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A Senior Practice Manager typically oversees the daily operations of a healthcare practice, ensuring compliance and efficiency. As of October 2025, the average salary for this role is $119,792 per year. Salaries can vary significantly based on a multitude of factors, including geographic location and years of experience. In states like California and New York, Senior Practice Managers often earn higher salaries due to the cost of living and demand for healthcare professionals.
Additionally, roles within specialized medical fields may offer higher compensation packages. For instance, Senior Practice Managers in surgical centers or high-demand specialties may see salaries that exceed the average significantly. To maximize earning potential, consider advancing your skills through certifications or obtaining additional qualifications relevant to your field.
By understanding the factors that influence salary and potential career paths, aspiring Senior Practice Managers can make informed decisions about their future.
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The highest-paying states for senior practice managers are New Hampshire, California, and Delaware. The lowest average senior practice manager salary states are Kansas, Montana, and Nebraska.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | New Hampshire | $142,899 | $68.70 |
| 2 | Rhode Island | $130,946 | $62.95 |
| 3 | Maine | $138,176 | $66.43 |
| 4 | California | $139,267 | $66.96 |
| 5 | Delaware | $138,195 | $66.44 |
| 6 | Oregon | $127,025 | $61.07 |
| 7 | Massachusetts | $127,018 | $61.07 |
| 8 | Washington | $126,419 | $60.78 |
| 9 | Minnesota | $131,188 | $63.07 |
| 10 | Virginia | $126,849 | $60.99 |
| 11 | Georgia | $123,827 | $59.53 |
| 12 | Nevada | $121,663 | $58.49 |
| 13 | Tennessee | $126,464 | $60.80 |
| 14 | Illinois | $122,577 | $58.93 |
| 15 | South Carolina | $129,305 | $62.17 |
| 16 | Texas | $123,312 | $59.28 |
| 17 | District of Columbia | $124,617 | $59.91 |
| 18 | Wyoming | $121,824 | $58.57 |
| 19 | Arizona | $118,193 | $56.82 |
| 20 | Vermont | $120,293 | $57.83 |
| 21 | Idaho | $118,846 | $57.14 |
| 22 | Connecticut | $118,591 | $57.01 |
| 23 | New York | $119,656 | $57.53 |
| 24 | Pennsylvania | $115,627 | $55.59 |
| 25 | New Jersey | $118,410 | $56.93 |
| 26 | Ohio | $114,683 | $55.14 |
| 27 | Alaska | $116,290 | $55.91 |
| 28 | New Mexico | $113,092 | $54.37 |
| 29 | Colorado | $113,674 | $54.65 |
| 30 | Michigan | $110,219 | $52.99 |
| 31 | Alabama | $111,412 | $53.56 |
| 32 | Iowa | $112,028 | $53.86 |
| 33 | Maryland | $107,101 | $51.49 |
| 34 | North Carolina | $105,663 | $50.80 |
| 35 | Missouri | $110,146 | $52.95 |
| 36 | West Virginia | $107,096 | $51.49 |
| 37 | Wisconsin | $107,344 | $51.61 |
| 38 | Utah | $103,845 | $49.93 |
| 39 | Kentucky | $106,247 | $51.08 |
| 40 | North Dakota | $102,782 | $49.41 |
| 41 | South Dakota | $106,449 | $51.18 |
| 42 | Louisiana | $106,283 | $51.10 |
| 43 | Florida | $95,039 | $45.69 |
| 44 | Hawaii | $84,572 | $40.66 |
| 45 | Indiana | $98,117 | $47.17 |
| 46 | Montana | $92,249 | $44.35 |
| 47 | Arkansas | $91,765 | $44.12 |
| 48 | Mississippi | $96,053 | $46.18 |
| 49 | Kansas | $94,130 | $45.25 |
| 50 | Oklahoma | $91,934 | $44.20 |
| 51 | Nebraska | $92,102 | $44.28 |
The highest-paying cities for senior practice managers are San Francisco, CA, Woonsocket, RI, and Spartanburg, SC.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | San Francisco, CA | $147,036 | $70.69 |
| 2 | Woonsocket, RI | $131,526 | $63.23 |
| 3 | Spartanburg, SC | $130,122 | $62.56 |
| 4 | Arlington, VA | $127,857 | $61.47 |
| 5 | Seattle, WA | $127,750 | $61.42 |
| 6 | Boston, MA | $127,494 | $61.30 |
| 7 | Portland, OR | $126,376 | $60.76 |
| 8 | Washington, DC | $124,832 | $60.02 |
| 9 | Dalton, GA | $124,603 | $59.91 |
| 10 | Austin, TX | $124,469 | $59.84 |
| 11 | Chicago, IL | $123,124 | $59.19 |
| 12 | Albany, NY | $121,151 | $58.25 |
| 13 | Meridian, ID | $120,185 | $57.78 |
| 14 | Piscataway, NJ | $118,412 | $56.93 |
| 15 | Phoenix, AZ | $118,219 | $56.84 |
| 16 | Philadelphia, PA | $115,985 | $55.76 |
| 17 | Denver, CO | $113,648 | $54.64 |
| 18 | Mason, OH | $113,074 | $54.36 |
| 19 | Troy, MI | $110,550 | $53.15 |
| 20 | Annapolis, MD | $107,153 | $51.52 |
A senior practice manager's salary ranges from $80,000 a year at the 10th percentile to $178,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $178,000 | $14,833 | $86 |
| 75th Percentile | $147,000 | $12,250 | $71 |
| Average | $119,792 | $9,983 | $58 |
| 25th Percentile | $97,000 | $8,083 | $47 |
| 10th Percentile | $80,000 | $6,667 | $38 |
The highest paying types of senior practice managers are medical director, medical manager, and senior manager.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Nursing Director | $87,643 | $7,304 | $42.14 | 76,956 |
| Clinical Director | $96,497 | $8,041 | $46.39 | 83,232 |
| Medical Director | $230,317 | $19,193 | $110.73 | 75,810 |
| Interim Director | $104,142 | $8,678 | $50.07 | 49,433 |
| Service Director | $114,981 | $9,582 | $55.28 | 64,277 |
| Manager | $58,651 | $4,888 | $28.20 | 1,236,194 |
Top companies hiring senior practice managers now:
Senior practice manager salaries at Perkins Coie and Mayo Clinic are the highest-paying according to our most recent salary estimates. In addition, the average senior practice manager salary at companies like Bain & Company and Dechert are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Perkins Coie | $168,884 | $81.19 |
| 2 | Mayo Clinic | $166,381 | $79.99 |
| 3 | Bain & Company | $161,402 | $77.60 |
| 4 | Dechert | $155,433 | $74.73 |
| 5 | Accenture | $150,641 | $72.42 |
| 6 | Abbott | $143,229 | $68.86 |
| 7 | Royal Bank of Canada | $139,253 | $66.95 |
| 8 | Insight Enterprises | $137,816 | $66.26 |
| 9 | UPMC | $134,863 | $64.84 |
| 10 | Data Intensity | $133,308 | $64.09 |
| 11 | Amazon | $131,293 | $63.12 |
| 12 | McKesson | $131,152 | $63.05 |
| 13 | BDO USA | $130,642 | $62.81 |
| 14 | Snowflake Computing | $128,300 | $61.68 |
| 15 | EisnerAmper | $127,492 | $61.29 |
| 16 | CVS Health | $126,151 | $60.65 |
| 17 | UMiami Health System | $124,844 | $60.02 |
| 18 | Health Alliance | $124,569 | $59.89 |
| 19 | Guidehouse | $122,388 | $58.84 |
| 20 | Moss Adams | $120,675 | $58.02 |
The average senior practice manager salary has risen by $20,540 over the last ten years. In 2014, the average senior practice manager earned $99,252 annually, but today, they earn $119,792 a year. That works out to a 8% change in pay for senior practice managers over the last decade.
Compare senior practice manager salaries for cities or states with the national average over time.
Compare senior practice manager salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $120,000 | $57.59 | +3.2% |
| 2024 | $116,000 | $55.77 | +1.2% |
| 2023 | $115,000 | $55.08 | +1.4% |
| 2022 | $113,000 | $54.32 | +1.8% |
| 2021 | $111,000 | $53.32 | +2.1% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Davis Wright Tremaine | Senior Practice Manager | San Francisco, CA | 06/29/2025 | $183,000 |
| Davis Wright Tremaine | Senior Practice Manager | New York, NY | 06/29/2025 | $183,000 |
| Davis Wright Tremaine | Senior Practice Manager | Washington, DC | 06/29/2025 | $183,000 |
| Davis Wright Tremaine | Senior Practice Manager | Seattle, WA | 06/29/2025 | $183,000 |
| Cohen Veterans Network | Senior Manager, Clinical Practice & Training | Stamford, CT | 06/27/2025 | $91,000 |
| Diverge Health | Senior Manager of Practice Liaisons | Cleveland, OH | 06/26/2025 | $120,000 |
| CVS Health | Senior Manager-Agile Practice Management | Hartford, CT | 06/25/2025 | $106,605 |
| University of Rochester | SR. Practice Manager | Rochester, NY | 06/25/2025 | $55,869 |
| Medstar Research Institute | Senior Practice Manager-World Bank | Washington, DC | 06/25/2025 | $80,995 |
| Medstar Research Institute | Senior Practice Manager-Union Memorial Hospital (Cardiac Surgery) | Baltimore, MD | 06/25/2025 | $80,995 |
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