Technical Operations Manager Jobs in USA with Visa Sponsorship
Technical Operations Managers oversee the systems, teams, and processes that keep a company running, and employers regularly sponsor H-1B and E-3 visas for this role when candidates hold a relevant bachelor's degree in engineering, information systems, or a related technical field. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsAt Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care. Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years. Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
About The Role
We are hiring a highly technical operator to build and improve automation across denial and rejection workflows at Commure. This role is focused on reducing manual work in some of our most operationally intensive processes. You will help implement and scale workflows that prevent denials before submission, automate parts of denial and rejection resolution, and improve the reliability and efficiency of how claims are worked over time. This is a hands-on individual contributor role for someone who is comfortable working across operations, data, and technical implementation. You will use SQL, APIs, scripts, internal tools, and AI-based workflows to launch automations, monitor performance, investigate failures, and improve systems already in production. A large focus of the role will be denial and rejection workflows, but the person in this role may also support other operational areas where automation can reduce manual effort and improve efficiency as Commure scales.
What You’ll Do
- Build and operationalize automation across denial and rejection workflows, with a focus on reducing manual work and improving efficiency
- Implement workflows such as denial prevention checks, automated correction steps, and resubmission processes based on team-defined priorities
- Use SQL, APIs, scripts, internal tools, and AI-based workflows to improve existing systems and launch new automations
- Monitor workflow performance, investigate failures, and refine logic, QA checks, and routing to improve automation accuracy and reliability
- Support rollout of automation capabilities across customers and workflows through testing, iteration, and performance tracking
- Own execution outcomes for the areas you support, including automation lift, manual touch reduction, turnaround time, and operational savings
What You Have
- 3+ years of experience in technical operations, automation, systems implementation, or another highly analytical, execution-oriented role
- Strong SQL skills and comfort working directly with messy operational data
- Experience building or improving workflows, automations, internal tools, or technical process improvements using APIs, scripting, or low-code tools
- Proven ability to move from operational problem to implemented solution, not just analysis or recommendations
- Strong systems thinking and judgment in ambiguous environments
- Ability to work independently, learn quickly, and adapt across changing business priorities
Nice-to-haves
- Experience in healthcare operations, claims, billing, or denial workflows
- Experience with Python, Retool, workflow tools, internal ops systems, or AI-assisted tooling
- Experience in improving workflows that reduce human review or manual exception handling
- Experience using LLMs or agent-based systems in operational environments
Commure is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process. Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization. Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Compensation Range: $80K - $120K
At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care. Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years. Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
About The Role
We are hiring a highly technical operator to build and improve automation across denial and rejection workflows at Commure. This role is focused on reducing manual work in some of our most operationally intensive processes. You will help implement and scale workflows that prevent denials before submission, automate parts of denial and rejection resolution, and improve the reliability and efficiency of how claims are worked over time. This is a hands-on individual contributor role for someone who is comfortable working across operations, data, and technical implementation. You will use SQL, APIs, scripts, internal tools, and AI-based workflows to launch automations, monitor performance, investigate failures, and improve systems already in production. A large focus of the role will be denial and rejection workflows, but the person in this role may also support other operational areas where automation can reduce manual effort and improve efficiency as Commure scales.
What You’ll Do
- Build and operationalize automation across denial and rejection workflows, with a focus on reducing manual work and improving efficiency
- Implement workflows such as denial prevention checks, automated correction steps, and resubmission processes based on team-defined priorities
- Use SQL, APIs, scripts, internal tools, and AI-based workflows to improve existing systems and launch new automations
- Monitor workflow performance, investigate failures, and refine logic, QA checks, and routing to improve automation accuracy and reliability
- Support rollout of automation capabilities across customers and workflows through testing, iteration, and performance tracking
- Own execution outcomes for the areas you support, including automation lift, manual touch reduction, turnaround time, and operational savings
What You Have
- 3+ years of experience in technical operations, automation, systems implementation, or another highly analytical, execution-oriented role
- Strong SQL skills and comfort working directly with messy operational data
- Experience building or improving workflows, automations, internal tools, or technical process improvements using APIs, scripting, or low-code tools
- Proven ability to move from operational problem to implemented solution, not just analysis or recommendations
- Strong systems thinking and judgment in ambiguous environments
- Ability to work independently, learn quickly, and adapt across changing business priorities
Nice-to-haves
- Experience in healthcare operations, claims, billing, or denial workflows
- Experience with Python, Retool, workflow tools, internal ops systems, or AI-assisted tooling
- Experience in improving workflows that reduce human review or manual exception handling
- Experience using LLMs or agent-based systems in operational environments
Commure is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process. Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization. Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Compensation Range: $80K - $120K
How to Get Visa Sponsorship as a Technical Operations Manager
Lead with your technical depth, not just management experience
Visa sponsorship for this role hinges on demonstrating specialty occupation status. Emphasize your engineering or systems background first. Employers and USCIS need to see that the role requires technical expertise, not just general management skills.
Target employers with an established sponsorship track record
Large technology, manufacturing, and logistics companies sponsor Technical Operations Managers far more reliably than small firms. Companies with dedicated HR and legal teams are better positioned to navigate the LCA filing and I-129 petition process without delays.
Frame your degree as directly tied to your operational responsibilities
USCIS scrutinizes whether your degree field matches the role. A degree in industrial engineering, computer science, or information systems maps clearly. If your degree is adjacent, document how your coursework directly applies to the technical functions you manage.
Prepare for specialty occupation questions during the interview
Hiring managers at sponsoring employers will want to confirm the role qualifies as a specialty occupation. Be ready to explain which technical decisions you own, what systems you oversee, and why a bachelor's degree in a specific field is genuinely required for the work.
Understand that cap-exempt employers can sponsor you year-round
Universities, nonprofit research institutions, and government-affiliated organizations are exempt from the H-1B annual cap. If you're open to those sectors, you can receive an H-1B offer and start without waiting for the lottery or a specific filing window.
Australian nationals should ask employers specifically about the E-3 visa
The E-3 visa is available only to Australians and has no lottery. It allows unlimited two-year renewals, making it a practical long-term option for Technical Operations Managers who qualify. Many employers are unfamiliar with it and may default to H-1B.
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Get Access To All JobsFrequently Asked Questions
Does a Technical Operations Manager role qualify as a specialty occupation for H-1B purposes?
It can, but it requires careful framing. USCIS will look at whether the role genuinely requires a bachelor's degree in a specific technical field, not just any degree. Roles that emphasize systems architecture, infrastructure oversight, or engineering process management tend to qualify more cleanly than those centered on general operational leadership. Your employer's job description needs to reflect the technical depth of the work.
What degree does a Technical Operations Manager typically need to qualify for visa sponsorship?
Most sponsoring employers and USCIS expect a bachelor's degree in a relevant technical field such as industrial engineering, computer science, information systems, electrical engineering, or operations research. A general business or management degree may not satisfy the specialty occupation requirement on its own unless it's paired with substantial technical coursework or work experience in the relevant engineering or systems domain.
Which industries most commonly sponsor Technical Operations Managers for H-1B or E-3 visas?
Technology companies, semiconductor manufacturers, cloud infrastructure providers, and large-scale logistics operations are the most frequent sponsors. Defense contractors and aerospace firms also hire at this level with sponsorship. These industries have the legal infrastructure to handle petitions and the regulatory precedent of placing Technical Operations Managers under specialty occupation classifications. Browse current openings on Migrate Mate to find employers actively hiring in these sectors.
How does the H-1B lottery affect my chances as a Technical Operations Manager?
If you need a cap-subject H-1B, your selection depends on the annual lottery, in recent years, selection rates have hovered around 25%. One way to reduce lottery dependence is to target cap-exempt employers such as universities or nonprofit research organizations. Australian nationals have a more direct path through the E-3 visa, which requires no lottery and has never come close to exhausting its annual allocation of 10,500 visas.
Can I switch employers while on an H-1B as a Technical Operations Manager?
Yes. Under H-1B portability rules, if your new employer files an H-1B transfer petition before your current status expires, you can begin working for the new employer as soon as the petition is received by USCIS, you don't need to wait for approval. The new role must still qualify as a specialty occupation in the same occupational category, and your new employer must file a fresh Labor Condition Application with the Department of Labor.
What is the prevailing wage requirement for sponsored Technical Operations Manager 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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