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Background: This article explores the impact of managers' communication skills on the job satisfaction of health sector employees through a meta-analysis. The purpose is to determine how these communication skills influence job satisfaction and how strategic decisions can be improved for greater organizational efficiency. Methods: Using the meta-analysis method, studies on the impact of managers' communication skills on the job satisfaction of health sector employees were collected. Searches in databases like the Iran Documentation Center, Magiran, Noormags, and others led to the retrieval of 20 relevant articles, theses, and treatises. Of these, 13 studies provided suitable data for effect size calculation. The data was analyzed using SPSS software to assess the relationship between communication skills and job satisfaction among health sector employees. Results: The analysis showed that managers' communication skills significantly impact job satisfaction. The Q-test indicated significant heterogeneity in the studies, suggesting the presence of moderating variables. The I-squared index confirmed that 99% of the variance is real. Additionally, Egger’s regression test confirmed the heterogeneity, and publication bias was assessed using funnel plots and regression methods. The effect size analysis emphasized that extreme values could affect the validity of the results. Conclusion: Improving managers' communication skills directly enhances job satisfaction among health sector employees. The study confirms that the communication skills of managers have a significant and positive relationship with the job satisfaction of employees in the health sector.