The digital transformation of healthcare has underscored the critical role of managerial technological competency in enhancing organizational performance. This study examined the influence of technological competency on healthcare management outcomes in public and private healthcare institutions in Enugu State, Nigeria. Employing a quantitative cross-sectional survey design, data were collected from 198 healthcare managers, including administrators, departmental managers, unit heads, and health information officers, using the Technological Competency and Healthcare Management Questionnaire (TCHMQ). Descriptive statistics, Pearson correlation, and multiple regression analyses were conducted using SPSS to explore relationships between competency dimensions digital literacy, data analytics, technological integration, cybersecurity awareness, and digital leadership and healthcare management outcomes, including operational efficiency, service quality, decision-making, staff productivity, and innovation. Findings revealed that managers exhibited high levels of digital literacy, technological integration skills, and digital leadership, while cybersecurity awareness and data analytics competence were moderately high. A strong positive relationship (r = .68, p < .001) was observed between technological competency and healthcare management outcomes. Multiple regression analysis indicated that competency dimensions collectively predicted 55% of the variance in healthcare management outcomes, with digital leadership, digital literacy, and technological integration emerging as the most influential predictors. The study concludes that managerial technological competency is a critical enabler of effective healthcare management, enhancing efficiency, service quality, decision-making, productivity, and innovation. It recommends targeted training, capacity building, and policy support to strengthen managerial digital skills, particularly in leadership, system integration, data analytics, and cybersecurity. These findings provide evidence-based guidance for improving healthcare management performance in low- and middle-income contexts.