Occupational models of soldier health have emphasized the importance of conceptualizing adjustment to stressful events in terms of positive outcomes, not just the absence of negative outcomes. However, research on adjustment following deployment has primarily examined negative outcomes, and comparatively little attention has been paid to identifying factors associated with positive outcomes following combat deployment. To better understand predictors of positive adjustment, we analyzed surveys from 550 soldiers administered four months and seven months following a combat deployment to assess how changes in perceived leadership quality, unit cohesion, and perceived organizational support affected three indices of positive adjustment: agency, work effectiveness, and life satisfaction. At the bivariate level, unit cohesion, leadership, and perceived organizational support were positively associated with all three indicators of positive adjustment. Longitudinal difference score models with the three occupational factors included simultaneously revealed that changes in unit cohesion were positively associated with agency and life satisfaction, changes in ratings of non-commissioned officer leadership were positively associated with change in all three well-being outcomes, and changes in perceived organizational support were positively associated with agency and work effectiveness. Findings highlight the importance of cohesion, leadership, and organizational support for enhancing positive outcomes among recently deployed soldiers.