Medical and Health Services Managers
Also called: Clinical Director, Health Information Management Director (HIM Director), Health Information Manager (HIM Manager), Nursing DirectorPlan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.
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What the data says: AI could halve the time on 11 of its 18 tasks, yet jobs are projected to grow 24.2% by 2035. How to think about this →
About this projection
BLS builds AI into its projections where the research supports it: “BLS generally applies adjustments based on this research conservatively, where there is convincing evidence for a change.”
It also notes a limit: “BLS projection methods are not designed to capture extremely rapid technological change.”
On its AI exposure groups, BLS says exposure “does not imply job loss.”
Recent conditions
- In 2024, 1.7% of people in this work were unemployed, against 3.8% across all occupations Census ACS 2024
- From Sep 2025 to Aug 2026, 5.0 hires for every 10 job openings in health care and social assistance, which employs about 78% of people in this work, against 7.3 across all industries BLS JOLTS
One box per opening, filled for each hire; hires beyond the openings are added in a lighter shade. Higher can mean openings get filled, or that people leave often; lower, that jobs go unfilled, or hiring is slow.5.0 this industry7.3 all industries
Median pay by state BLS OEWS May 2025, state estimates
Tap a state for its figures.
Median pay in every state
| State | Median | Middle half earn | Jobs |
|---|---|---|---|
| Alabama | $97,790 | $79,500 to $118,440 | 10,360 |
| Alaska | $132,240 | $105,430 to $173,840 | 1,640 |
| Arizona | $128,850 | $100,640 to $166,190 | 11,840 |
| Arkansas | $94,340 | $76,140 to $114,990 | 6,440 |
| California | $141,480 | $98,470 to $205,390 | 75,090 |
| Colorado | $134,910 | $103,600 to $171,810 | 8,400 |
| Connecticut | $130,790 | $103,490 to $167,620 | 8,020 |
| Delaware | $134,820 | $105,430 to $187,120 | 1,560 |
| District of Columbia | $155,140 | $122,820 to $189,950 | 2,010 |
| Florida | $120,360 | $92,540 to $160,440 | 42,700 |
| Georgia | $131,910 | $99,060 to $171,180 | 11,130 |
| Guam | $100,420 | $62,910 to $129,480 | 140 |
| Hawaii | $147,630 | $106,550 to $173,430 | 2,650 |
| Idaho | $117,770 | $86,900 to $139,260 | 3,920 |
| Illinois | $117,850 | $94,530 to $164,440 | 22,460 |
| Indiana | $104,140 | $82,940 to $134,950 | 12,340 |
| Iowa | $101,940 | $84,180 to $129,430 | 6,200 |
| Kansas | $111,030 | $90,490 to $143,450 | 5,120 |
| Kentucky | $103,450 | $79,250 to $135,630 | 8,600 |
| Louisiana | $104,550 | $83,440 to $138,520 | 7,470 |
| Maine | $120,320 | $94,950 to $159,170 | 2,450 |
| Maryland | $131,810 | $101,200 to $170,900 | 17,030 |
| Massachusetts | $134,360 | $104,630 to $178,540 | 17,600 |
| Michigan | $107,570 | $84,090 to $139,450 | 16,060 |
| Minnesota | $122,700 | $99,440 to $151,740 | 11,350 |
| Mississippi | $98,160 | $77,010 to $126,000 | 4,280 |
| Missouri | $104,370 | $82,490 to $135,780 | 10,800 |
| Montana | $105,840 | $86,460 to $137,370 | 1,870 |
| Nebraska | $107,700 | $93,610 to $134,650 | 3,770 |
| Nevada | $119,990 | $97,000 to $151,910 | 5,360 |
| New Hampshire | $130,410 | $101,570 to $170,390 | 2,460 |
| New Jersey | $145,650 | $117,760 to $208,030 | 16,900 |
| New Mexico | $124,300 | $97,740 to $157,780 | 3,150 |
| New York | $164,120 | $123,170 to $215,770 | 33,200 |
| North Carolina | $114,410 | $88,510 to $159,870 | 14,820 |
| North Dakota | $105,170 | $89,460 to $133,470 | 1,220 |
| Ohio | $106,140 | $82,940 to $136,220 | 24,390 |
| Oklahoma | $101,270 | $82,060 to $131,040 | 6,030 |
| Oregon | $141,690 | $115,620 to $184,780 | 5,550 |
| Pennsylvania | $103,670 | $81,130 to $130,640 | 30,480 |
| Puerto Rico | $82,580 | $62,400 to $132,620 | 1,180 |
| Rhode Island | $119,260 | $94,050 to $141,950 | 3,370 |
| South Carolina | $105,620 | $82,850 to $149,430 | 9,350 |
| South Dakota | $122,050 | $102,550 to $149,880 | 1,140 |
| Tennessee | $107,120 | $84,200 to $144,560 | 14,160 |
| Texas | $114,150 | $86,080 to $150,390 | 58,420 |
| Utah | $114,980 | $94,050 to $160,910 | 4,860 |
| Vermont | $128,690 | $99,470 to $162,740 | 860 |
| Virgin Islands | $96,950 | $74,990 to $124,560 | 80 |
| Virginia | $129,270 | $101,640 to $164,600 | 10,210 |
| Washington | $145,290 | $110,720 to $178,610 | 7,490 |
| West Virginia | $112,010 | $94,040 to $161,450 | 2,080 |
| Wisconsin | $128,320 | $104,940 to $166,430 | 7,230 |
| Wyoming | $108,030 | $84,380 to $136,380 | 1,180 |
Nationally: $123,860. Shades run from the lowest state median to the highest; a territory below that range takes the lightest. How to read this
How AI touches the work
What AI could speed up, task by task, and where people already use it.
AI could halve the time on 11 of its 18 tasks
| AI rating | Its main tasks | Share of Claude conversations May 2026 |
|---|---|---|
| Not much | Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel. | Not published |
| AI + software | Establish work schedules and assignments for staff, according to workload, space, and equipment availability. | under 0.01% |
| AI + software | Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports. | 0.03% |
| Not much | Direct or conduct recruitment, hiring, and training of personnel. | Not published |
| AI + software | Manage change in integrated health care delivery systems, such as work restructuring, technological innovations, and shifts in the focus of care. | Not published |
| AI alone | Establish objectives and evaluative or operational criteria for units managed. | under 0.01% |
See all 18 tasks
| Not much | Conduct and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services, and coordinating financial reporting. | Not published |
| AI + software | Maintain awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options. | Not published |
| AI + software | Prepare activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives. | 0.02% |
| AI alone | Develop and implement organizational policies and procedures for the facility or medical unit. | under 0.01% |
| AI + software | 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. | Not published |
| Not much | Maintain communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning. | Not published |
| AI + software | Review and analyze facility activities and data to aid planning and cash and risk management and to improve service utilization. | Not published |
| AI + software | Develop or expand and implement medical programs or health services that promote research, rehabilitation, and community health. | Not published |
| Not much | Consult with medical, business, and community groups to discuss service problems, respond to community needs, enhance public relations, coordinate activities and plans, and promote health programs. | Not published |
| Not much | 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. | Not published |
| AI + software | Develop instructional materials and conduct in-service and community-based educational programs. | Not published |
| Not much | Inspect facilities and recommend building or equipment modifications to ensure emergency readiness and compliance to access, safety, and sanitation regulations. | Not published |
Ordered by how important O*NET's respondents rate each task (1 to 5) times the share who say it is part of their job. The ordering is ours. 5 of the 18 have a published share of Claude conversations; “not published” means too few conversations for Anthropic to publish a figure.
Where people already use AI
The tasks above say what AI could speed up. This shows what people are using it for. Its 18 tasks fall under 24 work activities that many occupations share, and Microsoft counted how often each one came up in 200,000 conversations with its Copilot assistant in 2024.
- #4 Maintain current knowledge in area of expertise
- #17 Implement procedures or processes
| Work activity | This occupation's tasks under it | People asked AI for help in 10,000 conversations |
AI did it for them in 10,000 conversations |
|---|---|---|---|
| Implement procedures or processes | |||
| Train others on operational or work procedures | |||
| Maintain current knowledge in area of expertise | |||
| Develop operational or technical procedures or standards | |||
| Design computer or information systems or applications | |||
| Communicate with others about operational plans or activities | |||
| Advise others on legal or regulatory matters | |||
| Monitor individual behavior or performance |
Show all 24 activities
| Analyze business or financial risks | |||
| Prepare reports of operational or procedural activities | |||
| Manage budgets or finances | |||
| Monitor operations to ensure adequate performance | |||
| Develop organizational or program goals or objectives | |||
| Coordinate activities with clients, agencies, or organizations | |||
| Maintain operational records | |||
| Inspect facilities or equipment | |||
| Develop organizational policies, systems, or processes | |||
| Evaluate personnel capabilities or performance | |||
| Direct organizational operations, activities, or procedures | |||
| Assign work to others | |||
| Monitor resources or inventories | |||
| Perform recruiting or hiring activities | |||
| Manage human resources activities | |||
| Supervise personnel activities |
How people in this work use Claude
What people in this work made with Claude % of conversations
- A document or report31%
- An app or website13%
- Data or a spreadsheet12%
- An email or message11%
- A plan or strategy7%
How they worked with Claude
90% of these conversations were about work. Anthropic Economic Index, May 2026.
How to read this
Work activities come from O*NET, which links every task to the broader activities it involves. Microsoft's figures are for the activity across everyone who used Copilot, not for medical and health services managers specifically. Copilot is a general chat assistant; dedicated coding tools are not included, so programming help is under-counted here. Activities are listed by how many of this occupation's tasks fall under them.
The task ratings say whether AI could halve the time a task takes: on its own (“AI alone”), or with software built on it (“AI + software”). They were made by people in 2023 (Eloundou et al.). Claude's share is the task's share of all Claude.ai conversations in May 2026; Anthropic doesn't publish a task with too few conversations. None of these add up to the BLS exposure group, which combines five research measures.
More in the Guide: task ratings · task order · work activities · Copilot figures · Claude
High exposure doesn't mean fewer jobs
BLS projects most occupations in its two most exposed groups to grow: 141 of 206 rated Very high and 165 of 206 rated High. Each dot is one of the 831 occupations BLS rates.
Career moves into and out of this occupation
From moves between occupations found in online resumes, 2002–2016. Career changes only: a first job after school isn't a move.
Where people moved next
of 714,379 moves out
- 1 Registered Nurses High +5.6% 8%
- 2 Managers, All Other (2010 group) an older group BLS has since split; no exposure group today 7%
- 3 General and Operations Managers High +5.0% 6%
- 4 Management Analysts Very high +10.1% 4%
- 5 Postsecondary Teachers, All Other Very high +2.0% 4%
Where people moved in from
of 898,953 moves in
- 1 Registered Nurses High +5.6% 9%
- 2 Managers, All Other (2010 group) an older group BLS has since split; no exposure group today 7%
- 3 General and Operations Managers High +5.0% 4%
- 4 Management Analysts Very high +10.1% 2%
- 5 Secretaries and Administrative Assistants, Except Legal, Medical, and Executive Very high -6.0% 2%
Resumes over-represent younger, white-collar job-seekers and moves into management. Schubert, Stansbury and Taska (resume data).
Education and training for the occupation
O*NET survey of workers in this occupation
- 4% high school
- 7% postsecondary certificate
- 4% some college
- 11% associate's
- 46% bachelor's
- 21% master's
- 4% professional doctorate
- 4% post-doctoral training
O*NET 31.0 survey of workers in this occupation · 28 people answered.
Census survey (American Community Survey)
- 1% less than high school
- 10% high school
- 15% some college
- 10% associate's
- 32% bachelor's
- 25% master's
- 3% professional degree
- 4% doctorate
Census ACS 2024, all workers in this occupation · 8,325 people surveyed.
Why the two can differ
O*NET asks about 20 people in each occupation, which makes its shares uncertain, but it reports the exact occupation and counts certificates. The Census survey reaches thousands, but it groups some occupations together and counts degrees only. More in the Guide
Median pay by highest degree full-time, year-round · Census ACS 2024, all workers in this occupation
34 programs, such as Veterinary Administrative Services, General, Veterinary Office Management/Administration and Infectious Disease and Global Health.
See all
- Veterinary Administrative Services, General
- Veterinary Office Management/Administration
- Infectious Disease and Global Health
- Health Policy Analysis
- Health/Health Care Administration/Management
- Hospital and Health Care Facilities Administration/Management
- Health Unit Manager/Ward Supervisor
- Health Information/Medical Records Administration/Administrator
- Long Term Care Administration/Management
- Clinical Research Coordinator
- Regulatory Science/Affairs
- Disease Registry Data Management
- Healthcare Innovation
- Pharmacy
- Pharmacy Administration and Pharmacy Policy and Regulatory Affairs
- Pharmacoeconomics/Pharmaceutical Economics
- Clinical, Hospital, and Managed Care Pharmacy
- Pharmaceutical Marketing and Management
- Public Health, General
- Community Health and Preventive Medicine
- International Public Health/International Health
- Health Services Administration
- Patient Safety and Healthcare Quality
- Public Health Genetics
- Public Health, Other
- Arts in Medicine/Health
- Health Professions Education, Ethics, and Humanities, Other
- Nursing Administration
- Nursing Practice
- Clinical Nurse Leader
- Non-Profit/Public/Organizational Management
- Research and Development Management
- Research Administration
- Science/Technology Management
Jobs that require a credential BLS Occupational Requirements Survey 2023
64.1% this occupation
45.3% all occupations
| By kind | This occupation | All occupations |
|---|---|---|
| a license | 43.4% | 19.1% |
| a certification | 6.9% | 5.8% |
| an educational certificate | 0.9% | 2.8% |
Share of jobs whose employer requires it. BLS doesn't say which credential. How to read this
Look up certifications, training and licenses U.S. Department of Labor
- Certification Finder ↗ certifications CareerOneStop lists for this occupation
- Training Finder ↗ schools and programs, nationwide; narrow the place there
- License Finder ↗ licenses by state
- Apprenticeship Finder ↗ DOL lists 4 registered apprenticeships in this occupation. Apprenticeship.gov can't be linked to one occupation, so search for “Medical and Health Services Managers” there.
These open in a new tab and send only the occupation's public code. More in the Guide
BLS AI exposure categories (Aug 2026) · BLS Employment Projections 2025–35 · O*NET 31.0 · Task ratings: Eloundou et al., Science (2024) · Microsoft "Working with AI" v1.1 · Anthropic Economic Index (2026-06-26) · Schubert, Stansbury and Taska · NCES CIP–SOC · Census ACS 2024 · BLS JOLTS
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