Abstract: Job satisfaction is a critical psychological factor influencing employee motivation, performance, organizational commitment, and service quality in health care institutions. Health service organizations depend on the coordinated functioning of paramedical and non-paramedical staff, whose occupational roles and work demands differ significantly. The present study aimed to examine occupational role differences in job satisfaction among paramedical and non-paramedical employees working in health service institutions of Darbhanga district, Bihar. A comparative descriptive research design was employed. The sample consisted of 200 health service employees, including 100 paramedical staff and 100 non-paramedical staff, selected through purposive sampling. A standardized Job Satisfaction Scale was administered. Mean, standard deviation, and independent sample t-test were used for statistical analysis. The results revealed a significant difference in job satisfaction between paramedical and non-paramedical employees. Paramedical staff reported lower job satisfaction compared to non-paramedical staff, primarily due to workload pressure, shift duties, emotional labour, and patient-care stress. The findings highlight the need for organizational reforms, supportive work environments, and employee welfare initiatives to enhance job satisfaction in health services.

keywords: Job Satisfaction, Health Service Employees, Paramedical Staff.