Management · Holland code ECS

Medical and Health Services Managers

Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.

Also called: Clinical Director, Health Information Management Director (HIM Director), Health Information Manager (HIM Manager), Nursing Director, Cancer Center Director, Healthcare System Director, Medical Records Director, Medical Records Manager.

O*NET 11-9111.00

At a glance

US median annual pay: $123,860; Middle half earn $94,700 to $166,100. BLS OEWS, May 2025.
Most common education: Bachelor's Degree; 46% of workers surveyed by O*NET report this level.
Preparation needed: Job Zone 4 of 5; Considerable preparation. Zone 1 is little or none; zone 5 is graduate-level.
US employment outlook, 2024 to 2034: +23% · Much faster than average; 616,200 jobs in 2024, projected 759,100. BLS Occupational Outlook Handbook, which groups this with similar roles as "Medical and health services managers".

What the work involves

The tasks workers in this occupation rate as most important, from the O*NET survey.

Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel.
Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports.
Plan, implement, and administer programs and services in a health care or medical facility, including personnel administration, training, and coordination of medical, nursing and physical plant staff.
Conduct and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services, and coordinating financial reporting.
Maintain awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.
Establish work schedules and assignments for staff, according to workload, space, and equipment availability.
Monitor the use of diagnostic services, inpatient beds, facilities, and staff to ensure effective use of resources and assess the need for additional staff, equipment, and services.
Direct or conduct recruitment, hiring, and training of personnel.

Skills and knowledge it leans on

Skills

Speaking4.1 / 5
Critical Thinking4.1 / 5
Reading Comprehension4.0 / 5
Active Listening4.0 / 5
Writing4.0 / 5
Monitoring4.0 / 5

Knowledge areas

Administration and Management4.7 / 5
English Language4.4 / 5
Customer and Personal Service4.2 / 5
Personnel and Human Resources4.1 / 5
Education and Training3.9 / 5
Computers and Electronics3.8 / 5

Importance ratings on O*NET’s 1 to 5 scale. Higher means the occupation depends on it more.

Who tends to enjoy it

How strongly this occupation draws on each of the six Holland interest types, which is the same profile the career interests test compares you against.

Realistic17
Investigative46
Artistic8
Social57
Enterprising83
Conventional70

The same work abroad

Other countries classify jobs differently, so these are the closest matches through the international ISCO-08 standard, not exact equivalents.

European occupation titles (ESCO)

healthcare institution manager · DE Leiter einer Gesundheitseinrichtung/Leiterin einer Gesundheitseinrichtung · FR responsable d'établissement de santé
elderly home manager · DE Leiter eines Altenwohnheims/Leiterin eines Altenwohnheims · FR directeur de maison de retraite/directrice de maison de retraite
medical practice manager · DE Praxismanager/Praxismanagerin · FR responsable de cabinet médical

Closest UK occupation groups (SOC 2020)

Health care practice managers (1231)27,200 employed
Health services and public health managers and directors (1171)86,300 employed
Medical secretaries (4211)62,500 employed

Employment is the UK Annual Population Survey for April 2025 to March 2026, all workers in the group, which can be broader than this one occupation.

Pay across Europe, for the whole group

Median annual earnings of all employees in “Managers”. This is the broad ISCO group this occupation falls in, not the occupation itself, so treat it as context for the wage level, not as a salary for this job.

Median annual earnings, Managers, by country
Country	Median pay
Belgium	€96,629
Italy	€96,052
Germany	€90,192
Austria	€82,936
Netherlands	€69,857
Sweden	€60,369
France	€58,740
Ireland	€55,854
Spain	€54,121
Portugal	€39,189
Poland	€19,596

Eurostat Structure of Earnings Survey, businesses with ten or more employees outside public administration, in euro and not adjusted for the cost of living. Reference years differ between sources: the US, Japan and Europe figures on this page come from different survey years, so compare them as rough levels, not to the euro or yen.

Exposure to AI

This occupation sits in the higher third of the 774 occupations scored, with an exposure score of +1.26. The scores are standardized across those occupations, so 0 is the average and a score of 1 is about one standard deviation above it.

Our note on reading it: the dataset links AI applications to the abilities that occupations require, so the score reflects overlap between the two. It is a comparison between occupations, not a forecast about jobs. It does not say whether exposure means tasks are replaced or workers get more done with the tools, and it says little about one employer or one role.

Source: Felten, E., Raj, M., & Seamans, R. (2021). Occupational, industry, and geographic exposure to artificial intelligence: A novel dataset and its potential uses. Strategic Management Journal, 42(12), 2195-2217. Matched to this page by 6-digit SOC code (11-9111).

Is it a fit for you?

Interest is one input, alongside ability, pay and what is hiring near you. The career interests test takes about thirteen minutes and ranks occupations by how closely their profile matches yours.

Take the career interests test