Hiring a medical secretary in San Francisco, CA

Do San Francisco residents in office and administrative support work earn more than employers in the San Francisco-Oakland-Fremont, CA area pay?

San Francisco residents working in office and administrative support occupations earn a median of $54,448 (Census ACS 5-year 2023, tables S2401 and B24011), against $62,555 as the median of the 48 wages BLS publishes for that same occupation group in the San Francisco-Oakland-Fremont, CA area (BLS OEWS, May 2025), a difference of 13%, with the employers figure the higher of the two.

Both sides of that figure describe the whole office and administrative support group, not this one role. In the San Francisco-Oakland-Fremont, CA area the group covers 48 occupations BLS publishes a wage for, from gambling cage workers at $39,390 to executive secretaries and executive administrative assistants at $105,190 (BLS OEWS, May 2025), with medical secretaries and administrative assistants at $61,330 inside it.

That comparison is between two different measures, not a pay gap. The two weight the same occupation group differently: the Census figure is the midpoint across the people who actually hold those jobs, so a group carrying a few very well paid occupations is pulled toward them, while the BLS figure is the midpoint across the 48 published occupation wages, which counts each of those occupations once whatever its headcount. Census also counts where people live and BLS counts where the jobs are, and the two cover different populations, Census the civilian employed population 16 and over, BLS wage-and-salary jobs only. Read the number against other cities, where the same definitional difference applies on both sides, rather than as a shortfall.

Published wages across this group in the metro run above what San Francisco residents in it earn, which usually means employers here draw this talent from beyond the city line rather than from inside it.

Is the talent actually in San Francisco?

This is a job zone two: some preparation needed occupation. These occupations usually require a high school diploma. O*NET OnLine, SOC 43-6013.

It does not require a degree, which widens the pool considerably. For context, 60.1% of San Francisco adults hold one. Census ACS 5-year 2023, table S1501, residents of San Francisco aged 25 and over.

The average San Francisco commute runs 31.2 minutes, which is roughly how far your catchment reaches before candidates start saying no. 27.5% of San Francisco workers already work from home, so a fully onsite requirement here is competing against that. Census ACS 5-year 2023, place-level commuting characteristics for San Francisco.

How often do these jobs turn over?

In San Francisco County, administrative and support services employs 42,669 and turns over 13.6% a quarter, with 10,515 hires against 10,810 separations. Average earnings in that industry run $9,220 a month. Census LEHD Quarterly Workforce Indicators, 2024 Q1, NAICS 56.

That figure covers every occupation in the industry, not this role alone, so read it as the local churn rate rather than as a number about medical secretaries and administrative assistants. It still tells you what you are hiring into: a high-churn market, where speed matters more than a perfect fit.

What does the search cost?

The fee is set by the seniority of the role, never by salary and never by location. Across all six tiers it runs $6,240 to $54,340 per search. A contingency firm hiring at this role's $61,330 median in the San Francisco-Oakland-Fremont, CA area (BLS OEWS, May 2025) would bill roughly $12,266 to $18,399 on the first year salary alone.

One owner runs the search from market map to signed offer. Searches typically fill in 23 to 35 days, which is a typical window rather than a promise, and the replacement guarantee runs 45 days at 50% off.

Questions employers ask about hiring a medical secretary in San Francisco

What does it cost to hire a medical secretary in San Francisco?

Tier I to Tier VI, $6,240 to $54,340 per search, set by the seniority of the role and never by salary or location. A contingency firm billing 20 to 30% of this role's $61,330 median wage in the San Francisco-Oakland-Fremont, CA area (BLS OEWS, May 2025) would charge roughly $12,266 to $18,399 on the first year salary alone.

What should an offer for a medical secretary in San Francisco look like?

Employers in the San Francisco-Oakland-Fremont, CA area pay medical secretaries and administrative assistants a median of $61,330, with the middle half of the market between $51,510 and $77,480 (BLS OEWS, May 2025). A band set below $51,510 competes for the bottom quarter of that market.

Do San Francisco residents in office and administrative support work earn more than employers in the San Francisco-Oakland-Fremont, CA area pay?

San Francisco residents working in office and administrative support occupations earn a median of $54,448 (Census ACS 5-year 2023, tables S2401 and B24011), against $62,555 as the median of the 48 wages BLS publishes for that same occupation group in the San Francisco-Oakland-Fremont, CA area (BLS OEWS, May 2025), a difference of 13%. Both figures cover the whole occupation group rather than this one role, and one counts where people live while the other counts where the jobs are, so the percentage is not a pay gap.

Is the talent for this role already in San Francisco?

This is a job zone 2 occupation and does not require a degree, which widens the pool considerably. For context, 60.1% of San Francisco adults hold a bachelor's degree or higher (Census ACS 5-year 2023, table S1501).

Related

• Hiring Medical Secretaries and Administrative Assistants: the role, the pay, the process
• Recruiting services in San Francisco
• Every California city we cover

San Francisco is the 4th largest of 21 California cities in this dataset.