The number of senior managers in the HSE has increased by 80pc in just six years, according to new figures released to Fianna Fáil.
There are 1,329 staff members employed at Grade VIII or above, compared with 744 in 2012.
The salary scale for a Grade VIII clerical worker begins at around €48,000.
The deputy leader of Fianna Fáil Dara Calleary told Midwest News today that the recruitment crisis in front line staff clearly does not extend to management.
He said the increase in managers had not led to improvements in service provision in the past six years.
Last week the deputy highlighted that waiting list inpatient appointments nationally now stand close to one million .