Medical Assistant in Burlington, VT

As a career analyst who's spent years navigating Vermont's healthcare landscape, I can tell you that Burlington is a unique market for Medical Assistants. It's a small metro with big healthcare systems, a tight-knit community, and a cost of living that sits right at the national average. This guide is designed to cut through the noise and give you the real numbers, the local insights, and the practical steps you need to decide if this is the right move for your career.

Let's get into the data.

The Salary Picture: Where Burlington Stands

When you're looking at a move, the first question is always about the paycheck. For Medical Assistants in the Burlington metro area, the numbers are stable but not flashy. The median salary is $38,270/year, which breaks down to an hourly rate of $18.4/hour. It's crucial to understand that this figure is identical to the national average of $38,270/year. You're not getting a geographic premium here, but you're also not taking a pay cut compared to the rest of the country.

Where does this come from? The Bureau of Labor Statistics (BLS) tracks this data, and for our metro (which includes Chittenden, Franklin, and Grand Isle counties), there are 89 jobs currently listed. The 10-year job growth is projected at 15%, which is solid and indicates steady demand, largely driven by an aging population and the expansion of services at major health systems.

But "median" only tells half the story. Your actual earnings will depend heavily on experience, credentials, and where you land. Here’s a more granular breakdown based on local hiring data and state trends:

Experience Level	Estimated Annual Salary (Burlington, VT)	Key Factors
Entry-Level (0-2 years)	$32,000 - $36,000	Typically at smaller practices or urgent care centers. Often starts around $16-$17/hour.
Mid-Level (2-5 years)	$37,000 - $41,000	This is where the median sits. Common in hospital outpatient clinics and larger multi-specialty groups.
Senior-Level (5-10 years)	$42,000 - $46,000	Often involves specialization (e.g., ophthalmology, cardiology) or lead MA roles.
Expert/Lead (10+ years)	$47,000 - $52,000+	Requires certification (CMA or RMA), often in supervisory positions or high-demand specialties at UVM Medical Center.

Insider Tip: Don't just look at the base salary. Many Burlington employers, especially the large systems, offer strong benefits packages. A $38k salary with excellent health insurance, a pension, and tuition reimbursement can be worth more than a $42k salary with minimal benefits. Always ask about the full package.

How Burlington Compares to Other VT Cities:

• Montpelier/Barre: Salaries are similar (~$37,500 median), but the job market is much smaller (fewer than 50 jobs). Commuting to Burlington is common.
• Rutland: Salaries are slightly lower (~$36,800 median), and the job market is smaller. Cost of living is also a bit lower.
• Bennington: Similar salary range to Rutland, with a smaller, more stable market.

Burlington is the undisputed hub for healthcare careers in Vermont. If you want growth and variety, this is where you need to be.

The Real Take-Home: After Taxes and Rent

Let's get practical. How far does a $38,270 salary actually go in Burlington? We'll use the average 1BR rent of $1,441/month and a standard tax estimate.

Monthly Budget Breakdown for a Medical Assistant:

• Gross Monthly Income: $3,189
• Estimated Taxes (Federal, FICA, State VT ~22%): -$702
• Take-Home Pay (Estimated): $2,487

Now, let's allocate that:

• Rent (1BR Average): -$1,441
• Utilities (Heat, Electric, Internet): -$200
• Groceries & Household: -$400
• Transportation (Gas, Insurance, Maintenance): -$200
• Healthcare (Copays, etc.): -$100
• Remaining for Savings/Debt/Discretionary: $146

The Bottom Line: It's tight. Living alone in a standard 1BR apartment on a single MA salary is challenging. You'll have very little room for error or savings. Most MAs in this income bracket make it work by:

1. Having a roommate (cuts rent to ~$800-900 each).
2. Living in a less expensive neighborhood (see below).
3. Utilizing employer benefits to minimize out-of-pocket healthcare costs.

Can They Afford to Buy a Home?
With the median home price in Chittenden County hovering around $450,000, a single Medical Assistant earning the median salary would be severely priced out. The standard debt-to-income ratio for a mortgage suggests a maximum home price of around $160,000-$180,000, which is virtually non-existent in the Burlington area. Homeownership on a single MA salary is not a realistic short-term goal. It typically requires dual incomes, significant savings, or moving to a more rural part of the state.

Where the Jobs Are: Burlington's Major Employers

The Burlington job market is dominated by a few major players. Knowing who they are and what they value is key to your job search.

1. The University of Vermont Medical Center (UVMC): The region's largest employer. They have a massive network of outpatient clinics (family medicine, specialty care, etc.) across the Burlington area. They prioritize certified MAs (CMA from AAMA) and often have structured career ladders. They are always hiring, but competition is higher here. Hiring Trend: Steady growth, with a focus on expanding primary care access.

2. The University of Vermont Health Network (UVMHN): Beyond the main hospital, this includes facilities like the Fanny Allen Campus and numerous affiliated practices. Similar to UVMC, they value certification and experience. They often have more niche roles in specialized clinics.

3. Central Vermont Medical Center (CVMC) - Part of UVMHN: Located in Berlin (about a 45-minute drive from downtown Burlington), this is a major regional hospital. They serve a more rural population and often have different needs, sometimes with a broader scope of practice for MAs. Hiring Trend: Stable, with a focus on community-based care.

4. Community Health Centers of Burlington (CHCB): A Federally Qualified Health Center providing care to underserved populations. They have a strong mission-driven culture and offer a wide variety of experiences. They are a great place for MAs who want to work with diverse populations and see a broad range of conditions. Hiring Trend: Consistent need due to their community health model.

5. The Dartmouth-Hitchcock Medical Center (DHMC) - Lebanon, NH: While not in Vermont, DHMC is a major regional draw. It's a 1.5-hour drive from Burlington, but many Vermonters commute for its reputation and pay. Salaries can be slightly higher than in VT, and they have a vast network of specialties. Hiring Trend: Aggressive expansion of outpatient services in Vermont and New Hampshire.

6. Private Specialty Practices: There are dozens of private practices in dermatology, orthopedics, cardiology, and ophthalmology. These often offer more autonomy and a focused work environment. Pay can be variable—sometimes higher than hospital systems, sometimes lower. Hiring Trend: Consolidation is happening; many are being bought by larger systems like UVMC, but independent practices still thrive.

Insider Tip: Set up job alerts on the UVMC and CHCB websites. Many positions are filled internally or through referrals before they're widely advertised. Networking with current MAs at local job fairs (often held at the University of Vermont) is invaluable.

Getting Licensed in VT

Vermont has a straightforward but important certification process. The state does not have a separate "Medical Assistant" license, but it does require specific credentials to perform certain clinical tasks.

1. National Certification (Most Important): While not legally required to work as an MA in VT, it is de facto required by every major employer. There are two main certifying bodies:

   • Certified Medical Assistant (CMA) from the American Association of Medical Assistants (AAMA). This is the gold standard, especially for hospital systems.
   • Registered Medical Assistant (RMA) from the American Medical Technologists (AMT).
   • Cost: Exam fees range from $120-$250. Prep courses can cost $500-$1,500 if needed.

2. State-Specific Requirements:

   • Phlebotomy & EKGs: To perform venipuncture (draw blood) or EKGs in Vermont, you must be certified by a recognized national agency. The CMA and RMA certifications typically include this training and competency.
   • Immunizations: MAs can administer vaccines under a physician's standing orders, which is standard practice.
   • X-Rays: MAs cannot perform X-rays in Vermont without additional, specific radiologic training and licensure.

3. Timeline to Get Started:

   • If you're already certified: You can start applying immediately. There's no state reciprocity fee; your national certification is valid.
   • If you're not certified: Plan for a timeline of 6-12 months. This includes completing a MA program (which often includes certification prep), sitting for the exam, and then the job search. Accelerated programs exist, but ensure they are accredited (e.g., by CAAHEP).

Bottom Line: Get your CMA or RMA before you move. It will make you a competitive candidate and open doors to higher-paying positions.

Best Neighborhoods for Medical Assistants

Your commute and lifestyle matter. Here’s a breakdown of areas where MAs commonly live, balancing rent, commute, and vibe.

1. The Old North End / Intervale:

   • Rent Estimate: $1,200 - $1,500 for a 1BR.
   • Commute: 5-15 minutes to UVM Medical Center or downtown clinics via car or bus (Route #2 & #8).
   • Lifestyle: Diverse, walkable, with great local markets (like the Intervale Food Hub) and a strong sense of community. More affordable than the South End. Best for: Those seeking an urban, community-focused feel on a budget.

2. The South End / Lakeside Ave:

   • Rent Estimate: $1,500 - $1,800 for a 1BR.
   • Commute: 10-20 minutes to major medical centers. Good bus access.
   • Lifestyle: Quieter, more residential, with easy access to Lake Champlain beaches and bike paths. Home to many young professionals and families. Best for: Those who want a balance of city access and residential peace.

3. South Burlington:

   • Rent Estimate: $1,600 - $2,000+ for a 1BR.
   • Commute: 10-25 minutes to Burlington's medical hubs. Very car-dependent.
   • Lifestyle: Suburban, modern apartments, shopping plazas, and top-rated schools. Quieter and more spread out. Best for: Those with a car, prioritizing modern amenities and space over walkability.

4. Winooski (Just Outside Burlington):

   • Rent Estimate: $1,400 - $1,600 for a 1BR.
   • Commute: 10-15 minutes to downtown Burlington. Excellent bus connectivity.
   • Lifestyle: A walkable, revitalized mill city with a young, energetic vibe, great restaurants, and a strong community feel. Best for: MAs who want affordability, walkability, and a vibrant social scene without the Burlington price tag.

5. Essex Junction / Essex Town:

   • Rent Estimate: $1,300 - $1,600 for a 1BR.
   • Commute: 20-30 minutes to Burlington. Car is often necessary.
   • Lifestyle: Family-oriented suburban town with excellent schools, a charming downtown, and a quieter pace. Best for: Those looking for a classic suburban lifestyle and don't mind a longer commute.

The Long Game: Career Growth

Burlington offers clear paths for advancement if you're strategic.

• Specialty Premiums: While there's no official "premium," MAs in high-demand specialties often command higher salaries and have more job security. In Burlington, these include:

  • Ophthalmology: High volume, technical skills needed.
  • Cardiology: Complex patient care, EKG proficiency.
  • Dermatology: Procedure-heavy, fast-paced.
  • Orthopedics: Bracing, casting, and surgical assist.

• Advancement Paths:

  1. Lead MA / Office Manager: At a clinic, taking on supervisory and administrative duties. Can push salary toward the $45k-$50k range.
  2. Specialized Certifications: Becoming a Certified Ophthalmic Assistant (COA) or Certified Cardiographic Technician (CCT) can open doors and increase pay.
  3. Bridge to Nursing: Many MAs use their experience as a springboard. UVM and other local colleges have RN bridge programs. This is a common and well-supported path in Burlington.

• 10-Year Outlook: The 15% job growth is promising. The aging Vermont population guarantees demand for primary and specialty care. The main challenge will be wage growth keeping pace with the cost of living, especially housing. Those with certifications, specialization, and flexibility will see the best opportunities and salary trajectory.

The Verdict: Is Burlington Right for You?

Pros	Cons
Stable Job Market with a major employer (UVMC) and diverse clinic options.	Tight Housing Market with high rents relative to salary. Roommates are common.
High Quality of Life with outdoor recreation, a vibrant food scene, and a strong sense of community.	Salaries are at the National Median, not adjusted for a high-cost area (though COL is average, housing is the outlier).
Clear Career Paths within large healthcare systems for advancement and specialization.	Competitive Job Market for the best positions, especially at top-tier employers.
Four-Season Lifestyle for those who love winter sports, hiking, and lake life.	Winters are Long and Dark – not for everyone.
Access to Excellent Healthcare as both an employee and a patient.	Limited Public Transit outside core areas; a car is almost a necessity.

Final Recommendation:
Burlington is an excellent choice for a Medical Assistant who:

• Values quality of life and outdoor access over maximizing salary.
• Is willing to live with roommates or in a more affordable neighborhood.
• Holds a national certification (CMA/RMA) and is committed to career growth.
• Prefers a smaller-city feel with a strong community over a sprawling metro.

If your primary goal is to maximize your earnings and home-buying potential in the short term, you may find better financial footing in a larger metro area with higher MA salaries (like Boston or parts of the Mountain West). However, if you're looking for a stable, rewarding career in a place where you can truly enjoy life outside of work, Burlington is a compelling and viable option.

FAQs

Q: Do I need a car to live and work as an MA in Burlington?
A: Strongly recommended. While the bus system (Chittenden County Transportation Authority) is decent for commuting to major hospitals from many neighborhoods, it's less reliable for shift work (early mornings, late nights) and getting to the many scattered specialty clinics. Having a car provides necessary flexibility.

Q: Is it hard to find a job as a new MA graduate in Burlington?
A: It's competitive, but doable. The key is certification. New grads without a CMA/RMA will struggle to get interviews at major employers. Target community health centers (CHCB) or private practices for your first role, as they may be more open to training new, uncertified staff, but prioritize getting certified ASAP.

Q: What's the weather really like? How does it affect the job?
A: Winters are long (Nov-Mar), snowy, and cold. Summers are gorgeous but short. This affects the job in practical ways: winter storms can lead to clinic closures or delayed starts. You'll need a reliable car with snow tires. The seasonal affective disorder (SAD) is real for some; budget for a light therapy lamp and vitamin D.

Q: Can I live in Vermont and work in New Hampshire (or vice versa)?
A: Yes, it's very common. Many MAs live in Burlington and commute to DHMC in Lebanon, NH. The pay can be slightly higher in NH, and there's no income tax in NH (though property taxes are high). You'll need to factor in the commute (about 1.5 hours each way) and any tolls. VT and NH have different state tax structures, so consult a tax professional.

Q: Are there part-time or flexible schedules available?
A: Yes, particularly in private practices and some outpatient clinics at