Revenue Cycle Management Jobs in USA with Visa Sponsorship
Revenue cycle management roles, including medical billers, coders, and RCM analysts, qualify for H-1B visa 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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INTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The Vice President, Revenue Cycle Management - Client Delivery is the senior executive accountable for end-to-end revenue cycle performance, client delivery, financial outcomes and technology-enabled transformation for hosted business services supporting a large, complex health system generating more than $13 billion in annual net revenue. The role provides strategic leadership across revenue cycle operations, advances automation and artificial intelligence capabilities, and aligns Operations, Product, Technology, Analytics teams to achieve contractual commitments, strengthen client satisfaction and create sustainable enterprise value.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Client executive leadership
- Serve as the senior client counterpart for performance, risk, transformation and business outcomes
- Participate in executive governance and operating reviews that clearly frame performance, commitments, decisions, risks and escalation paths
- Translate health-system priorities, operational challenges and financial objectives into a sequenced client roadmap
- Build productive coalitions across client and enterprise stakeholders to accelerate decisions and sustain change
- Drive client retention, advocacy and long-term partnership value
End-to-end revenue cycle delivery
- Provide portfolio oversight across acute revenue cycle operations, including patient access, billing, follow-up, denials management, collections and related support functions
- Ensure achievement of contractual commitments, service-level agreements and key performance indicators
- Drive operational excellence through process standardization, performance management, workforce optimization and continuous improvement
- Maintain accountability for cash collections, accounts receivable performance, denials, productivity, quality, inventory health and cost to collect
- Use operational, financial and workforce data to identify root causes, prioritize interventions and maintain focus on measurable results
- Lead resolution of critical service issues and performance recoveries through structured action plans and executive governance
Transformation, technology and operating model
- Develop and execute a technology-enabled transformation strategy across revenue cycle operations
- Identify opportunities to automate work, improve efficiency, strengthen quality and enable sustainable growth
- Influence product and technology roadmaps by translating client needs and operational insights into automation, analytics and artificial intelligence solutions
- Partner with Product and Technology leaders to advance innovation while maintaining operational stability, regulatory compliance and service continuity
- Lead process redesign, organizational simplification, change management and adoption of new capabilities
- Partner with the RCM Centers of Excellence to ensure performance delivery on client commitments
Contractual and risk governance
- Maintain command of client agreements, performance measures, models, governance obligations and change-control provisions
- Partner with Finance and Legal to evaluate scope changes and balance client value, delivery feasibility, risk and enterprise economics
- Ensure appropriate controls and compliance with applicable regulatory, contractual and organizational requirements
- Escalate material delivery, financial, contractual or reputational risks with clear options and recommendations
Workforce and leadership
- Lead and develop a high-performing organization through clear accountabilities, leadership expectations and outcome measures
- Establish workforce management practices that align skills and capacity to inventory, demand and client priorities
- Attract, develop and retain leaders and critical operational talent
- Build scalable workforce capabilities that support operational excellence, transformation and future growth
- Create an inclusive, accountable culture grounded in collaboration, transparency, disciplined execution and continuous improvement
- Build succession depth and critical capabilities across revenue cycle, client delivery, transformation and technology-enabled operations
Role profile summary
This role requires a senior operator and client leader who can move fluently between executive partnership, detailed revenue cycle performance, and transformation. The successful leader will combine health-system credibility with disciplined execution, using data, technology and cross-functional leadership to improve revenue outcomes, strengthen client confidence and expand the strategic partnership.
Role Scope:
- Lead client delivery and outsourced revenue cycle operations for a large health system generating more than $13 billion in annual net revenue
- Oversee complex operations across onsite, remote, onshore and offshore teams
- Hold accountability for client satisfaction, operational performance, and account profitability
- Drive technology-enabled transformation across front-, middle- and back-office revenue cycle functions
- Balance client value, service quality, regulatory requirements, delivery feasibility, enterprise risk and financial performance
BASIC QUALIFICATIONS
- 15+ years of progressive leadership experience in healthcare services, revenue cycle management, healthcare technology, consulting or client-facing operations
- Deep knowledge of end-to-end provider revenue cycle operations across acute and ambulatory environments
- Demonstrated success leading large-scale, complex healthcare operations and enterprise client relationships
- Proven executive-level engagement with health-system and C-suite leaders
- Experience leading technology-enabled transformation, automation, process redesign and operational improvement initiatives
- Solid financial acumen with profit-and-loss, budget or account management experience
- Experience leading complex, geographically distributed teams across onsite, remote, onshore and offshore delivery models
- Demonstrated ability to lead organizational change and influence cross-functional stakeholders
- Experience operating within regulatory, contractual and enterprise risk requirements
- Ability to travel as required to support client and business needs
- Bachelor's degree in business, healthcare administration, finance or a related field
PREFERRED QUALIFICATIONS
- Master's degree in business administration, healthcare administration or a related field
- Experience leading revenue cycle managed services, business process outsourcing or technology-enabled healthcare services
- Experience with automation, analytics, digital transformation and artificial intelligence solutions in healthcare operations
- Professional services or healthcare consulting leadership experience
- Experience influencing product strategy, technology investments and innovation roadmaps
- Knowledge of healthcare financial management, payer reimbursement and large health-system operations
- Experience with major electronic health record and billing platforms
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Get Access To All JobsTips for Finding Revenue Cycle Management Jobs
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.
Australian citizens should explore the E-3 visa
The E-3 visa has no lottery, no annual cap backlog, and processes in weeks rather than months. RCM roles with a degree requirement qualify, making it a significantly faster path than H-1B for Australian nationals.
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.
Frequently 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 visa. 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 visa 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.