How to get a good salary job in the medical field?

How to handle salary discussions before you have a job offer?

  • Help with salary negotiations? The standard wisdom -- which I've been trying to follow -- is that you aren’t supposed to talk about salary until after you get a job offer. But the organization began talking about it when they called to schedule the first interview. Suggestions? I applied for a job. They required a salary history. I sent mine, stating that I make, let’s say, $60k (the details are changed here; it’s less than that). An assistant called, saying they wanted to schedule an interview with me, “but [boss] wanted to flag the fact that the salary for this position is in the mid-40s. Would you still be interested?” I paused (a bit surprised, really) and said something noncommittal, like “it would certainly be worth us having more discussion about the position.” Next, I had a phone interview with the supervisor. The discussion had very few questions about my qualifications (one question). The call’s purpose seemed to be to explain the position and allow me to ask questions. She brought up the salary, and said that they have “authorization” to offer up to $48k, what did I think? I said something like “I would want to consider the salary in light of the full package, including benefits and the opportunities for professional growth.” She explained the benefits package (including a matching donation to a retirement account, which I admitted would close some of the gap). The job offers a lot of opportunity for professional growth; I'd be really passionate about the work; they’re a great organization; and I could still live on the lower salary (though my ability to save would go way down). If offered the job, I would like to take it. But a 20% salary cut is still hard to take. It’s a much tougher decision than it would be if they could close that gap a bit more. How should I handle this? Should I start to openly admit that it would be a tough decision for me at their current budget? Should I continue trying to wait until they actually offer me the job (or not)? I’d rather discuss salary once we've decided if I'd be a good fit for the job. But if so, how do I field the question? I think they may have the impression I would consider taking the job at the current salary, because I’ve typically changed the subject to how I’d be very excited to contribute to the organization. I don’t want them to think I’m agreeing to it and then seem to change my mind later. Since they keep trying to get me to say that salary is okay, they may not have much flexibility, but they must have some, right? How would you handle this?

  • Answer:

    Is this an entry level position, a mid-level move, or (it seems unlikely) a senior-level management role? Assuming one of the first two, I suggest being honest with them. Say something like, "This looks like a great role, and I think I could offer a lot to the organization based on what I have heard so far. However, it would be a tough decision for me, given the compensation we have discussed versus my current salary. Would you be willing to consider $someNumber?" They've been honest and open with you, from the beginning - which suggests that they're aware that you probably would expect more given your background and/or experience, or that they know that they are underpaying the position. Personally, I would never take a pay cut to move within my industry, but maybe you would. Consider it, be honest, and go from there.

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Other answers

Is their offer a fair one for the position? and is it good enough? If you're having this much of a conundrum about compensation at this stage of the process, how do you think it will be when it comes time for a review and/or raise. Going only by what you have posted I would tell you to pass on it. If it doesn't feel right, it doesn't feel right. The real question is whether the "sacrifice" (ie salary cut) is worth it. Only you know that. You can try to negotiate the gap if, again, *IF* they offer you the job. If they do, I personally would tell them that I would love, love, love to work for them but they are asking me to make a difficult decision by not coming close to my requirements. It's tempting to go for an opportunity you've been waiting to present itself but at the same time you need to make sure it's right for you. Lastly, this is business. Don't take it personally. Ask for what you need otherwise they won't know and they're not just going to give it to you.

eatcake

They're being up-front with you, and they've upped from "a number-ish" to "a bit higher and more specific number-ish", so they're feeling you out. If I were you, I'd say that you should be equally honest, and say that their benefits et al as described would certainly offset some of the salary discrepancy, but that the gap is still larger than you want it to be -- but that you hate to walk away given what you've learned about the company and what a good fit you think it might be, so you'd like a bit more time to consider it, and you'd like to meet some of the people you're going to be working with. And then follow up on that. Of course, if after taking that time and meeting those people you still can't come to grips with the salary difference, say so and move on. It's been said, this is just business, and so you should be businesslike about it and avoid wasting their time (by being up-front about the salary available, they're not wasting yours.) Oh, and there's no guarantee there's more money; it's possible they do, but it's also possible they have three candidates they like, and they like you best, but HR doesn't want to pay the premium for you...and with two other candidates on the table at a lower price, they won't. Or that their system simply caps the salary and that's that, no flexibility. So don't take it personally, and know that you should be aiming for a package you will be happy with, not trying to stick it to them or milk them dry.

davejay

I don't think you should discuss salary any further until they have offered you the job.

sevenyearlurk

I think davejay gives good advice here. I frequently hire for grant funded positions, for which the salary range is very limited. I open interviews (on the phone), particularly with people on the high end of the qualifications spectrum, with describing the salary. There really is no more money to offer even the most qualified applicants, so it seems worth everyone's while to be up front about it.

OmieWise

In addition to salary, you may want to consider bringing into the negotiation other parts of the compensation package. For instance, is there a performance bonus that can be negotiated? Also think about non-cash benefits that you value, including vacation time, schedule flexibility, training & education, etc. Hiring managers sometimes have more flexibility on non-salary benefits. The more options you can introduce into the negotiation, the more likely it is that you reach a happy agreement.

blue mustard

The single best bargaining tactic is to walk away (not literally... don't be rude or anything like that). If they really want you, and know they won't get you unless they bump the salary, I think you'll find it amazing how money can be "found" a few weeks later. Like ellF, I wouldn't take such a large pay cut, either. Just make sure they understand that, except for the money issue, you'd be thrilled to work there. But also keep in mind that sometimes there's simply nothing the hiring person can do about it, and move on until you find a better financial match. Either way, you definitely need to bring this up ASAP since they've been so up-front about their position from the beginning.

Civil_Disobedient

You don't mention how you feel about your current job. If you hate the job you have now and this job seems to have high potential for growth, the pay cut might be worth it. Have you asked about their schedule for pay raises? Are they annual? Do they have standard raises or merit raises or a combination of the two? could between their matching retirement contributions and a couple of raises you would quickly match your current salary. Good luck! (And let us know what you decide!)

knolan

It's unlikely they'll actually offer you this job at a large pay cut, as they know you'll fly the coop as soon as you find something else that pays better. If you do decide to take this job, do as blue mustard says and negotiate additional time off. If they generally give new hires 10 days vacation a year, ask for 15. Time, as they say, is money.

Joleta

But a 20% salary cut is still hard to take. It’s a much tougher decision than it would be if they could close that gap a bit more. Just as a data point: I work in nonprofits. In January I accepted a new job (which I love) at an 18% salary cut from my old job (which I hated, and was making me nuts). Now, because of the economy (our heating oil price has doubled, increasing food prices, etc.) I'm once again looking for a new job (probably returning to the corporate world) because budget decisions that worked in January no longer work in July and really won't work in November. This is a tough economy to be taking a pay cut in, especially if the cut is that big and will possibly bring your finances down to a more borderline status.

anastasiav

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