Solutions Lead Jobs in USA with Visa Sponsorship
Solutions Lead roles qualify for H-1B visa and O-1 visa sponsorship when the position requires a bachelor's degree or higher in a relevant field. Employers sponsor these roles through standard LCA filing and I-129 petitions, with no annual cap restrictions on O-1 applications. For detailed occupation requirements, see the O*NET profile.
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Overview
Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world’s leading financial centers – New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms.
Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram.
Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring.
Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law.
Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system.
Job Description
Lead the transformation of Healthcare through Managed Services.
At Baker Tilly, we help healthcare organizations modernize core business functions so they can focus on delivering high-quality patient care. Our Managed Services platform brings together finance and accounting, revenue cycle, human capital, and operational capabilities, integrating people, process, and technology to improve efficiency, strengthen controls, and support long-term performance in a complex and evolving regulatory environment.
We are seeking a Solution Lead Managing Director, Healthcare Managed Services to play a key role in shaping and delivering complex outsourcing and transformation solutions. This individual will lead solution development efforts in support of business development, working closely with client executives and internal teams to design practical, scalable managed services offerings. This is a highly visible role for a leader who can translate client needs into actionable solutions that drive measurable operational and financial outcomes.
What You’ll Do
As a Managing Director, you will play a critical role in shaping solution strategy, supporting business development, and advancing Baker Tilly’s Healthcare Managed Services platform. You will partner across the firm to architect scalable, technology-enabled outsourcing solutions that meet client needs and drive measurable value.
Key responsibilities include:
Solution Strategy & Design
- Define the end-to-end solution lifecycle (intake discovery design financial modeling governance submission).
- Establish standardized templates and artifacts (scope documents, operating model frameworks, SLA libraries, pricing model structures).
- Lead the development of end-to-end Business Process Outsourcing (BPO) and managed services solutions for prospective and existing healthcare clients.
- Design scalable operating models across finance and accounting, revenue cycle, customer operations, human resources, procurement, compliance, and healthcare-specific processes.
- Assess current-state client operations and define future-state operating models and transformation roadmaps.
- Establish governance frameworks, KPIs, SLAs, staffing models, transition plans, and service delivery structures to ensure operational excellence.
- Integrate automation, AI, analytics, workflow optimization, and digital enablement into solution designs to enhance efficiency and insight.
Business Development & Client Advisory
- Partner with practice leaders, sales teams, and client executives during pursuits, proposals, and solution workshops.
- Support RFP/RFI responses, pricing strategies, and development of differentiated solution narratives.
- Build compelling business cases demonstrating operational improvements, cost efficiencies, and strategic value.
- Act as a trusted advisor and subject matter expert in client meetings, executive presentations, and deal shaping discussions.
Operational Transformation
- Drive continuous improvement initiatives using Lean, Six Sigma, and operational excellence methodologies within solution design and client engagements.
- Collaborate with implementation, transition, and delivery teams to ensure seamless execution and long-term service optimization.
- Identify opportunities to standardize processes, increase scalability, and enhance the client and patient experience.
Leadership & Collaboration
- Work cross-functionally with Advisory, Tax, Digital, Audit, and Managed Services teams to bring integrated solutions to market.
- Mentor and guide consultants and analysts supporting solution development and pursuit activities.
- Contribute to practice development, thought leadership, and go-to-market strategies within Healthcare Managed Services.
- Support the evolution of Baker Tilly’s managed services platform through innovation, market insights, and industry engagement.
You’ll Thrive in This Role If You:
- Are passionate about transforming healthcare operations through innovative, technology-enabled managed services solutions.
- Bring a strong understanding of healthcare provider, payer, or life sciences operations, including regulatory and reimbursement dynamics.
- Have a track record of designing and selling complex outsourcing or transformation solutions.
- Can balance strategic thinking with hands-on solution development and client engagement.
- Excel at building relationships with executives and collaborating across multidisciplinary teams.
- Enjoy mentoring talent and contributing to a high-growth, entrepreneurial practice environment.
Qualifications
- Bachelor’s degree in Accounting, Finance, Healthcare Administration, Business, or related field (MBA or advanced degree preferred).
- 12+ years of progressive experience in healthcare operations, consulting, or managed services.
- 10+ years of experience in solution architecture, business development, or practice leadership roles.
- Demonstrated expertise in designing BPO or managed services solutions across finance, revenue cycle, or administrative functions.
- Familiarity with healthcare systems and platforms (e.g., Epic, Cerner, Workday, Oracle, or other ERP/HCM/RPM tools).
- Experience incorporating automation, AI, analytics, and digital technologies into outsourcing solutions.
- Strong financial acumen, including pricing models, business case development, and deal structuring.
- Exceptional communication, executive presence, and client-facing skills.
- Willingness to travel as needed to support client engagements and firm growth.
- The pay rate range for this job position is $182,150 - $345,330. Actual compensation is influenced by a variety of relevant factors including but not limited to applicant's skills, prior experience, qualifications, degrees, professional certifications, work arrangements, and geographic location. Baker Tilly offers a comprehensive compensation and benefits package to eligible employees.
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Get Access To All JobsTips for Finding Solutions Lead Jobs
Confirm the role meets specialty occupation standards
Solutions Lead positions qualify for H-1B sponsorship when they require a specific degree, such as computer science, engineering, or business. Avoid applying to roles where the job posting says a degree is preferred rather than required.
Target employers with an H-1B filing history
Companies that have previously sponsored H-1B workers are far more likely to sponsor again. Focus your search on mid-to-large technology, consulting, and enterprise software firms with established immigration support and in-house legal teams.
Understand that O-1A is a strong alternative if H-1B lottery fails
Solutions Leads with documented achievements, such as major client wins, industry recognition, or published work, may qualify for the O-1A visa. Unlike H-1B, there is no lottery, and petitions can be filed at any time.
Frame your degree as directly tied to the role
Consular officers and USCIS adjudicators look for a clear connection between your academic background and the Solutions Lead function. A degree in computer science, systems engineering, or management information systems strengthens your petition considerably.
Ask about the LCA process early in conversations with employers
Your employer must file a Labor Condition Application with the Department of Labor before submitting your H-1B petition. Asking early signals you understand the process, and it helps you gauge whether the employer has done this before.
Use Migrate Mate to find roles where sponsorship is already confirmed
Searching Migrate Mate filters out companies that do not sponsor, saving significant time in your job search. Every role listed is vetted for sponsorship willingness, which is especially useful for Solutions Lead positions that vary widely by employer.
Frequently Asked Questions
Can a Solutions Lead role qualify for H-1B visa sponsorship?
Yes, Solutions Lead roles regularly qualify for H-1B visa sponsorship when the position requires a bachelor's degree or higher in a specific field such as computer science, engineering, or business administration. The key test is whether the job consistently and normally requires a degree in a related discipline, not just any field.
What degree do I need to get sponsored as a Solutions Lead?
Most sponsoring employers require a bachelor's degree in computer science, information systems, engineering, or business. Some accept degrees in related fields combined with equivalent work experience under the three-for-one rule, where three years of relevant experience can substitute for one year of formal education. Your degree field should have a clear, logical connection to the Solutions Lead function.
How likely is it that a company will sponsor a Solutions Lead position?
Sponsorship is most common at mid-to-large technology, SaaS, and enterprise consulting companies where Solutions Lead is a defined technical or pre-sales role requiring specialized knowledge. Smaller firms or those where the title covers general account management are less likely to sponsor, since the specialty occupation argument is harder to make when the role doesn't require a specific degree field.
Does my Solutions Lead role qualify for the O-1A visa if I don't win the H-1B lottery?
It can, if you meet at least three of the O-1A criteria, which include high salary relative to peers, critical roles at distinguished organizations, original contributions, judging others' work, or membership in selective professional associations. Solutions Leads who have led high-value implementations, received industry recognition, or contributed to published research are well-positioned. Unlike H-1B, there is no lottery or annual cap.
Where can I find Solutions Lead jobs that offer visa sponsorship?
Migrate Mate is the most efficient starting point because every listing is filtered for sponsorship willingness, so you're not wasting time cold-emailing companies that won't sponsor. This matters for Solutions Lead roles specifically, since sponsorship availability varies significantly depending on how the company defines and scopes the position internally.
What is the prevailing wage requirement for sponsored Solutions Lead 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.