCIS requires that your RCM position specifically requires a bachelor's degree, not just prefers one. Roles like RCM analyst, coding manager, or revenue integrity specialist are stronger candidates than general billing clerk positions.
Get certified to strengthen your petition
Credentials like CPC, CCS, or RHIA demonstrate field-specific expertise that reinforces the specialty occupation argument. Employers and immigration attorneys both view certifications as supporting evidence that the role demands specialized knowledge.
Filter for employers with active LCA filings
An employer's history of filing Labor Condition Applications for RCM roles is the clearest signal they'll sponsor again. Use Migrate Mate to browse RCM jobs from employers with verified sponsorship track records in healthcare.
Understand that remote RCM roles complicate sponsorship
Many RCM positions are remote, which creates LCA compliance complexity around worksite locations. Confirm upfront that your employer's immigration counsel has experience handling multi-state or fully remote sponsored roles before accepting an offer.
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Get Access To All JobsFrequently Asked Questions
Does revenue cycle management qualify for H-1B visa sponsorship?
It depends on how the role is defined. RCM positions that require a specific bachelor's degree, in health information management, healthcare administration, accounting, or a related field, can qualify as specialty occupations under H-1B. Generic billing or collections roles where any degree satisfies the requirement are harder to support. Job titles like RCM analyst, revenue integrity specialist, and coding manager have a stronger track record with USCIS than broad billing coordinator roles.
What degree do I need for a sponsored RCM job?
Most sponsoring employers require a bachelor's degree in health information management, healthcare administration, business, or accounting. A degree in an unrelated field weakens the specialty occupation argument unless you have substantial directly relevant experience. Certifications like CPC, CCS, or RHIA can supplement a non-traditional degree, but they generally don't replace the formal education requirement for H-1B purposes.
How do I find RCM employers that actually sponsor visas?
Migrate Mate lists RCM roles from employers with verified sponsorship history, so you're not guessing which companies are open to it. Outside of that, large hospital systems and national RCM vendors file LCAs at much higher rates than independent practices. Searching by employer size and healthcare sector significantly improves your odds of finding a role where sponsorship is genuinely on the table.
Are there visa options for RCM roles that bypass the H-1B lottery?
Yes. Australian citizens can apply for an E-3 visa, which has no lottery and a 10,500-slot annual cap that has never been filled. Canadian and Mexican citizens may qualify for TN status if the role fits a USMCA-listed category such as accountant or computer systems analyst, depending on job duties. O-1 visas are theoretically available but require demonstrating extraordinary ability, which is a high bar for most RCM professionals.
What approval rates should I expect for an H-1B petition in an RCM role?
USCIS doesn't publish approval rates by job title, but RCM petitions face meaningful scrutiny because the specialty occupation threshold isn't always clear-cut. Petitions supported by a specific degree requirement, a well-documented job description, and an employer with prior RCM LCA filings tend to fare better. Requests for Evidence are more common when the role title is generic or the degree field is broadly defined. Working with an experienced immigration attorney materially improves outcomes.
What is the prevailing wage requirement for sponsored Revenue Cycle Management 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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