Prevailing Wage for Medical and Health Services Managers
Prevailing wage floors for Medical and Health Services Managers, the official DOL title covering roles like Clinical Director, Health Information Manager, and Cancer Center Director, are set by DOL across four experience levels. The floor varies significantly by city, so a sponsored offer in Atlanta or San Francisco clears a very different bar than one in a smaller market.
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Entry-level managers with limited supervisory experience, typically in their first healthcare administration role. May hold a relevant bachelor's or master's degree but have not yet demonstrated independent program oversight. DOL assigns this level when the position requires close guidance from senior staff.
The most common filing level for Medical and Health Services Managers. Candidates with a few years of direct department or facility management experience, working independently on most tasks but without enterprise-wide scope. Employers filing for Clinical Directors and HIM Managers frequently land here.
Experienced managers overseeing multiple departments, service lines, or facilities. Typically holds an advanced degree plus substantial tenure. Expected to exercise independent judgment on complex operational and compliance matters with minimal oversight from senior leadership.
Senior executives such as Healthcare System Directors or Cancer Center Directors with institution-wide authority. Sets strategic direction, manages large budgets, and leads cross-functional teams. DOL reserves this level for fully autonomous senior roles with demonstrated leadership over complex organizations.
Prevailing Wage for Medical and Health Services Managers by OES area
Each shape is a DOL OES area, the unit prevailing wage is published for.
What’s an OES area?
The Department of Labor publishes prevailing wages for geographic zones called OES areas. Every U.S. county belongs to exactly one, and the wage floor applies across the whole area. A worker in Oakland gets the San Francisco metro wage, not a separate Oakland wage.
Top 10 cities · Level 1
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See which U.S. employers are actively hiring for Medical and Health Services Managers and sponsoring H-1B, OPT, and green card visas at or above the prevailing wage.
Search visa-sponsored jobsPrevailing Wage Guide for Medical and Health Services Managers
Clarify which site your LCA lists
Healthcare employers often operate across multiple campuses, clinics, or affiliated networks. The LCA must list the specific worksite where you will actually work, since prevailing wages are tied to that location's OES survey data, not the corporate headquarters city.
Watch for bonus exclusions in healthcare offers
Hospital and health system offers frequently structure compensation with signing bonuses or retention incentives. DOL counts only guaranteed base wage toward prevailing wage compliance, so a high one-time bonus cannot offset a base salary that falls below the certified floor.
Check sponsorship history on Migrate Mate before applying
Health systems and managed care organizations vary widely in H-1B and green card sponsorship activity. Migrate Mate shows which employers have historically sponsored Medical and Health Services Managers roles, so you can prioritize organizations with a real sponsorship track record before investing in an application.
Flag title mismatches against the SOC definition
Titles like Practice Manager or Operations Coordinator sometimes perform work equivalent to SOC 11-9111 but get filed under a different occupational code with a lower wage floor. Confirm your offer letter title and duties align with the DOL description for Medical and Health Services Managers before signing.
Jobs for Medical and Health Services Managers are hiring across the US. Find yours.
Find Jobs for this rolePrevailing Wage by Reported Job Title
DOL classifies these titles under SOC 11-9111.00 alongside Medical and Health Services Managers, so the same four-tier wage schedule applies to each. Tap a title to see the full breakdown.
Cancer Center Director Prevailing Wage
Cancer Center Director Prevailing Wage
Cancer Center Director positions fall under SOC 11-9111.00 (Medical and Health Services Managers). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.
Clinical Director Prevailing Wage
Clinical Director Prevailing Wage
When a U.S. employer sponsors a Clinical Director for a work visa or green card, DOL applies the prevailing wage schedule for SOC 11-9111.00 (Medical and Health Services Managers). Wage level reflects the role's experience and responsibility, not the title itself.
Health Information Management Director (HIM Director) Prevailing Wage
Health Information Management Director (HIM Director) Prevailing Wage
Health Information Management Director (HIM Director) is an O*NET-reported job title within SOC 11-9111.00 (Medical and Health Services Managers). All roles in this SOC share the same prevailing wage tiers. The level an employer files at depends on what the role requires, not which title is used.
Health Information Manager (HIM Manager) Prevailing Wage
Health Information Manager (HIM Manager) Prevailing Wage
Health Information Manager (HIM Manager) positions fall under SOC 11-9111.00 (Medical and Health Services Managers). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.
Healthcare System Director Prevailing Wage
Healthcare System Director Prevailing Wage
When a U.S. employer sponsors a Healthcare System Director for a work visa or green card, DOL applies the prevailing wage schedule for SOC 11-9111.00 (Medical and Health Services Managers). Wage level reflects the role's experience and responsibility, not the title itself.
Medical Records Director Prevailing Wage
Medical Records Director Prevailing Wage
Medical Records Director is an O*NET-reported job title within SOC 11-9111.00 (Medical and Health Services Managers). All roles in this SOC share the same prevailing wage tiers. The level an employer files at depends on what the role requires, not which title is used.
Medical Records Manager Prevailing Wage
Medical Records Manager Prevailing Wage
Medical Records Manager positions fall under SOC 11-9111.00 (Medical and Health Services Managers). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.
Mental Health Program Manager Prevailing Wage
Mental Health Program Manager Prevailing Wage
When a U.S. employer sponsors a Mental Health Program Manager for a work visa or green card, DOL applies the prevailing wage schedule for SOC 11-9111.00 (Medical and Health Services Managers). Wage level reflects the role's experience and responsibility, not the title itself.
Nurse Manager Prevailing Wage
Nurse Manager Prevailing Wage
Nurse Manager is an O*NET-reported job title within SOC 11-9111.00 (Medical and Health Services Managers). All roles in this SOC share the same prevailing wage tiers. The level an employer files at depends on what the role requires, not which title is used.
Nursing Director Prevailing Wage
Nursing Director Prevailing Wage
Nursing Director positions fall under SOC 11-9111.00 (Medical and Health Services Managers). DOL OFLC publishes one four-tier prevailing wage schedule for the entire classification; employers filing H-1B, E-3, or PERM petitions for this title use the levels below.
Frequently Asked Questions
How does DOL set the prevailing wage for Medical and Health Services Managers?
DOL uses Occupational Employment and Wage Statistics survey data collected by the Bureau of Labor Statistics to calculate prevailing wages for each occupation and metropolitan area. For Medical and Health Services Managers, the Office of Foreign Labor Certification publishes four wage levels derived from that survey. Employers must certify on the Labor Condition Application that they will pay at least the applicable level for the worksite location.
What do the four wage levels mean, and how do I know which one applies to my offer?
Level 1 covers entry positions under close supervision, Level 2 covers qualified workers operating independently on routine tasks, Level 3 covers experienced managers with broader scope and minimal oversight, and Level 4 applies to fully autonomous senior leaders. The employer selects the level based on the actual duties and supervision structure in the job description, not solely on your years of experience or education. Review the LCA carefully to confirm the level matches the role as written.
Why does the prevailing wage for the same manager role differ so much between cities?
OFLC derives wages from regional OES survey data, which reflects local labor market conditions, cost of living, and employer concentration in each metro area. A Clinical Director role in New York or Atlanta sits in a dense, high-wage market, while the same occupation in a Puerto Rico metro reflects a very different survey pool. The LCA must cite the actual worksite address, so the wage floor is determined by where you physically work, not where the employer is headquartered.
What happens if my job offer is below the prevailing wage for a sponsored position?
USCIS will not approve an H-1B or PERM petition if the offered wage falls below the DOL-certified prevailing wage listed on the LCA. The employer must pay at least the higher of the prevailing wage or the actual wage paid to similarly situated employees. If the offer is below the floor, the employer must raise the salary before filing, or the petition faces denial. An underpaid LCA can also trigger DOL back-wage liability for the employer.
How can I find and verify the prevailing wage for Medical and Health Services Managers in a specific U.S. city?
Use the OFLC Wage Search tool to look up the current four-level wage data by SOC code 11-9111 and the metropolitan area where the job is located. You can also review public LCA disclosure data that OFLC releases quarterly, which shows the wage levels employers have certified for recent filings in this occupation. Migrate Mate lists Health Information Managers, Clinical Directors, and similar roles from employers with verified sponsorship history, giving you a starting point for comparing offers against market rates.
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