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Health Care Employers

Experience, licenses, and skill certifications are key

Compared to a sample of employers in all industries (“average employers”), Health Care employers were alike with respect to hiring activity, work-based learning, and views on AI. They differed on how credentials matter, how hiring requirements are shifting, and partnerships with higher education.


Where Health Care Matched Average Employers

Health Care employers were roughly equivalent to average employers in many ways:

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Differences from Average Employers

1. Health Care employers were less likely to cite refusal to accept pay, a lack of soft skills, and a lack of education/certifications as reasons for hiring difficulty.

Reasons for Entry-Level Hiring Difficulty: Health Care vs. Average Employer
% of employers who reported difficulty — respondents could select all that apply
NC Department of Commerce, Labor and Economic Analysis Division (LEAD) Source: 2026 NC Employer Needs Survey (LEAD / NCWorks Commission). Q7: “Which of the following factors contributed to your entry-level hiring difficulties?” * Statistically significant difference from the average employer at the 95% confidence level.
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2. An even higher share of Health Care employers selected work experience/demonstrated skills as the most important credential. They also rated professional licenses as more important to their industry.

Credential Importance: Health Care vs. Average Employer
% rating as important or very important
NC Department of Commerce, Labor and Economic Analysis Division (LEAD) Source: 2026 NC Employer Needs Survey (LEAD / NCWorks Commission). Q5: “When hiring entry-level workers, how important are these credentials?” * Statistically significant difference from the average employer at the 95% confidence level.
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3. When it came to hiring requirements, Health Care employers were slightly more likely to report increased emphasis on short-term credentials and degrees.

Changes to Hiring Requirements: Health Care vs. Average Employer
% reporting increased emphasis in the past two years
75%Average employer
79%Health Care
reported no significant changes to hiring requirements
NC Department of Commerce, Labor and Economic Analysis Division (LEAD) Source: 2026 NC Employer Needs Survey (LEAD / NCWorks Commission). Q20: “In the past two years, has your business made any of the following changes to credential or hiring requirements?” * Statistically significant difference from the average employer at the 95% confidence level. “Other” responses are not depicted.
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4. Health Care employers were more likely to partner with four-year colleges and universities.

Business Partnerships: Health Care vs. Average Employer
% reporting a partnership in the past 12 months
NC Department of Commerce, Labor and Economic Analysis Division (LEAD) Source: 2026 NC Employer Needs Survey (LEAD / NCWorks Commission). Q22: “In the past 12 months, has your business partnered with any of the following organizations?” * Statistically significant difference from the average employer at the 95% confidence level.
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What This Says About Health Care

One possible explanation for these differences is that Health Care employers are engaged in a highly skilled field. As the state's population grows larger and older on average, more specialized knowledge is required for a high standard of care. This is consistent with an increased emphasis on short-term credentials and degrees and significantly more importance placed on work experience/demonstrated skills and professional licenses.

When it came to Health Care employers' hiring difficulties, their most common challenges were a low number of applicants and a lack of employability skills, and roughly three in ten pointed to gaps in technical skills. For strategies to address these and other health care employer hiring difficulties, visit the full report below.

Explore the Full Data

| Download the full report (PDF) | Visit the LEAD website