Management of Health Systems and Organisations

Management delle aziende sanitarie e del settore salute
In-person programme
Management of Health Systems and Organisations
Course sheet
A.Y. 2026/2027
Master programme
LM-77 R - Scienze economico-aziendali
Master programme
120
ECTS
Access
Open with entry requirements examination
2
Years
Course location
Milan
Language
Italian
The degree programme is designed for those who aim to become:
- specialists in the management of public and private healthcare and social-healthcare organizations, working across different corporate functions, and managers within planning agencies and regulatory bodies of the healthcare system;
- managers in companies operating in the health sector (pharmaceutical and biomedical firms, health insurance companies) and in consulting firms.

Consequently, the programme aims to offer a tailored educational experience aligned with graduates' potential career pathways, developing their competencies in a deep and comprehensive manner. These competencies result from a combination of mastery of conceptual frameworks and the practical and behavioural skills required in a highly professionalized sector characterized by strong political, institutional, and social interdependencies such as healthcare.
The programme's learning areas include:
- Management of public and private healthcare organizations: Graduates will acquire solid knowledge of governance and leadership in healthcare organizations, strategies and planning, performance management, accounting and budgeting, operational and logistics management, organizational design, human resource management and sector-specific regulations, as well as product and process innovation.
- Management of health-sector companies and consulting firms: Students will learn strategy, planning, performance management, marketing and market access in the health sector, product and process innovation, project management, and consulting-related skills.
- Cross-cutting area on health systems and the healthcare sector: This area provides knowledge of public policies, models of healthcare governance, population health management, trends in private health consumption and the insurance market, and the historical evolution of healthcare systems.
- Cross-cutting area on labour law for healthcare professions: Students develop an understanding of employment contracts and career structures in the healthcare sector, legal ethics, and the implications of labour law for managing healthcare organizations and their relationships with private enterprises.
- Cross-cutting area on sector-specific clinical, health, and psychological aspects: Topics include Health Technology Assessment and pharmacoeconomics, risk management and legal liability in healthcare, organizational wellbeing in health-sector organizations, and clinical governance in healthcare institutions.
- Cross-cutting area on quantitative methods, statistics, and epidemiology.

The first year of the programme focuses on foundational knowledge in healthcare and health-sector management, key dynamics of the sector, public policy evaluation, and quantitative analysis methods.
In the second year, students choose between two tracks:
- public and private healthcare organizations, regulatory and planning bodies;
- health-sector companies and consulting firms.
The second year also includes the internship and the preparation of the thesis.

Teaching methods are based on case-based learning, including flipped classrooms, hackathons, role-playing, and business games (often with team challenges). These approaches are widely used today in recruitment processes by leading companies in the health sector and aim to prepare students not only in terms of 'knowing', but also in terms of 'knowing how to do', while strengthening their ability to work in teams using real-world data and problems.
1) Managers of Healthcare Organizations and Institutions

Role in the workplace
The degree programme is aimed at students who wish to become specialists in the management of public and private healthcare and social-healthcare organizations across various corporate functions, as well as managers within planning agencies and regulatory bodies of the healthcare system. This professional figure:
- examines and assesses the external environment in terms of national and regional health policies and planning, changes in legislation, macro-economic, epidemiological and demographic trends, etc.;
- analyses the resources available to the organization to identify opportunities to improve efficiency;
- contributes to defining medium- and short-term corporate strategies and objectives, evaluates their implementation and monitors the long-term relevance of strategic goals, assessing possible alternatives;
- analyses the organization's performance through a multidimensional approach and draws conclusions to support strategic decision-making;
- collaborates with corporate departments and coordinates working groups to redesign production processes and improve efficiency and effectiveness;
- prepares specialized documents related to various corporate functions (e.g., planning and control, accounting, organizational development, operations management, marketing, corporate finance);
- analyses trends in the health sector and healthcare systems in major countries at an international (European or supranational) level.
New graduates in this profile typically enter the profession as assistants within the strategic management team or as specialists within specific corporate functions. To gain autonomy and greater responsibility in carrying out these tasks, further skills should be developed through internships and traineeships within healthcare organizations.

Competencies associated with the role
- ability to design and implement a multidimensional system of management and performance control;
- use of operations-management systems (patient logistics and asset management) and organizational improvement techniques (Lean, Six Sigma, etc.);
- ability to build a quality management system focused also on patient experience;
- general-management skills to support clinicians in leadership roles within clinical/healthcare structures (departments, units, etc.);
- competencies in healthcare marketing and communication;
- ability to analyse personnel policies (ageing, retention, succession planning, skill mix);
- expertise in procurement with advanced buyer-level skills;
- accounting and cost-management skills;
- competencies in clinical audit;
- skills in organizational development and training;
- ability to analyse regulatory and legal frameworks in public and health law;
- ability to develop business planning and corporate development (acquisitions, mergers, integrations, alliances, etc.);
- ability to interpret epidemiological data to identify emerging needs and future service development, beyond mere compliance with rules or budget constraints;
- organizational-analysis skills, including critical evaluation of standard models (departmental structures, intensity of care, etc.) and context-specific design;
- competency in assessing appropriateness, effectiveness, and Evidence-Based Medicine (for negotiation processes), in addition to existing tools (National Outcomes Programme, etc.);
- health-economics competencies for programme impact evaluation;
- ability to analyse trends and developments in the health sector, the functioning of public healthcare organizations, and their decision-making and governance processes.

Career opportunities
Professional opportunities in public and private healthcare and social-healthcare organizations, as well as in planning agencies and regulatory bodies, include roles such as:
- experts in accounting and financial statements, controllers for multidimensional performance-management systems and for analytical accounting and Activity-Based Costing (ABC);
- experts in operations management;
- experts in quality, risk management, and clinical processes;
- marketing specialists;
- experts in human-resource management and professional development, including accreditation and maintenance of clinical competences;
- procurement specialists and experts in public and private partnerships;
- specialists in strategy, business planning, and corporate finance;
- collaborators within strategic management units;
- experts in health-economics and HTA projects;
- experts in policy-making processes from technical and regulatory perspectives;
- experts in stakeholder management/involvement.

2) Managers in Health-Sector Companies and Consulting Firms

Role in the workplace
The MASS degree programme is intended for students who aim to become managers in companies operating in the health sector (pharmaceutical and biomedical firms, health insurance companies) and in consulting firms. This professional figure:
- examines and analyses the dynamics and characteristics of the health sector and the healthcare market;
- onducts comparative analyses of regional and national healthcare systems;
- evaluates the functioning of public healthcare organizations and their decision-making and governance processes to define strategies for intervention and sector development consistent with the company's mission;
- develops product and service marketing plans in line with system and market constraints;
- develops market-access and stakeholder-management strategies and programmes;
- designs and manages HTA programmes and clinical trials.

Competencies associated with the role
- ability to analyse and compare the functioning of public healthcare organizations and their governance and decision-making processes;
- ability to analyse the dynamics of the institutional chain of the National Health Service (NHS) and individual regions (identifying institutional actors and decision-making processes);
- competencies in market access, including technical and soft skills for stakeholder management;
- knowledge of the dynamics and characteristics of the health sector (funding mechanisms, economic flows, epidemiological and demographic changes, etc.);
- ability to manage HTA projects and the clinical development of a molecule from pre-clinical to clinical stages, with particular attention to regulatory implications;
- ability to conduct analyses and develop projects in health economics;
- quantitative-analysis, big-data, and decision-science skills;
- competencies in customer engagement and multichannel management;
- product and service marketing skills;
- health-economics competencies for programme impact evaluation;
- ability to design value-proposition systems for Therapeutic Areas involving different stakeholders;
- knowledge of innovative financing mechanisms;
- understanding of servitisation, chronic-care models, and integrated care pathways;
- consulting skills, project-management skills, and the ability to design and implement organizational and institutional change.

Career opportunities
- experts in the dynamics and characteristics of the health sector;
- experts in the functioning of public healthcare organizations and their decision-making and governance processes;
- analysts of regional and national healthcare systems;
- specialists in market access and stakeholder management;
- experts in HTA and clinical trials;
- product and service marketing specialists;
- consultants specializing in the healthcare sector and in the management of healthcare and social-healthcare organizations;
- consultants specializing in the health industry (biomedical companies, health insurance providers, etc.).

Employment statistics (Almalaurea)
The master's degree in Management delle Aziende sanitarie e del settore salute (MASS) offers the opportunity to study at several foreign universities, where students can attend lectures and earn ECTS credits valid for their degree. Our international partners are selected from among the most prestigious academic institutions, including: Czech Republic, University of Economics, Prague; Germany, University of Hamburg; Germania, Johannes Gutenberg University of Mainz; Germania, Universitat Hohenheim - Stuttgart.
Course selection is finalized before departure together with the Erasmus coordinator. Credits earned abroad are officially recognized at the end of the exchange period and integrated into the student's study plan.
Attendance is mandatory and must not be less than 80% of the scheduled hours, unless otherwise specified by the course coordinator based on the specific academic needs of the course. In the event of a justified inability to attend, students may request a partial exemption from the Teaching Committee.
Enrolment
The MASS degree programme is open to graduates holding a degree obtained in Italy in the following classes (or an equivalent qualification obtained abroad and recognized as suitable):
L-16 Scienze dell'amministrazione e dell'organizzazione
L-18 Scienze dell'economia e della gestione aziendale
L-33 Scienze economiche
L-36 Scienze politiche e delle relazioni internazionali
L-37 Scienze sociali per la cooperazione, lo sviluppo e la pace
L-41 Statistica

Graduates must also have acquired at least 24 credits in the following areas:
a) Business Sciences SECS-P/07, SECS-P/08, SECS-P/09, SECS-P/10, SECS-P/11
b) Economics SECS-P/01, SECS-P/02, SECS-P/03, SECS-P/05, SECS-P/06, SECS-P/12
c) Mathematics and Statistics SECS-S/01, SECS-S/02, SECS-S/03, SECS-S/04, SECS-S/05, SECS-S/06, MAT/01, MAT/02, MAT/03, MAT/05, MAT/06, MAT/09
d) Law IUS/01, IUS/04, IUS/05, IUS/07, IUS/09, IUS/10, IUS/12, IUS/13, IUS/14, IUS/17

of which:
- at least 12 credits in areas a) and b)
- at least 6 credits in area c)

Knowledge of the Italian language is a fundamental requirement of the Degree Programme to meet the labour market needs of the Italian National Health Service (SSN) context. Nevertheless, the degree maintains a strong international perspective through subjects such as Global Health and the opportunity to undertake international internships.

Proficiency in English at level B1 or higher according to the Common European Framework of Reference for Languages (CEFR) is required for admission.
The B1-level requirement will be ascertained by the University Language Centre (SLAM) upon admission as follows:
- Valid language certificate at B1 level or higher, issued no more than three years before the application date. The list of language certificates recognized by the University is available at https://www.unimi.it/en/node/39322 .The certificate must be uploaded when submitting the online application;
- English level achieved during a University of Milan degree programme and certified by the University Language Centre (SLAM) no more than four years before the application date, including levels based on language certificates submitted by the applicant during their Bachelor's degree at the University of Milan. Verification will be carried out automatically, no documents need to be uploaded.
- Entry test administrated by the University Language Centre (SLAM) according to the calendar published on the website: (https://www.unimi.it/en/node/39267/)
Applicants who fail to submit a valid certificate or do not meet the required proficiency level will be instructed during the admission procedure to take the Entry test.

Applicants who do not take or pass the Entry test will be required to obtain a language proficiency certificate recognized by the University (see https://www.unimi.it/en/node/39322) and submit it to SLAM via the InformaStudenti service by the deadline set by the master's degree programme (https://www.unimi.it/en/node/39267/).
Applicants who fail to meet the requirement by said deadline will not be admitted to the master's degree programme and may not sit any further tests.

To be admitted to the master's degree programme, applicants must hold a bachelor's degree in one of the classes listed above, in addition to the required number of credits in the business-economic, statistical, and legal fields.
For students with a foreign qualification, an individual curriculum review will be conducted to ensure that substantial requirements equivalent to the minimum requirements for students with an Italian degree are met.
Candidates possessing the minimum requirements in terms of degree class and number of credits will proceed to the selection phase through an assessment of their personal preparation. The mere possession of the minimum requirements cannot be considered a verification of personal preparation, which is mandatory.
To carry out this assessment, a specific "Evaluation Committee" will be established, consisting of professors selected and appointed by the Teaching Committee.
The assessment of personal preparation is based on academic merit and curriculum consistency. To this end, in addition to the application, each candidate must submit:
i) their study plan, indicating the relevant disciplinary sectors (SSD) for each exam, the grade obtained, and both the simple and weighted average;
ii) a detailed curriculum vitae;
iii) a brief biography (maximum one page) regarding their experience and its consistency with the Degree Programme. The absence of any of these documents may lead to exclusion from the evaluation process.

The appointed Committee will evaluate each candidate according to the following criteria:
Criterion 1: Academic Curriculum
Description: Assessment of academic merit in the previous educational path and the average grade obtained.
Maximum score: 60
Criterion 2: Curriculum Consistency
Description: Assessment of the consistency of the academic curriculum and/or previous experiences and activities in relation to the educational objectives of the master's degree in Management delle aziende sanitarie e del settore salute.
Maximum score: 40

The Commission reserves the right to conduct an interview via digital means to assess the candidate's personal preparation.
During the application period for the degree programme, an orientation programme will also be activated, consisting of open presentations of the degree programme and a dedicated hotline for potential students to ask questions and seek clarification from the degree programme management, in order to ensure that they can explore and dispel any doubts they may have about their choice - [email protected].

Admission

Application for admission: from 22/01/2026 to 25/08/2026

Application for matriculation: from 05/05/2026 to 15/01/2027


Attachments and documents

Admission notice


Admissions A.Y. 2026/2027

Admission applications for Academic Year 2026/2027 are now open. Non-EU students visa applicants are required to apply for admission no later than 30 April 2026.

Learn more:
Programme description and courses list
Compulsory
Courses or activities Max ECTS Total hours Language Lesson period SSD
Evaluation of Health Policies and Programs 9 60 Italian Third trimester ECON-03/A
Governance, Leadership and Management of the Health Sector and Healthcare Companies 12 80 Italian First trimester ECON-06/A
Law and Management of Human Resources in Companies in the Health Sector 12 80 Italian Second trimester ECON-08/A GIUR-04/A
Public Health Dynamics and Public and Private Healthcare Systems 12 80 Italian First trimester ECON-03/A MEDS-24/B
- Hygiene and Public Health640MEDS-24/B
- Public Finance640ECON-03/A
Quantitative Methods to Support Healthcare Decisions 6 40 Italian Third trimester STAT-01/A STAT-04/A
Strategies and Performance Management in Companies in the Health Sector 12 80 Italian Second trimester ECON-06/A
be activated by the A.Y. 2027/2028
Compulsory
Courses or activities Max ECTS Total hours Language Lesson period SSD
Final Examination 15 0 Italian Open sessions NN
Optional activities and study plan rules
1 - In the second year, two specialisation tracks are available:
- Industria e imprese del settore salute (24 CFU);
- Aziende sanitarie pubbliche e private, agenzie ed enti regolatori (24 CFU).
Each of the two tracks consists of two course packages.
2 - INDUSTRIA E IMPRESE DEL SETTORE SALUTE
(Track 1 - Package 1)
Choose between 2 and 3 of the following courses:
Courses or activities Max ECTS Total hours Language Lesson period SSD
Health Technology Assessment and Pharmacoeconomics 6 40 Italian First trimester ECON-06/A
Management and Evaluation of Innovation in the Health Sector 6 40 Italian First trimester ECON-06/A ECON-07/A
Market Access and Product Management in the Health Sector 6 40 Italian Second trimester ECON-06/A ECON-07/A
Marketing in the Health Sector 6 40 Italian Second trimester ECON-07/A
Private Consumption and Business Modeling 6 40 Italian First trimester ECON-06/A
Public and Private Financing of Activities in the Health Sector 6 40 Italian Second trimester ECON-06/A
3 - INDUSTRIA E IMPRESE DEL SETTORE SALUTE
(Track 1 - Package 2)
Choose at least one course from those marked with (*) and one additional course, if necessary, to reach the 24 ECTS credits required for the track:
Courses or activities Max ECTS Total hours Language Lesson period SSD
Biostatistics and Epidemiology 6 40 Italian Second trimester MEDS-24/A
Employment Law in the Private Sector 6 40 Italian Second trimester GIUR-04/A
History and Evolution of Health Systems 6 40 Italian Second trimester STEC-01/B
Law and Ethics in the Health Sector 6 40 Italian First trimester GIUR-17/A
Organizational Well-Being in Companies in the Health Sector 6 40 Italian First trimester PSIC-03/A
Risk Management and Professional Responsibility in Healthcare 6 40 Italian Second trimester MEDS-25/A
4 - AZIENDE SANITARIE PUBBLICHE E PRIVATE, AGENZIE ED ENTI REGOLATORI
(Track 2 - Package 1)
Choose between 2 and 3 of the following courses:
Courses or activities Max ECTS Total hours Language Lesson period SSD
Accounting and Budgeting in Healthcare Companies 6 40 Italian Second trimester ECON-06/A
Health Services Management and Operations 6 40 Italian First trimester ECON-06/A
Organizational Development and Change Management 6 40 Italian First trimester ECON-06/A
Planning and Control in Healthcare Companies 6 40 Italian Second trimester ECON-06/A
Private Consumption and Business Modeling 6 40 Italian First trimester ECON-06/A
Public and Private Financing of Activities in the Health Sector 6 40 Italian Second trimester ECON-06/A
5 - AZIENDE SANITARIE PUBBLICHE E PRIVATE, AGENZIE ED ENTI REGOLATORI
(Track 1 - Package 2)
Choose at least one course from those marked with (*) and one additional course, if necessary, to reach the 24 ECTS credits required for the track:
Courses or activities Max ECTS Total hours Language Lesson period SSD
Biostatistics and Epidemiology 6 40 Italian Second trimester MEDS-24/A
History and Evolution of Health Systems 6 40 Italian Second trimester STEC-01/B
Law and Ethics in the Health Sector 6 40 Italian First trimester GIUR-17/A
Organizational Well-Being in Companies in the Health Sector 6 40 Italian First trimester PSIC-03/A
Public Sector Contracts and Careers 6 40 Italian First trimester GIUR-04/A
Risk Management and Professional Responsibility in Healthcare 6 40 Italian Second trimester MEDS-25/A
Optional activities and study plan rules
6 - Students must earn 9 ECTS credits through free-choice electives. These can include courses from the alternative track, educational workshops, or courses offered by other degree programmes or faculties, subject to approval by the Study Board.
7 - Students must earn 3 ECTS credits for "Other Training Activities" through:
Courses or activities Max ECTS Total hours Language Lesson period SSD
English Proficiency B2 (3 ECTS) 3 0 English Open sessions NN
8 - Students must earn 6 ECTS credits for "Other Training Activities" through:
- internship at companies, public or private bodies, or professional associations.
Learn more
Milan
Course locations
Campus in Santa Sofia, 9 / Festa del Perdono
Academic guidance tutor
Internship tutor
Quality Assurance Delegate
Contacts

For students enrolled in Bachelor's, Master's and single-cycle degree programmes, tuition fees are to be paid in two instalments:

  • the amount of the first instalment is the same for all students and is due upon enrolment
  • the amount of the second instalment varies according to each student's ISEE University value and the degree programme in which they are enrolled
  • for international students with income and assets abroad, the second instalment varies according to their country of origin.

Education incentive programmes and other benefits

The University offers scholarships, cafeterias, subsidised accommodation and other forms of financial support to students meeting specific economic and merit requirements.

More information

A.Y. 2026/2027

A.Y. 2025/2026

A.Y. 2024/2025

A.Y. 2023/2024

A.Y. 2022/2023

A.Y. 2021/2022

A.Y. 2020/2021