Updated
PERM occupation, SOC 11-9111, #496 of 1,410 by filings
Medical and Health Services Managers
- Biggest sponsor
- PRIME HEALTHCARE MANAGEMENT, INC · 7% of its filings
- Busiest state
- CA · 29% of its filings
- Major group
- Management · SOC 11
Weighing an offer for this job?
Where it falls among certified offers, and the four wage levels DOL sets for it by area.
This rate is level with the field
Over 40 decided filings, this rate can't be told apart from the field in either direction.
Why
The 95% interval runs up to a 12.9% denial rate, which still covers the 3.20% the field as a whole records.
Median wage
$96,850
all PERM $103,272
Filings
42
#496 of 1,410
Approval
97.5%
field 96.8%
Median days
382
95 faster than the field
What it pays
Where its median offer sits among every occupation, then the whole ladder of certified offers by year and by state.
Median offered wage
$96,850above 68%
Approval rate
97.5%ahead of 60%
Median days to decision
382 daysahead of 93%
Each bar counts occupations at that value. More
Who files it
The sponsors and firms with the most PERM filings under this code, the places the work sits, and who the workers were.
Sponsors filing it
- PRIME HEALTHCARE MANAGEMENT, INC 3 filings
- PT Network, LLC 2 filings
- St. Barnabas Hospital 2 filings
- AF G LLC dba JMS Associates 1 filings
- Avesena, Inc. 1 filings
- AVIVA 1 filings
How this is counted
The employers with the most applications under this code. 10 of 42 filings, 24% of the total.
Firms filing it
- Iyer Demirovic Chinchoy LLP 3 filings
- Berry Appleman Leiden LLP 2 filings
- Ellis Porter, PLC 2 filings
- Global Immigration Associates, P.C. 2 filings
- Jeelani Law Firm PLC 2 filings
- Law Office of Stephen M. Perlitsh 2 filings
How this is counted
The law firms named on the most applications under this code. 13 of 42 filings, 31% of the total.
Where the jobs are
- California 12
- New York 7
- Texas 6
- Maryland 3
- Florida 2
- Massachusetts 2
How this is counted
The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. These 6 states cover 32 of 42 filings.
Where the work is
- Bronx, NY 3
- Houston, TX 2
- Los Angeles, CA 2
- Ontario, CA 2
- San Jose, CA 2
- Abington, MA 1
How this is counted
The worksite city on the application, which is where the job is. These 6 cities cover 12 of 42 filings.
- Every sponsor that files it, by state, approval rate, offered wage and time to a decision
- Every filing for it, PERM, wage requests and H-1B, case by case
Who filled these jobs, FY2016 to FY2023
From DOL's old form; the form in use since mid-2023 doesn't carry them. Top six of each.
Country of citizenship
- India 236
- Philippines 102
- Canada 63
- Pakistan 53
- South Korea 34
- China 29
Worker's education
- Master's 339
- Bachelor's 215
- Other 108
- Doctorate 84
- None 14
- High School 10
Visa held when filed
- H-1B 434
- F-1 85
- B-2 40
- NOT IN USA 34
- E-2 17
- TN 17
Schools
- UNIVERSITY OF SANTO TOMAS 8
- UNIVERSITY OF THE PUNJAB 8
- UNIVERSITY OF KARACHI 7
- WESTERN KENTUCKY UNIVERSITY 7
- LONG ISLAND UNIVERSITY 6
- RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES 6
Fields of study
- MEDICINE 81
- BUSINESS ADMINISTRATION 66
- NURSING 65
- PUBLIC HEALTH 45
- PHARMACY 31
- HEALTH ADMINISTRATION 18
The job itself
What O*NET says the work is, what the market pays it by BLS's survey, its outlook, and DOL's wage levels year by year.
- United States597,080 jobs
- New York-Newark-Jersey City, NY-NJBronx
- Houston-Pasadena-The Woodlands, TXHouston
- Los Angeles-Long Beach-Anaheim, CALos Angeles
- Riverside-San Bernardino-Ontario, CAOntario
- San Jose-Sunnyvale-Santa Clara, CASan Jose
- middle half of pay (BLS)
- median
- 10th to 90th percentile
- DOL's Levels I to IV, left to right
- median PERM offer
| Area | BLS median | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|---|
| United States | $123,860 | ||||
| New York-Newark-Jersey City, NY-NJ | $167,580 | $111,051 | $151,902 | $192,774 | $233,626 |
| Houston-Pasadena-The Woodlands, TX | $124,400 | $80,184 | $107,120 | $134,077 | $161,013 |
| Los Angeles-Long Beach-Anaheim, CA | $134,230 | $77,085 | $113,277 | $149,490 | $185,682 |
| Riverside-San Bernardino-Ontario, CA | $135,010 | $80,954 | $113,048 | $145,122 | $177,216 |
| San Jose-Sunnyvale-Santa Clara, CA | $171,210 | $97,365 | $140,130 | $182,915 | $225,680 |
How these figures fit together
BLS surveys employers on what they pay everyone in a job; DOL builds its four levels from the same survey a year later (the July 2026 wage year uses BLS's May 2025 estimates). DOL publishes levels by area, not nationally, so the United States line has none. Levels are hourly in DOL's tables; here they're shown a year at 2,080 hours, as DOL computes them. The metros are the ones holding the most of this job's PERM filings, placed by Census's county files.
The block is the middle half of what employers report paying everyone in this job, citizen or not; the ticks under it are DOL's four prevailing wage levels for that metro, the floors a PERM or H-1B offer is held to. More
DOL's levels for this job in New York-Newark-Jersey City, NY-NJ, year by year
Each July DOL resets the four levels from BLS's newest survey. A determination keeps the figures of the year it was issued in.
| Wage year | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|
| 2026-27 | $111,051 | $151,902 | $192,774 | $233,626 |
| 2025-26 | $103,293 | $143,250 | $183,186 | $223,142 |
| 2024-25 | $99,486 | $139,214 | $178,922 | $218,650 |
| 2023-24 | $97,531 | $134,742 | $171,954 | $209,165 |
| 2022-23 | $99,195 | $127,650 | $156,083 | $184,538 |
| 2021-22 | $94,120 | $123,864 | $153,587 | $183,331 |
What the job is
Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.
- Preparation
- Considerable Preparation Needed
- O*NET Job Zone 4
- DOL's education basis
- Bachelor's degree
- Wage year 2026-27, on DOL's Appendix A list
- Jobs, 2025 to 2035
- +24.2%
- About 62,300 openings a year (BLS)
- Typical entry
- Bachelor's degree
- Less than 5 years of related work (BLS)
Bright Outlook O*NET OnLine lists this job for rapid growth.
The work, most important first
- 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.
The education workers in it report
- 7%
Post-Secondary Certificate
- 11%
Associate's Degree or other 2-year degree
- 46%
Bachelor's Degree
- 21%
Master's Degree
Titles people use for it
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.
Related jobs: Health Informatics Specialists, Health Education Specialists, Clinical Nurse Specialists, Social and Community Service Managers, Health Specialties Teachers, Postsecondary, Management Analysts.
This section includes information from the O*NET 31.0 Database and O*NET OnLine by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. PERM Tracker has modified some of this information (the shares are rounded and only the top tasks are shown); what changed. USDOL/ETA has not approved, endorsed, or tested these modifications.
Against other jobs
Where this sits in the ranking
Ranked 496 of 1,410 by volume: 495 filed at least as many filings, and 914 filed no more.
- Just above
- Highway Maintenance Workers 42 filings
- Just below
- Biomedical Engineers 42 filings
Other management roles
Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. More
Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. Wages inside a group still swing hard, because the group holds every seniority level and every metro.
- #508 Facilities Managers 38 filings · 1 denied
- #523 Natural Sciences Managers 35 filings · 2 denied
- #461 Spa Managers 49 filings · 5 denied
- #460 Human Resources Managers 50 filings · 3 denied
- #534 Farmers, Ranchers, and Other Agricultural Managers 32 filings · 7 denied
- #546 Education Administrators, Kindergarten through Secondary 29 filings · none denied
The same job on H-1B
3,325 certified H-1B labor condition applications for this occupation since FY2020, offering a median of $104,000 a year; the middle half ran $86,000 to $145,000. By state and year in the salary explorer.
Notes on these numbers
Reading the wage
A floor, not a salary survey: every level and metro mixed. DOL's four wage levels for this job, by area.
What the median is
The median wage employers committed to in federal filings for this occupation. It mixes every experience level and every metro, and it's a floor: the employer must offer at least the prevailing wage DOL determines for the occupation, level and county. Across all PERM filings the middle half of offered wages runs $45,178 to $141,357, so a figure inside that band is unremarkable whichever occupation it belongs to. The levels page reads DOL's OFLC wage search live.
What these numbers don't say
4 notes
- The code is the identity
- This one is SOC 11-9111. Two SOC codes can carry the same job title, so a title that looks duplicated on the ranking is two different occupations. Match on the code when you're checking a specific filing.
- A median isn’t an offer
- It's the middle of all 42 wages committed to for this occupation across the country, entry level and principal alike. The same role's medians swing hard by worksite, which the state map shows directly.
- Approval isn’t about the occupation
- The denial rate moves with what happened in the filing rather than with the job title, so nothing here is a property of Medical and Health Services Managers. The measured factors are on the denial risk page, published as separate rates.
- Nothing here is pending
- All 42 counted here carry a decision date, because every case in DOL's disclosure files does, so a case still waiting is in none of them. The largest filer of this occupation is PRIME HEALTHCARE MANAGEMENT, INC. Where the queue stands today is on the processing times page.
The window these figures cover: DOL's PERM disclosure files for fiscal years 2024 to 2026, through the third quarter of 2026, 373,939 decided cases. Nothing pending is counted here. How each figure is built
Weighing an offer?
Compare it against this median, then check the state map, where the same occupation's medians swing hard by worksite.
Setting one?
All 1,410 occupations sort together on the wages page, and denial rates show how outcome moves with the offered wage.
Filings newer than DOL's last published file can't be attributed to this occupation until DOL publishes them. The live list on the case search page carries them by employer.
Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly
Employers and firms: Derived from DOL's disclosure files · data through Jun 30, 2026 · rebuilt with each quarterly load
O*NET occupation data: O*NET Database, USDOL/ETA (onetcenter.org) · data through Aug 16, 2026 · twice a year
BLS market pay: BLS Occupational Employment and Wage Statistics (bls.gov) · data through May 31, 2025 · yearly, each spring
BLS employment projections: BLS Employment Projections (bls.gov) · data through Dec 31, 2025 · yearly, each autumn
DOL wage tables: DOL OFLC wage data downloads (flag.dol.gov) · data through Jul 1, 2026 · yearly, each july
What each source includes
Case data: Decided PERM cases only. A case still waiting isn't in here, so counts and durations describe finished cases.
Employers and firms: Employers, law firms and occupations ranked from decided cases only.
O*NET occupation data: What O*NET says each occupation is and takes: its description, tasks, Job Zone and the education workers report. A description of the job everywhere, not of any one employer's opening.
BLS market pay: What employers report paying everyone in each job, nationally, by state and by metro, from BLS's yearly survey (May of the year named). Citizens and immigrants alike; not PERM offers.
BLS employment projections: BLS's ten-year projection of each job's employment and yearly openings, and the entry education it calls typical. A projection, not a count.
DOL wage tables: The four prevailing wage levels DOL publishes for every job in every area, each wage year from 2021-22, as DOL's own tables print them. The floors an offer is held to, not what anyone was paid.
Cite this page
Waiting on a PERM case?
- When it'll likely be decided
- An email when DOL moves it