Portland manager pay is a wide band, not one number
In Portland, health services manager pay runs from $121,110 at the lower quarter to $212,270 at the upper quarter.

Portland does not have one health services manager wage. It has a wide band, and a req that collapses the band into a single midpoint is how the search goes vague.
The local median is $151,260. The national median is $123,860. The lower quarter in Portland is $121,110, which is essentially the national median. The upper quarter is $212,270. OEWS counts 3,210 health services managers in the metro, with a concentration of 0.69, a thinner share than a typical metro. The workforce is real. The pay inside it covers more than one job.
That spread is the point. A department supervisor and a director can both carry the title on the posting, and the market pays them very differently. The lower quarter, near $121,110, is a different offer from the upper quarter, near $212,270. If the intake says "a manager" and the range runs the whole distance so nobody has to choose, candidates and comp are negotiating different roles. One of them will feel lowballed. The other will look expensive. Both reactions are reasonable.
The national median is the lower quarter here
Because $123,860 and $121,110 sit so close, a committee can believe it has "matched the market" by clearing the country. It has matched the bottom of Portland. For a first-line manager, that may be the right conversation, said plainly. For someone who runs several departments, it is the wrong anchor, and the median of $151,260 may still be light next to $212,270.
Name the scope before you name the number. How many people, how much of the budget, whether this person hires other managers. Then circle a place in the band that matches the scope. A wide range published to avoid that conversation does not look flexible to a serious candidate. It looks undecided.
The thinner local share matters once the job is defined. You do not have a deep surplus of people who have already done that exact scope. A vague posting will not smoke them out. A specific one, at a wage that matches the scope, gives the 3,210 a reason to answer.
New York is not the top of this band
New York's median for the occupation is $167,580, with 35,260 managers and a concentration of 0.97. It is a useful reminder that Portland's median is not the national ceiling, and a useless number to average into a Portland offer. A director in Portland is not a New York median with a discount, and a supervisor in Portland is not a New York wage at all. Keep New York on the briefing as a second metro. Hire Portland with the Portland band.
What to write down
Write the scope in one sentence. Write $121,110, $151,260, and $212,270 under it, and mark the figure the scope earns. Build the posted range around the marked figure, tight enough that a candidate can tell what job this is. If two scopes are open, post two reqs. A single band from the lower quarter to the upper quarter is not a range. It is a refusal to choose.
Illustrative story
The posting said health services manager and listed a range that ran from just above $121,110 to just under $212,270. Finance called it room to negotiate. A candidate running one department heard a director search. A director heard a supervisor wage hiding at the bottom. Both stopped returning calls, for opposite reasons, and the debrief combined them into "Portland managers are hard to land."
They were not one group. The team split the work into the job they actually needed, a single-department manager, and priced it at the median, $151,260, with a range that could not be mistaken for $212,270. The other scope waited for its own req. The calls that came back were about that job.
Pick the spot in the Portland band before you publish the title.
https://reqradius.com/hiring/medical-and-health-services-managers-portland-or/
Sources
The same read for your own opening is a Hiring Pack. One is $24.00. The sample Hiring Pack shows the pages.