The Best Certifications for Healthcare Administrators in 2025

Published on: Jan 17, 2026

Similar job titles can often describe vastly different roles. You can call two different people healthcare administrators, yet the paths that put them there don’t always match. One healthcare administrator may have formal study behind them, another may have years of practice. Certification is an attempt to bring a little order to that mix, not by replacing degrees or experience, but by establishing criteria that mark a national standard. Healthcare administrator certification are credentials drawn up by professional boards such as the American College of Healthcare Executives (ACHE) or the National Board of Public Health Examiners (NBPHE)1,2. And they are meant to say: this person can handle compliance or can transition into leadership.

Licensure is a whole other story; it is the law. A nursing home without a licensed healthcare administrator cannot operate. Every U.S. state requires applicants for licensure to pass the national licensing exam, and the National Association of Long Term Care Administrator Boards (NAB) tracks the specific rules for each state3,4. Healthcare administrator certification, on the other hand, is voluntary. Nobody shuts down a hospital if its executives skip FACHE or CPH (more on them later). But employers look for those letters, seeing them as proof that the person in front of them has been tested against national standards.

This guide will show you how certification works and the different certifications that are available for healthcare administration. From there, you’ll be able to decide if you actually need one, which path fits your career, and how to begin.

Why Certification Matters in Healthcare Administration

Healthcare administration is a fast-growing profession. In 2024, the U.S. Bureau of Labor Statistics (BLS) tallied more than 615,000 health services managers in this role5. And the agency expects the field to swell by another 23% by 2034, compared to the 3% average growth rate for all occupations. With whopping growth comes stiffer competition, and standing out becomes part of the job.

Health administration experience differs, with some people coming from a background in finance and others from nursing. Everyone’s path is different, but job titles often look the same on paper. Health services administration certification tries to level the field by setting a common point of reference.

Not every healthcare administrator holds a certification. You can do the job without it. Many do. But as you take on larger roles, the expectations shift. Most employers don’t have time to dig through every detail of your background. Between two similar candidates, the one with a known credential is easier to trust. That’s because a certification shows right away that you’ve been trained in the systems and rules that healthcare management depends on.

This matters to employers because the system is complex, and if something breaks down, it rarely stays isolated. Let’s face it, mistakes cost money, and the risks are real. A mistake in billing or policy can lead to major penalties or loss of funding. Healthcare administrator certification gives employers more confidence that you know how to avoid those outcomes.

Note: A healthcare administration certificate sets you apart when roles are competitive. In some cases, it can even be required just to move forward in the hiring process.

Top Certifications for Healthcare Administrators

Once you understand why certification matters, the next step is to look at the actual options. Some credentials are issued by professional associations, others come through state licensure boards, and universities add their own programs in the form of graduate certificates.

CPHQ (Certified Professional in Healthcare Quality)

The National Association for Healthcare Quality (NAHQ) describes the CPHQ as the only accredited certification in healthcare quality6. There are no formal eligibility requirements to sit for the CPHQ Examination, which means newcomers and seasoned professionals alike can attempt it, though NAHQ recommends at least two years in the field before registering.

Passing the exam earns the credential, but holding onto it needs some maintenance effort. Renewal is every two years, with certification holders required to fulfill continuing education (CE) requirements to remain in good standing. As of 2025, 30 CE credits are required over the two-year recertification cycle7.

FACHE (Fellow of the American College of Healthcare Executives)

The American College of Healthcare Executives (ACHE) offers FACHE as its board certification in healthcare management8. To apply, you need to be an ACHE member for at least a year, hold a master’s or other post-baccalaureate degree, and have at least five years in a healthcare management role. Two references are also part of the process: one from a current Fellow after a structured interview, and the other from another current Fellow or a senior leader in your organization.

Education is an additional requirement. Before applying, you must show 36 hours of continuing education from the past three years, with 12 of those hours earned in ACHE’s in-person programs. After that comes the Board of Governors Exam, which has to be passed within two years of your application being approved9. Renewal is every three years, with proof of continuing education and professional activity required to keep the credential10.

NAB Licensure

Licensure for nursing home administrators is regulated at the state level, while the exams, themselves, are built and managed by the National Association of Long Term Care Administrator Boards (NAB)11. All 50 states and D.C. use NAB’s national exams as part of their licensing process.

Most applicants need to complete an Administrator-in-Training program or meet education rules before they can register12. The exams then come in two stages. The Core of General Knowledge Exam spans the fundamentals of facility management13. It looks at how residents are cared for, how personnel are managed, how the money is handled, and how the physical setting is maintained. The Line of Service (LoS) Exam follows, tailored to one track: Nursing Home Administration (NHA), Residential Care/Assisted Living (RCAL), or Home and Community-Based Services (HCBS)14.

Note: Licenses must be renewed on the state board’s schedule.

CPH (Certified in Public Health)

The Certified in Public Health (CPH) exam is run by the National Board of Public Health Examiners (NBPHE)15. It’s voluntary, but widely recognized. And it’s open to people with different backgrounds, including graduates from CEPH-accredited programs, students in their final year, or professionals who’ve worked long enough in the field to qualify without a degree15.

The test covers the full span of public health: communication, epidemiology, law and ethics, leadership, and several other areas pulled together under one system16. The exam is scored on a scale from 300 to 800, and you need at least 500 to pass. Only your school sees your actual score; employers and others just see that you passed17.

Graduate Certificate Programs

Additionally, some universities offer graduate certificates. These are distinct from professional certifications and there’s no board exam. Instead, you take a short sequence of graduate-level courses, usually around 12 to 18 credits, and walk away with a certificate in healthcare administration18. Graduate certificates are also available for public health, health policy, or population health19,20,21.

They’re often pursued by people testing the waters before a full degree or shifting into new roles. Most certificate programs are built for working adults and can be done online. These typically count toward a future MPH or MHA if you decide to keep going.

Credential / Certificate Program

Target Audience

Cost (Exam / Application)

Renewal / Maintenance

Prerequisites

CPHQ (Health Care Quality)

Professionals in quality assurance, compliance, patient safety, analytics

$519 members / $619 non-members22

30 CE credits over 2 years; renewal fee varies

No formal requirements; 2+ years of experience recommended

FACHE (Health Care Exec.)

Senior health care executives or directors in health care management

$250 application + $225 exam (+$160 first year of membership)8,23

Every 3 years: 36 CE credits + volunteer activities; $200 fee10

ACHE membership (1+ year), master’s degree, 5+ years management experience, 2 references

NAB Licensure (Long-Term Care Admin)

Nursing home, assisted living administrators

CORE & NHA/RCAL: $455; CORE only: $320; LoS only: $190; + state fees (~$210)4

Varies by state (usually annual renewal + CE)

Administrator-in-Training or state-specific education rules

CPH (Public Health)

MPH grads, public health leaders, policy makers in agencies or nonprofits

$385 standard (discounts available)24

$95 + CE or Code of Ethics25

CEPH-accredited degree/student or 5+ years of experience without a degree

Graduate Certificate Program (Health Admin.)

Working health care professionals testing the waters, shifting roles, or augmenting credentials

Varies by university (no standardized fee)

Not applicable (academic credential)

Bachelor’s degree or professional experience; complete 12–18 credits

Choosing the Right Healthcare Administration Certification Pathway

Before signing up for an exam, it helps to know what role you’re aiming for and what certification that job actually requires. Start with where you work or want to work. Hospitals, for example, lean toward quality and healthcare leadership and you may benefit from a path that explores specializations such as health informatics or hospital administration. Public health agencies lean toward policy and systems. Nursing homes follow state licensure laws, so you may want to explore health administration paths. And some roles won’t require a certificate.

Also think about your background. For instance, are you:

  • A mid-career RN stepping into admin? CPHQ can help you shift into quality or compliance.

  • An MPH grad at a state health department? Consider CPH.

  • An MBA grad with 5+ years in hospital leadership? You’re likely FACHE material.

  • New to the field and applying to skilled nursing facilities? Check your state’s rules for NAB licensure.

Note: If you’re not sure yet, a graduate certificate might be the low-risk way to start.

Planning for Certification or Licensure

Most certifications require a degree to be eligible, and it’s usually a master’s if you’re planning for executive tracks like FACHE. If you’re still in the school-picking phase, it helps to choose a graduate program that’s CAHME accredited26. CAHME accredits master’s degrees in healthcare management and administration, which are commonly accepted by boards such as ACHE when reviewing candidates for certifications.

Some credentials do not require significant time to prepare. You can prep for the CPHQ or CPH exams in under six months. Others, like the FACHE, take longer as you’ll need years of leadership experience and continuing education. Licensure for nursing home roles is a separate process governed by state law, with requirements and timelines that vary by state.

Additionally, costs vary. As you can see from the table above, some exams run a few hundred dollars and most have renewal fees every two to three years. But not everything comes out of pocket. Employers often help cover exam costs, continuing education, or graduate certificates through professional development funds. If not, it’s worth checking which fees or memberships can be paid in installments.

Understanding Your Next Move in Healthcare Administration

You don’t need a certification to call yourself a health care administrator. Plenty of people do the work without one. But if you’re aiming for a promotion or trying to get through a hiring filter, it can be the edge that gets you in.

Look at where you want to end up, and then see which certifications carry weight in that setting. If it is a nursing home, for example, check what your state expects for licensure. The NAB website is a good starting point for that, but note that state requirements can change without notifying them. This is why they recommend that candidates contact their licensing jurisdiction for final confirmation of requirements.4

For more help finding the right degree or next step, explore our guide on how to become a healthcare administrator and learn more about the MHSA degree.

Sources

1 https://www.ache.org/about-ache

2 https://www.nbphe.org/about-nbphe/

3 https://www.achca.org/state-licensure 

4 https://www.nabweb.org/seeking-licensure/state-licensure-requirements

5 https://www.bls.gov/ooh/management/medical-and-health-services-managers.htm

6 https://nahq.org/credentials/cphq-certified-professional-in-healthcare-quality/

7 https://cdn.nahq.org/wp-content/uploads/2022/01/2025-Candidate-Recertification-Handbook_V.2025.3.pdf

8 https://www.ache.org/fache/earn-my-fache/

9 https://www.ache.org/fache/the-board-of-governors-exam/board-of-governors-exam-outline

10 https://www.ache.org/fache/maintain-or-recertify-my-fache

11 https://www.nabweb.org/seeking-licensure/exam-info

12 https://www.rld.nm.gov/wp-content/uploads/2021/06/AIT_Program_Manual_FINAL1.pdf

13 https://www.gmetrix.com/Products/Details/NAB-CORE-Bundle

14 https://www.nbphe.org/certified-in-public-health/

15 https://www.nbphe.org/certified-in-public-health/cph-eligibility-requirements/

16 https://www.nbphe.org/certified-in-public-health/cph-content-outline/

17 https://www.nbphe.org/certified-in-public-health/faqs/

18 https://www.ttuhsc.edu/health-professions/master-of-science-healthcare-administration/certificate-programs.aspx

19 https://healthsciences.missouri.edu/public-health/graduate-certificates/

20 https://publichealth.gwu.edu/programs/health-policy-certificate

21 https://cph.uky.edu/programs/graduate-certificates/population-health

22 https://nahq.org/credentials/cphq-certified-professional-in-healthcare-quality/apply/

23 https://www.ache.org/about-ache/join-ache/member

24 https://www.nbphe.org/certified-in-public-health/fees-and-discounts/

25 https://www.nbphe.org/certified-in-public-health/cph-recertification/

26https://cahme.org/

About the Authors

Written by:

Editorial Contributor

Reviewed by:

Kerra (Henkin) Jones , MPH, ML

Kerra (Henkin) Jones, MPH, ML, is a public health professional with experience in program management, community health, and health equity. She previously served as a program manager at one of the nation’s largest academic medical centers, where she led operations for community health programs, supervised staff, directed clinics focused on improving access to care, and conducted systemwide data analysis to inform strategic health equity initiatives. Her background also includes managing grant-funded projects, developing trauma-informed training programs, conducting mixed-methods research, and delivering community health education across clinical and nonprofit settings.

Kerra has presented her work at conferences across the country and has contributed to research on criminal justice, substance use, and community health. She holds a Master of Public Health (MPH) and Master in Law (ML) from the University of Pennsylvania and a Bachelor of Science in Health Sciences from Ithaca College.

Opinions and information published by the author here on MastersPublicHealth.com are of my own and do not necessarily represent the views or opinions of my employer or other organizations for my designated roles.

Kerra Henkin headshot

Kerra (Henkin) Jones , MPH, ML

Contributor

Education: University of Pennsylvania