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Standard Occupational Code: 11-9111


Pay Band(s): 5 and 6  (Salary Structure)

Standard Occupational Description:

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


Medical and Health Services Managers (Generalist) in the Commonwealth are assigned to the following Roles in the Program Administration Career Group:

Program Administration Manager II


Program Administration Manager III


Clinical Medical and Health Services Managers are located within Specialty areas such as nurses, physicians, and therapists.


While Medical and Health Services Manager jobs are primarily located in the Program Administration Career Group, individuals may want to pursue related opportunities within the Commonwealth depending upon individual training, education, and interests.


Other Career Group(s) that may be of interest are:


General Administration

Education Administration

Health Care Compliance

Nursing/Physician Assistance Services

Physician Services



(Technical and Functional Expertise)



Note: The technical and functional skills listed below are based on general occupational qualifications for Medical and Health Services Managers commonly recognized by most employers.  Typically, you will not be required to have all of the skills listed to be a successful performer.  Recruitment and selection standards for an individual state job must be based on the specific knowledge, skills, and abilities for that job as indicated in the job announcement and job description in the Employee Work Profile.


1.      Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

2.      Understanding written sentences and paragraphs in work related documents.

3.      Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

4.      Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

5.      Talking to others to convey information effectively.

6.      Managing one's own time and the time of others.

7.      Considering the relative costs and benefits of potential actions to choose the most appropriate one.

8.      Actively looking for ways to help people.

9.      Understanding the implications of new information for both current and future problem-solving and decision-making.

10.  Communicating effectively in writing as appropriate for the needs of the audience.



Note: The technical and functional knowledge statements listed below are based on general occupational qualifications for Medical and Health Services Managers commonly recognized by most employers.  Typically, you will not be required to have all of the knowledge listed to be a successful performer.  Recruitment and selection standards for an individual state job must be based on the specific knowledge, skills, and abilities for that job as indicated in the job announcement and job description in the Employee Work Profile.


The Knowledge of:


1.      Principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

2.      Business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

3.      Structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

4.      Principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.

5.      Information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.

6.      Relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.

7.      Circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

8.      Principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

9.      Laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

10.  Principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.



Note: The technical and functional abilities listed below are based on general occupational qualifications for Medical and Health Services Managers commonly recognized by most employers.  Typically, you will not be required to have all of the abilities listed to be a successful performer.  Recruitment and selection standards for an individual state job must be based on the specific knowledge, skills, and abilities for that job as indicated in the job announcement and job description in the Employee Work Profile.


The Ability to:


1.      Listen to and understand information and ideas presented through spoken words and sentences.

2.      Apply general rules to specific problems to produce answers that make sense.

3.      Combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

4.      Communicate information and ideas in speaking so others will understand.

5.      Tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

6.      Read and understand information and ideas presented in writing.

7.      Communicate information and ideas in writing so others will understand.

8.      Arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).

9.      Identify and understand the speech of another person.

10.  Speak clearly so others can understand you.



Note:  The following is a list of sample tasks typically performed by Medical and Health Services Managers.  Employees in this occupation will not necessarily perform all of the tasks listed. 


1.      Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel.

2.      Establish objectives and evaluative or operational criteria for units they manage.

3.      Direct or conduct recruitment, hiring and training of personnel.

4.      Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports.

5.      Develop and implement organizational policies and procedures for the facility or medical unit.

6.      Conduct and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services, and coordinating financial reporting.

7.      Establish work schedules and assignments for staff, according to workload, space and equipment availability.

8.      Maintain communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning.

9.      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.

10.  Maintain awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.




Like people, occupations have traits or characteristics.  These characteristics give important clues about the nature of the work and work environment, and give you an opportunity to match your own personal interests to a specific occupation.  When you choose a job in an occupation that matches your own interests you have taken an important step in planning a successful and rewarding career. 


The Medical and Health Services Manager occupation has the following characteristics:


Enterprising — Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

Social — Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.




This may or may not be required for Medical and Health Services Manager positions in state government depending upon the specialty and regulations governing the state agency.


If Health Information Administration is your specialty, information on how to become a Registered Health Information Administrator (RHIA) can be found on the American Health Information Management Association's web site at


Managers with the Commonwealth of Virginia are eligible for the Virginia Certified Public Manager Program offered by the Department of Human Resource Management. Web site is

 This certificate program offers practitioner-oriented course work that builds upon management training programs offered through agencies, colleges, and universities.


Attainment of the Certified Administrative Manager (CAM) designation offered by the Institute of Certified Professional Managers, through work experience and successful completion of examinations, can increase a manager's advancement potential. The Institute of Certified Professional Managers is a certifying organization and offers a management certification program. The Institute is located at James Madison University, Harrisonburg, Virginia.  Web site is Management Skills is the theme of the program, which emphasizes the teaching and application of real-world, practical skills and techniques over theories, and critical-thinking skills over rote knowledge.




The Department of Labor provides the following information:


Healthcare is a business and, like every other business, it needs good management to keep it running smoothly. The occupation, medical and health services manager, encompasses all individuals who plan, direct, coordinate, and supervise the delivery of healthcare. Medical and health services managers include specialists and generalists. Specialists are in charge of specific clinical departments or services, while generalists manage or help to manage an entire facility or system.


Medical and health services managers must be familiar with management principles and practices. A master's degree in health services administration, long-term care administration, health sciences, public health, public administration, or business administration is the standard credential for most generalist positions in this field. However, a bachelor's degree is adequate for some entry-level positions in smaller facilities and at the departmental level within healthcare organizations. Physicians' offices and some other facilities may substitute on-the-job experience for formal education.


For clinical department heads, a degree in the appropriate field and work experience may be sufficient for entry. However, a master's degree in health services administration or a related field may be required to advance. For example, nursing service administrators usually are chosen from among supervisory registered nurses with administrative abilities and a graduate degree in nursing or health services administration.


The Virginia Area Health Education Centers Program provides a list of the Virginia educational institutions offering programs and degrees for those interested in becoming a Health Services Administrator.


Other management training opportunities may be offered through the Virginia Center for Public Policy at VCU ( such as attendance at the various progressive level management courses and institutes for managers and executives (i.e. Virginia Supervisory Institute (VSI), Advanced Management Institute (AMI) and the Virginia Executive Institute (VEI).




Competencies are a set of identified behaviors, knowledge, skills, and abilities that directly and positively impact the success of employees and the organization. Competencies can be observed and measured.  When consistently demonstrated, competencies make employees particularly effective in their work.  Competencies help lay out a road map to career success.  You can use the Commonwealth Competencies to help improve your individual performance by adopting behaviors that make high performing employees successful in their jobs. In this way, you can use the Commonwealth Competencies for your further professional development.


The Commonwealth Competencies are:


1.      Technical and Functional Expertise

2.      Understanding the Business     

3.      Achieving Results

4.      Serving the Customer

5.      Teamwork

6.      Interpersonal and Communication Skills

7.      Leadership and Personal Effectiveness


The above competencies may be applied to employees throughout the Commonwealth of Virginia.  They can be rank-ordered by agencies and hiring managers to represent the needs of a specific job.  The rank ordering will change depending upon the occupation, an organization's priorities, the actual job requirements, and the supervisor's preferences. 


Career success is both about what you do (applying your technical knowledge, skills, and ability) and how you do it (the consistent behaviors you demonstrate and choose to use) while interacting and communicating with others.  Hopefully, by studying the Commonwealth competencies, identifying your developmental opportunities, and working to refine your own competence, you can take charge of your career!


For additional information about the Commonwealth Competencies go to: For the competencies, we first list the competencies and then define each.  Finally, we list competency indicators; to describe what successful performance looks like. 




Career opportunities in the Commonwealth are not limited to moving “up” to the next highest role and pay band, changing positions, or to becoming a supervisor.  That's because most roles describe a broad group of occupationally related positions that perform a range of work that requires increased knowledge and skills.  For that reason, Commonwealth roles describe the career paths within the same or higher-level role for the same or different Career Group.  The broad salary range and the Commonwealth's pay practices provide flexibility in recognizing career development and advancement. (Salary Structure)


For example: Medical and Health Services Manager







Manager Roles





Program Admin Manager II





Program Admin Manager III


Sample Career Path 

Program Administration Manager II

The Program Administration Manager II role provides career tracks for managers who focus on immediate to long-range program issues affecting the management of a program. Typical responsibilities within this role include management of administrative, budgeting, planning, scheduling, operational, and programmatic activities.

Program Administration Manager III

The Program Administration Manager III role provides career tracks for managers who oversee multiple program activities that are long-range in focus. Responsibilities include management of complex programs; identification of target population needs, monitoring programs, evaluation of overall program performance, implementation of policies and procedures, and supervision of all levels of program personnel.



O*NET (Occupational Information Network)


Virginia Employment Commission


Career One Stop


Virginia Career Resource Network


American Health Information Management Association


American College of Healthcare Executives


American College of Health Care Administrators


American Health Care Association


Virginia Health Care Association


Association of University Programs in Health Administration


Commission on Accreditation of Healthcare Management Education