Tehran University of Medical Sciences Health Technology Assessment in Action 2645-3835 7 1 2023 07 17 157 157 Atefe Razavi Department of Educational Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran Elham Fariborzi Department of Educational Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran Mahmoud Ghorbani Department of Educational Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran 2023 01 26 2023 05 30 Background: Today, with the advancement of science and technology, societies are becoming more complex and specialized. Therefore, knowledge should be considered the foundation of the development and social welfare of countries. Objectives: The present study aimed to examine the role of three managerial skills in designing the competence model of education managers of Islamic Azad Universities in Khorasan Razavi. Methods: This research is applied in terms of purpose and exploratory mix (qualitative-quantitative) in terms of method. The measurement instrument in the qualitative part was a semi-structured interview, and in the quantitative part, it consisted of a researcher-made questionnaire. The statistical population included 951 employees of the Islamic Azad University of Razavi Khorasan, of which 274 were randomly selected. For data analysis, the Delphi technique was employed in the qualitative part, and the structural equation modeling method of SPSS22 and AMOS26 software was used in the quantitative part. Results: It was found that 75% of managers’ competence depends on the dimensions of managerial skills (technical, human, perceptual). These dimensions can explain and predict the competence of education managers, including individual characteristics, organizational factors, entrepreneurial competence, business competence, leadership, decision-making, and cooperation. Conclusions: According to the results of this study, it is required to develop a long-term and operational strategic roadmap and program with a paradigmatic approach and a local and regional view. https://htainaction.tums.ac.ir/index.php/hta/article/view/157 https://htainaction.tums.ac.ir/index.php/hta/article/download/157/118