| LCA CASE NUMBER | I-200-23031-740624 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-31 |
| DECISION DATE | 2023-02-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior EDI Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-18 |
| END DATE | 2026-06-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mass General Brigham Health Plan |
| EMPLOYER ADDRESS1 | 399 Revolution Drive |
| EMPLOYER CITY | Somerville |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02145 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16177725500 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Burns |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 399 Revolution Drive |
| EMPLOYER POC CITY | Somerville |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572827146 |
| EMPLOYER POC EMAIL | mburns@allwayshealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | Troy |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 175 Federal Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1025 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MASSACHUSETTS |
| AGENT ATTORNEY PHONE | 16174821775 |
| AGENT ATTORNEY EMAIL ADDRESS | twilson@wolfsdorf.com |
| LAWFIRM NAME BUSINESS NAME | Wolfsdorf Rosenthal, LLP (WR Immigration) |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4528 Bacova Club Court |
| LCA CASE WORKLOC1 CITY | Glen Allen |
| WORKSITE COUNTY | HENRICO |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23059 |
| LCA CASE WAGE RATE FROM | 130915 |
| LCA CASE WAGE RATE TO | 165616 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 130915 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Biederman |
| PREPARER FIRST NAME | Julia |
| PREPARER BUSINESS NAME | Wolfsdorf Rosenthal, LLP (WR Immigration) |
| PREPARER EMAIL | jbiederman@wolfsdorf.com |
