A health education specialist teaches people and communities how to stay healthy, and builds the programs that do it. That means finding out what a community needs, planning and running workshops or campaigns, and checking whether they worked. The median pay is $64,070 a year, most people start with a bachelor’s degree, and the optional CHES credential means passing a 165-question exam offered twice a year.
What does a health education specialist do?
The U.S. Department of Labor’s O*NET profile describes the job as providing and managing health education programs that help individuals, families and communities maintain healthy lifestyles. You use data to identify community needs, then plan, run, monitor and evaluate programs. You may also link health systems, providers, insurers and patients, and some people manage the budget for their programs.
The Society for Public Health Education (SOPHE) lists the core duties this way:
- Assess the health needs of people and communities.
- Develop and manage education programs.
- Test whether programs and materials work.
- Help people find health services or information.
- Train other health professionals or community health workers.
- Advocate for better health resources, policies and services.
- Collect and analyze data about a community.
- Supervise staff who run the programs.
Job titles vary a lot. O*NET lists Health Educator, Health Education Coordinator, Health Promotion Specialist, Community Health Consultant, Public Health Educator and Certified Diabetes Educator, among others. The University of Missouri adds wellness coordinator, program manager, training specialist and outreach specialist.
What does a health education specialist do on a daily basis?
O*NET’s task list for the occupation gives the best picture of a working day:
- Preparing and distributing materials such as reports, bulletins and visual aids on topics like smoking and vaccines.
- Presenting workshops, conferences, and school or community talks.
- Running health needs assessments and surveys.
- Building relationships with agencies and community groups.
- Writing grant applications to fund programs.
- Evaluating program quality.
- Keeping records of activities, such as presentations given and people helped.
- Supervising staff and training new employees.
O*NET’s work-context survey says the job is communication-heavy. All respondents said they use email every day, 88% said they have face-to-face discussions every day, and 77% said they are on the phone every day. About half said they speak in public at least weekly. About half also reported conflict situations weekly, so you need to be comfortable handling disagreement.
University of Phoenix, citing federal data, says the role is typically full time. Schedules can include evenings and weekends when you attend events or work with the public.
What does a Certified Health Education Specialist do?
The work is the same field of work, with a credential on top. A CHES is someone who has met eligibility requirements and passed a competency exam on the Eight Areas of Responsibility, according to SOPHE. The credential is issued by the National Commission for Health Education Credentialing (NCHEC). NCHEC describes certified specialists as investigators, motivators, teachers and advocates. In practice that includes researching community needs, building programs such as tobacco or weight-loss support, teaching groups, and pushing for programs a community needs. Southern New Hampshire University (SNHU) lists the Eight Areas, summarized here:
| Area of responsibility | What it means |
|---|---|
| Assessment of Needs and Capacity | Identify what a community needs and what resources exist |
| Planning | Design evidence-based programs that fit the community |
| Implementation | Carry out programs, managing people, materials and budgets |
| Evaluation and Research | Collect and analyze data to see if programs work |
| Advocacy | Promote policies and programs that support health and equity |
| Communication | Deliver clear messages suited to each audience |
| Leadership and Management | Guide teams and resources across organizations |
| Ethics and Professionalism | Follow professional standards and keep learning |
University of Phoenix also separates the two terms: a health educator may focus on teaching and outreach, while a health education specialist combines that with strategic planning, program evaluation and policy advocacy.
How do you become a health education specialist, and how long does it take?
Start with a bachelor’s degree. O*NET places the job in a zone where most occupations need a four-year bachelor’s degree. University of Phoenix says the usual route is a bachelor’s in health education, health promotion or a related field such as public health, social science or business. It adds that internships help, and that some roles want a master’s degree. SNHU says a bachelor’s and/or master’s in health education, public health or a related field, followed by the CHES exam, is the path to certification.
Timing depends on your route:
- Degree: the four-year bachelor’s is the usual entry point. A master’s, if a job calls for one, adds time. Program length varies by school, so check the program you are considering.
- Exam: the University of Missouri says you can sit for CHES during the semester you graduate (October exam for December graduates, April exam for May graduates), or any time after.
- Experience: certification does not require work experience at the CHES level, though the advanced MCHES credential does (see below).
One thing to know: O*NET’s survey of workers is less uniform than the university sources. 62% of respondents said an associate’s degree or other two-year degree was required for a new hire, and 31% said a bachelor’s. So some employers hire with less than a bachelor’s, but the university and O*NET job-zone guidance point to a bachelor’s as the typical standard. Check the postings in your area.
How do you get CHES certification?
Here is what the University of Florida and University of Missouri pages say:
- Eligibility: a bachelor’s, master’s or doctoral degree from an accredited institution, plus 25 semester hours (37 quarter hours) in the Areas of Responsibility. Missouri says a grade of C or better is needed. At least 12 semester credits (four courses) must be in “process” courses that align directly with the Eight Areas.
- Pre-screen: only NCHEC can confirm you are eligible. Missouri says its students submit a transcript and pay a $25 processing fee.
- Exam: 165 multiple-choice questions (150 scored, 15 pilot items), three hours, computer-based. You can test at home with live remote proctoring or at a test center.
- When: twice a year, in April and October. Registration runs November through February for April, and May through August for October.
- Exam content: the 2025 handbook weights Assessment of Needs and Capacity at 17%, Planning 14%, Implementation 15% and Evaluation and Research 12%. The remaining four areas make up the rest.
- Pass rate: Missouri says the national pass rate is about 62%.
- Fees: UF says rates depend on when you register (early bird, regular, late), with a discount for full-time students taking at least 9 credits. Neither page gives the exact exam fee, so check NCHEC’s current fee schedule.
- Study: Missouri recommends NCHEC’s study book, The Health Education Specialist: A Companion Guide for Professional Excellence.
Keeping it: UF says you pay a $70 annual renewal fee and earn 75 continuing education contact hours (CECH) every five years. 45 must come from NCHEC-approved providers, 30 can come from other providers, and 5 must meet the Continuing Competency Requirement. NCHEC suggests about 15 CECH a year.
MCHES: this advanced credential needs a master’s degree plus five years of experience as a health education specialist (or five or more active years as a CHES). You do not have to hold CHES first.
Is a CHES certification worth it?
It depends on the jobs you want. SNHU says certification isn’t necessarily required to work as a health educator, but some employers do require it. UF says it signals to employers that you have mastered key competencies, and that NCHEC notes CHES-certified specialists may earn more than those who are not, with some employers paying for the exam or continuing education. Neither source gives a dollar figure for the difference.
It also costs time and money: coursework that meets the 25-hour rule, an exam fee, a 62% pass rate, and $70 a year plus continuing education. UF reports that NCHEC had 1,652 CHES registrants and 166 MCHES registrants in the 2024 exam cycle. Before you pay for the exam, read a few postings for the jobs you want. If they list CHES as required or preferred, the cost is easier to justify. Some employers may help pay.
How much does a health education specialist or CHES make?
| Figure | Amount | Source |
|---|---|---|
| Median pay, 2025 | $64,070 a year ($30.80 an hour) | O*NET, using Bureau of Labor Statistics data |
| Pay range, May 2025 | $42,990 to $118,200 | University of Phoenix, citing BLS |
| Median pay, 2024 | About $63,000 | SNHU, citing BLS |
There is no separate published average for CHES holders in these sources. Use the occupation median as your benchmark and expect pay to vary with experience, employer type and location. O*NET links to state and local wage tables for this occupation, which is the quickest way to see your area’s numbers. For more pay and career comparisons across the field, browse the PHFR career resources.
Are health education specialists in demand?
O*NET gives the occupation a “Bright Outlook” label and projects growth of 5% to 6% from 2024 to 2034, which it calls faster than average, with about 7,900 job openings in that period (counting growth and replacement). Employment was 71,800 in 2024.
Other sources quote different growth rates, because they use different projection editions or round differently. UF and SNHU cite 4% for 2024 to 2034. University of Phoenix cites 6% for 2025 to 2035, or about 6,900 openings a year. Older Missouri text says “much faster than average.” All of them agree on the direction: growth above the all-occupation average. Treat the exact percentage as an estimate.
Where do health education specialists work?
University of Phoenix, citing federal data, says about 70,400 people held the job in 2025. Government employed 24%, outpatient care 18%, hospitals 16%, educational services 14% and social assistance 5%. O*NET lists health care and social assistance and government as the top industries. SOPHE adds schools and universities, nonprofits, and businesses. Missouri also names Armed Forces wellness centers.
UF cites job-posting data showing the strongest demand for CHES-holders in colleges and universities, health and medical insurance carriers, general hospitals, insurance agencies and physician offices.
Is health education a good career path?
It fits you if you like teaching, planning and working with community groups more than hands-on clinical care. O*NET’s interest profile is Social, Investigative and Conventional: helping and teaching others, research and data, and organized record-keeping. The skills it lists most often are active listening, speaking, writing and critical thinking. Expect a lot of email, meetings, presentations and some grant writing. The pay is mid-range, the growth is above average, and the work spans hospitals, health departments, schools and workplaces. The trade-offs are that you may need to meet a CHES or degree requirement for some roles, and that program funding often comes from grants, so you will spend time on fundraising.
What kind of educator makes the most money, and which state pays teachers most?
These sources do not rank educator types or compare K-12 teacher pay by state. They cover health education specialists and a few related health and fitness occupations. For reference, O*NET’s 2025 medians are:
| Occupation | Median annual pay |
|---|---|
| Health education specialists | $64,070 |
| Athletic trainers | $62,520 |
| Exercise physiologists | $59,460 |
| Exercise trainers and group fitness instructors | $47,160 |
For state-level pay in this field, use the state wage tables linked from the O*NET profile. For K-12 teacher pay by state, you would need a source that covers teachers directly.
Before you commit
- Check job postings in your area to see whether employers require CHES, prefer it, or pay for it.
- Ask NCHEC for the current exam fee and have your transcript pre-screened before you register.
- Compare the program you choose against the 25-hour rule, including the 12 credits of process courses.
- Look up your state’s wage data for the occupation before you judge the pay.
If you are weighing other health and fitness careers alongside this one, the PHFR health and fitness guides cover more roles and credentials.
By PHFR.com Health & Fitness Team
This article is for general information purposes only and does not constitute medical advice. Consult your doctor or qualified healthcare provider before making changes to your health routine.