Highest Paying Jobs In Roanoke, VA For 2026
As we look toward 2026, the job market in Roanoke, Virginia, continues to thrive across various sectors, including healthcare, technology, and finance. If you’re seeking a lucrative career in Roanoke, this updated guide will assist you in identifying the top-paying professions available in the area.
Utilizing data from the Bureau of Labor Statistics (BLS) and other reputable sources, we highlight the 21 highest-paying jobs in Roanoke for 2026. While many high-paying positions demand significant experience, there are also promising entry-level opportunities for candidates with the appropriate educational qualifications.
The highest-paying job in Roanoke remains the Physician, boasting an impressive average annual salary of $283,402, with entry-level positions starting at $147,000.
Whether you are contemplating a career transition, considering a move to Roanoke, or a recent graduate strategizing your future, this guide to the highest-paying jobs and most lucrative industries in Roanoke will help you plot your next career move.
Below is a snapshot of the top 10 highest-paying jobs in Roanoke, Virginia:
Detailed List of Highest Paying Jobs in Roanoke
| Rank | Job Title | Average Salary | Entry Level Salary |
|---|---|---|---|
| 1 | Physician | $283,402 | $147,000 |
| 2 | Hospitalist Physician | $253,775 | $176,000 |
| 3 | Geriatric Physician | $221,383 | $113,000 |
| 4 | Hospitalist | $221,096 | $147,000 |
| 5 | Psychiatrist | $202,620 | $127,000 |
| 6 | Family Medicine Physician | $201,177 | $124,000 |
| 7 | Internal Medicine Physician | $196,648 | $121,000 |
| 8 | General Internist | $190,524 | $118,000 |
| 9 | Gastroenterologist | $175,555 | $108,000 |
| 10 | General Practitioner | $164,166 | $77,000 |
| 11 | Driver/Owner Operator | $158,310 | $63,000 |
| 12 | Chief Operating Officer | $146,915 | $85,000 |
| 13 | Dentist | $146,071 | $97,000 |
| 14 | Podiatrist | $139,047 | $66,000 |
| 15 | Senior Sales Engineer | $137,167 | $101,000 |
| 16 | Pediatric Dentist | $136,917 | $83,000 |
| 17 | Managing Director | $133,519 | $73,000 |
| 18 | Information Systems Manager | $129,654 | $88,000 |
| 19 | Pharmacist | $128,000 | $100,000 |
| 20 | Chief Of Operations | $127,282 | $87,000 |
| 21 | Senior Principal Engineer | $126,675 | $89,000 |
How We Determined the Highest Paid Jobs in Roanoke for 2026
To identify the highest-paying jobs in Roanoke, we analyzed the latest data from the Bureau of Labor Statistics (BLS), Foreign Labor Certification Data Center (FLC), Office of Personnel Management (OPM), and other trusted resources.
Zippia’s dedicated data science team enhances this information by continuously monitoring millions of job postings each day to uncover published salaries. We correlate these reported salaries with companies, locations, and job titles from other data sets.
Finally, we calculate a weighted average of these inputs to estimate the salary for each specific job title in Roanoke.
In total, the team assessed salary data for over 1,000 job titles in Roanoke to pinpoint the most lucrative positions.
Editor’s Note: Article updated for 2026. This marks our eighth ranking of the highest paying jobs in Roanoke.

