VP Finance Jobs in USA with Visa Sponsorship
VP Finance roles attract H-1B visa and O-1 visa sponsorship from large employers in financial services, tech, and healthcare. These senior positions typically require a CPA or MBA, and sponsorship approval rates are strong given the specialty occupation designation. For detailed occupation requirements, see the O*NET profile.
See All VP Finance JobsOverview
Showing 5 of 898+ VP Finance jobs
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
See all 898+ VP Finance jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new VP Finance roles.
Get Access To All JobsCompany & Job Overview
Diality is a medical device company focused on developing solutions to improve lives impacted by kidney disease. Diality offers the Moda-flx Hemodialysis System, a user-friendly, mobile, and connected hemodialysis system designed to maximize clinical flexibility and ease-of-use for both clinical and non-clinical users. The Moda-flx Hemodialysis system combines flow rate capabilities of conventional in-center dialysis devices with a fully integrated reverse osmosis (RO) water filtration system to provide a broad range of prescriptions and meet the needs of any professional dialysis care setting.
Diality is seeking a highly skilled and experienced VP of Finance and Corporate Controller reporting to the Chief Financial Officer. will be responsible for overseeing all financial and accounting aspects of the company, including financial planning, analysis, forecasting, accounting operations, internal controls, financial reporting (both internal & external), compliance, and risk management. The ideal candidate will possess a strong background in both finance and accounting, with experience in managing the financial complexities faced by pre-revenue companies, particularly in the medical device industry. This role requires a strategic thinker with operational capabilities who can contribute to the overall growth and success of the organization.
Responsibilities
Financial Strategy & Planning
- Lead long-term financial planning, forecasting, and budgeting, ensuring alignment with company goals and milestones and on strict cadence set by the CFO.
- Develop, model, and implement financial strategies to support the company's growth objectives and transition from pre-revenue to commercialization.
Accounting Operations & Management
- Oversee all accounting functions, including general ledger, accounts payable, accounts receivable, payroll, cost of goods sold, operating expenses and related accruals, taxes, stock-based compensation, and other technical & emerging accounting, and expense management.
- Ensure the accuracy and integrity of financial records, maintaining a comprehensive accounting system that complies with GAAP and other relevant accounting & regulatory standards.
- Implement and maintain internal controls, policies, and procedures to ensure compliance and safeguard company assets by implementing an Enterprise Risk Management system (ERM) capable of making Diality SOX and exchange compliant.
- Manage and maintain the company’s ERP system (NetSuite) and other accounting subsystems, ensuring data integrity, process efficiency, and that the system meets the needs of finance and accounting operations while ensuring timely and accurate outputs from the systems.
Financial Reporting & Compliance
- Manage the preparation and presentation of accurate and timely financial reports, including monthly, quarterly, and annual financial statements.
- Ensure compliance with tax regulations, corporate governance, and other financial reporting requirements.
- Coordinate and manage & successfully complete (in a timely manner) annual audits and issuance of annual report/financial statements, working closely with external auditors and regulatory bodies while maintaining good relationships.
- Ensure timely reporting to our ELT, Audit Committee, Board, Investors, and other requestors of financial information.
- Lead annual meeting and any other meetings/reporting as required by agencies and/or regulatory bodies.
Budgeting, Forecasting & Financial Analysis
- Lead the budgeting process, working with department heads to develop and manage annual budgets.
- Lead the forecast and reforecast process on cadence set by CFO while maintaining accurate information in Vena or similar subsystem to include assisting CFO in maintaining vendor master list and other legal documents to ensure conformance with published budgets and forecasts.
- Create and maintain financial models for scenario planning, product development, and commercialization strategies.
- Analyze financial performance, provide insights, and make recommendations to optimize financial outcomes and cost efficiencies.
- Perform actual vs. budget analysis monthly, and conduct reviews with department owners to identify variances, understand drivers, and implement corrective actions as needed. Leading monthly business and variance reviews in accurate and efficient manner.
Fundraising & Investor Relations
- Collaborate with the executive team on fundraising activities, including equity, debt, strategic & other financing.
- Prepare financial materials for investor presentations, due diligence, and board meetings including creating and maintaining robust, accurate and efficient data room(s).
- Serve as the primary support contact for investors, lenders, and other stakeholders, ensuring transparency and accuracy in all financial communications.
- Manage the company’s cap table including equity and stock issuances, ensuring accurate record-keeping of ownership structure, equity grants, and dilution impact.
Risk Management & Internal Controls
- Identify and manage financial risks, including cash flow, operational expenses, and regulatory compliance as outlined previously via ERM/SOX.
- Develop and implement robust internal controls to ensure accurate financial reporting and minimize risk exposure.
- Monitor and manage cash flow, ensuring the company is adequately funded to support operations and growth.
Team Leadership & Development
- Build and lead a high-performing finance and accounting team, providing mentorship, guidance, and professional development.
- Foster a culture of financial discipline, accountability, and continuous improvement within the team.
Required Skills & Abilities
- Extensive technical expertise in GAAP, technical accounting, financial reporting standards, tax regulations, and regulatory compliance, with a proven track record of maintaining accounting integrity in dynamic environments.
- Demonstrated ability to develop and oversee financial reporting systems, manage month-end and year-end close processes, and provide accurate, timely financial statements.
- Strong communication and interpersonal skills, with the ability to convey complex financial concepts to non-financial stakeholders.
- Strategic thinker with a meticulous, detail-oriented approach and the ability to excel in a fast-paced, growth-focused environment.
- Strong expertise in financial modeling, forecasting, analysis, and financial reporting.
- Ability to recruit, retain, lead, and develop accounting, finance, and administrative professionals.
Education & Experience
- Bachelor’s degree in Accounting and/or Finance; CPA, CGMA, or equivalent accounting certification strongly preferred. An MBA is a plus.
- 10+ years of progressive experience in accounting and finance, with substantial time spent in senior accounting leadership roles overseeing complex accounting operations.
- Proven experience in a pre-revenue or early-stage startup environment, preferably within the medical device or biotech sector.
- Strong experience managing financial compliance, internal controls, and audit processes, ensuring adherence to rigorous accounting standards.
- Proven experience in financial modeling, forecasting, and data-driven financial analysis to support strategic decision-making.
- Experience with fundraising, investor relations, and managing financial aspects of product development/commercialization is a plus.
Travel
- Willingness to travel domestically as needed (up to 20%) primarily to visit vendors and attendance at select conferences and follow the hybrid schedule as outlined by Diality/CFO.
Physical Requirements
- Sitting at a desk utilizing a computer.
The information contained in this job description is for compliance with the Americans with Disabilities Act (ADA) and is not an exhaustive list of duties performed for this position.
Company & Job Overview
Diality is a medical device company focused on developing solutions to improve lives impacted by kidney disease. Diality offers the Moda-flx Hemodialysis System, a user-friendly, mobile, and connected hemodialysis system designed to maximize clinical flexibility and ease-of-use for both clinical and non-clinical users. The Moda-flx Hemodialysis system combines flow rate capabilities of conventional in-center dialysis devices with a fully integrated reverse osmosis (RO) water filtration system to provide a broad range of prescriptions and meet the needs of any professional dialysis care setting.
Diality is seeking a highly skilled and experienced VP of Finance and Corporate Controller reporting to the Chief Financial Officer. will be responsible for overseeing all financial and accounting aspects of the company, including financial planning, analysis, forecasting, accounting operations, internal controls, financial reporting (both internal & external), compliance, and risk management. The ideal candidate will possess a strong background in both finance and accounting, with experience in managing the financial complexities faced by pre-revenue companies, particularly in the medical device industry. This role requires a strategic thinker with operational capabilities who can contribute to the overall growth and success of the organization.
Responsibilities
Financial Strategy & Planning
- Lead long-term financial planning, forecasting, and budgeting, ensuring alignment with company goals and milestones and on strict cadence set by the CFO.
- Develop, model, and implement financial strategies to support the company's growth objectives and transition from pre-revenue to commercialization.
Accounting Operations & Management
- Oversee all accounting functions, including general ledger, accounts payable, accounts receivable, payroll, cost of goods sold, operating expenses and related accruals, taxes, stock-based compensation, and other technical & emerging accounting, and expense management.
- Ensure the accuracy and integrity of financial records, maintaining a comprehensive accounting system that complies with GAAP and other relevant accounting & regulatory standards.
- Implement and maintain internal controls, policies, and procedures to ensure compliance and safeguard company assets by implementing an Enterprise Risk Management system (ERM) capable of making Diality SOX and exchange compliant.
- Manage and maintain the company’s ERP system (NetSuite) and other accounting subsystems, ensuring data integrity, process efficiency, and that the system meets the needs of finance and accounting operations while ensuring timely and accurate outputs from the systems.
Financial Reporting & Compliance
- Manage the preparation and presentation of accurate and timely financial reports, including monthly, quarterly, and annual financial statements.
- Ensure compliance with tax regulations, corporate governance, and other financial reporting requirements.
- Coordinate and manage & successfully complete (in a timely manner) annual audits and issuance of annual report/financial statements, working closely with external auditors and regulatory bodies while maintaining good relationships.
- Ensure timely reporting to our ELT, Audit Committee, Board, Investors, and other requestors of financial information.
- Lead annual meeting and any other meetings/reporting as required by agencies and/or regulatory bodies.
Budgeting, Forecasting & Financial Analysis
- Lead the budgeting process, working with department heads to develop and manage annual budgets.
- Lead the forecast and reforecast process on cadence set by CFO while maintaining accurate information in Vena or similar subsystem to include assisting CFO in maintaining vendor master list and other legal documents to ensure conformance with published budgets and forecasts.
- Create and maintain financial models for scenario planning, product development, and commercialization strategies.
- Analyze financial performance, provide insights, and make recommendations to optimize financial outcomes and cost efficiencies.
- Perform actual vs. budget analysis monthly, and conduct reviews with department owners to identify variances, understand drivers, and implement corrective actions as needed. Leading monthly business and variance reviews in accurate and efficient manner.
Fundraising & Investor Relations
- Collaborate with the executive team on fundraising activities, including equity, debt, strategic & other financing.
- Prepare financial materials for investor presentations, due diligence, and board meetings including creating and maintaining robust, accurate and efficient data room(s).
- Serve as the primary support contact for investors, lenders, and other stakeholders, ensuring transparency and accuracy in all financial communications.
- Manage the company’s cap table including equity and stock issuances, ensuring accurate record-keeping of ownership structure, equity grants, and dilution impact.
Risk Management & Internal Controls
- Identify and manage financial risks, including cash flow, operational expenses, and regulatory compliance as outlined previously via ERM/SOX.
- Develop and implement robust internal controls to ensure accurate financial reporting and minimize risk exposure.
- Monitor and manage cash flow, ensuring the company is adequately funded to support operations and growth.
Team Leadership & Development
- Build and lead a high-performing finance and accounting team, providing mentorship, guidance, and professional development.
- Foster a culture of financial discipline, accountability, and continuous improvement within the team.
Required Skills & Abilities
- Extensive technical expertise in GAAP, technical accounting, financial reporting standards, tax regulations, and regulatory compliance, with a proven track record of maintaining accounting integrity in dynamic environments.
- Demonstrated ability to develop and oversee financial reporting systems, manage month-end and year-end close processes, and provide accurate, timely financial statements.
- Strong communication and interpersonal skills, with the ability to convey complex financial concepts to non-financial stakeholders.
- Strategic thinker with a meticulous, detail-oriented approach and the ability to excel in a fast-paced, growth-focused environment.
- Strong expertise in financial modeling, forecasting, analysis, and financial reporting.
- Ability to recruit, retain, lead, and develop accounting, finance, and administrative professionals.
Education & Experience
- Bachelor’s degree in Accounting and/or Finance; CPA, CGMA, or equivalent accounting certification strongly preferred. An MBA is a plus.
- 10+ years of progressive experience in accounting and finance, with substantial time spent in senior accounting leadership roles overseeing complex accounting operations.
- Proven experience in a pre-revenue or early-stage startup environment, preferably within the medical device or biotech sector.
- Strong experience managing financial compliance, internal controls, and audit processes, ensuring adherence to rigorous accounting standards.
- Proven experience in financial modeling, forecasting, and data-driven financial analysis to support strategic decision-making.
- Experience with fundraising, investor relations, and managing financial aspects of product development/commercialization is a plus.
Travel
- Willingness to travel domestically as needed (up to 20%) primarily to visit vendors and attendance at select conferences and follow the hybrid schedule as outlined by Diality/CFO.
Physical Requirements
- Sitting at a desk utilizing a computer.
The information contained in this job description is for compliance with the Americans with Disabilities Act (ADA) and is not an exhaustive list of duties performed for this position.
See all 898+ VP Finance jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new VP Finance roles.
Get Access To All JobsTips for Finding VP Finance Jobs
Target large employers with established immigration programs
Fortune 500 companies and major financial institutions file H-1B petitions at far higher rates than mid-size firms. Their in-house legal teams handle sponsorship efficiently, reducing approval risk and processing delays for senior finance hires.
Lead with your CPA, CFA, or MBA credentials upfront
Specialty occupation approval for VP Finance depends on demonstrating that the role requires a specific advanced degree. Listing your CPA or MBA prominently signals to employers that USCIS approval is straightforward, making them more willing to sponsor.
Frame your value around revenue impact, not just operations
Employers sponsoring a VP Finance need to justify the cost and complexity to leadership. Quantifying your contribution to capital raises, cost reductions, or profitability directly addresses the business case that makes sponsorship worth pursuing.
Raise sponsorship early in the process, not at the offer stage
Bringing up visa needs after an offer is extended creates friction and occasionally causes employers to withdraw. Addressing it during the second or third interview round signals transparency and gives HR time to assess feasibility without pressure.
Understand your current status and timing constraints
If you're on OPT or a cap-gap, your start date flexibility is limited. Knowing your exact authorization window lets you negotiate realistic timelines and helps employers plan USCIS filing deadlines without surprises that could delay or derail the hire.
Consider O-1A if H-1B lottery selection is a concern
VP Finance candidates with notable achievements, board roles, or industry recognition may qualify for O-1A, which has no lottery and no annual cap. This is worth exploring with an immigration attorney before committing to an H-1B-dependent job search.
Frequently Asked Questions
Does a VP Finance role qualify as a specialty occupation for H-1B purposes?
Yes. VP Finance positions consistently qualify as specialty occupations because they require at minimum a bachelor's degree in accounting, finance, or a related field, typically a CPA or MBA in practice. USCIS has approved H-1B visa petitions for senior finance roles at high rates when the employer documents the degree requirement clearly in the job description and Labor Condition Application.
Which visa types do employers typically use to sponsor VP Finance candidates?
H-1B is the most common pathway, but VP Finance candidates with recognized credentials or leadership profiles sometimes qualify for O-1A, which bypasses the lottery entirely. L-1A is an option if you're transferring within a multinational company in an executive or managerial capacity. E-3 visa applies if you're an Australian citizen. The right visa depends on your background, current status, and employer structure.
How do I find VP Finance jobs that offer visa sponsorship?
Migrate Mate filters job listings specifically for roles where employers are willing to sponsor work visas, which saves significant time compared to applying broadly and asking at the offer stage. VP Finance openings with confirmed sponsorship intent tend to come from larger employers in financial services, technology, and healthcare, industries well represented on Migrate Mate.
Does having an MBA versus a CPA affect my H-1B approval chances as a VP Finance candidate?
Both support a strong specialty occupation case, but they do so differently. A CPA directly evidences advanced accounting expertise and is widely recognized by USCIS adjudicators. An MBA from an accredited institution demonstrates broad financial management credentials. Candidates with both are in the strongest position. What matters most is that the employer's job posting explicitly requires, not just prefers, a degree in a specific field.
Can a startup sponsor an H-1B for a VP Finance role?
Yes, but it's more complicated. USCIS scrutinizes petitions from early-stage companies more carefully, particularly around the employer's ability to pay the prevailing wage and the legitimacy of a senior hire relative to company size. Startups with audited financials, VC backing, and documented organizational structure are better positioned. An immigration attorney familiar with startup petitions can significantly improve approval odds in these cases.
What is the prevailing wage requirement for sponsored VP Finance 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.
See which VP Finance employers are hiring and sponsoring visas right now.
Search VP Finance Jobs