BC Salary Guide · 2026

Medical Office Assistant Salary in Victoria, BC (2026)

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$47,000 CAD is the average annual salary for a Medical Office Assistant in Victoria, BC, based on aggregated data from Indeed, Glassdoor, Canada's Job Bank, and PayScale as of early 2026. This page covers the full pay range from entry-level clinic reception roles through to senior lead positions at health authorities, explaining who earns at each tier and why. Figures vary by setting (private clinic vs. Island Health authority), union status, shift type, and years of experience with certified skills such as EMR platforms or medical billing.

Entry Level
$36K - $43K CAD
0-1 yr, no EMR certification, private clinic or reception
Mid-Career
$43K - $52K CAD
2-5 yrs, EMR proficient, community health or specialist clinic
Senior
$52K - $60K CAD
5-10 yrs, lead MOA duties, health authority or hospital setting
Lead / Supervisor
$60K - $67K CAD
10+ yrs, supervisory scope, union step or health authority band

MEDICAL OFFICE ASSISTANT SALARY RANGES IN VICTORIA, BC - 2026

Entry Level
$36K - $43K CAD
Mid-Career
$43K - $52K CAD
Senior
$52K - $60K CAD
Lead / Supervisor
$60K - $67K CAD
Source: Indeed, Glassdoor, Canada's Job Bank, PayScale (2025-2026). Base salary only; excludes overtime, shift differentials, benefits, and union increments.

What does a Medical Office Assistant earn at each level in Victoria?

Pay steps in this role are driven by employer type, union grid placement, and certified skill depth more than years of service alone.

Entry Level

$36K - $43K CAD

Front-desk or reception roles in private family clinics with limited EMR exposure typically sit at the lower end of the BC wage band.

How to move up

  • Complete a recognized MOA certificate program (BCIT, Camosun College, or equivalent)
  • Learn at least one major EMR platform such as OSCAR or Accuro on the job
  • Apply for casual Island Health positions to gain health authority exposure
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Mid-Career

$43K - $52K CAD

Candidates with 2-5 years in specialist or community health clinics and solid EMR skills earn near the provincial median of $22/hr.

How to move up

  • Add a medical billing or coding module to your credentials
  • Target VIHA/Island Health job postings where union grid steps apply
  • Document scope clearly on your resume - billing, triage intake, referral coordination
Rewrite your resume around production impact →

Senior

$52K - $60K CAD

Experienced MOAs in health authority or hospital outpatient settings, often on a union grid, handle complex scheduling, referrals, and junior staff oversight.

How to move up

  • Pursue a union steward or lead MOA designation within Island Health
  • Add transcription or electronic health records (EHR) audit skills
  • Apply for posted Lead MOA competitions within BC health authorities
Rewrite your resume around production impact →

Lead / Supervisor

$60K - $67K CAD

Supervisory or team-lead MOA roles at Island Health or large group practices cap the local range, with pay tied to CUPE or HEU classification grids.

How to move up

  • Negotiate to the top step of your union grid through seniority accrual
  • Cross-train in health information management to qualify for higher NOC codes
  • Pursue a health office administration diploma for eligibility in management-adjacent roles
Rewrite your resume around production impact →

Stuck below the mid-market rate?

Many Victoria MOAs plateau in the $40K-$44K range because private clinic employers are not bound by union grids and rarely post internal pay scales. Moving to a health authority posting or adding a billable skill is the fastest way to close the gap.

  • Score your resume against Island Health and VIHA job postings before applying - match their exact language
  • Add a documented EMR skill (OSCAR, Accuro, Wolf EMR) to your resume header
  • Request a formal pay review citing Canada's Job Bank BC median data ($22.00/hr)
  • Apply for casual or part-time Island Health roles to gain union grid eligibility
  • Complete a medical billing module to unlock specialist clinic and hospital MOA tiers
  • Get a second opinion on your resume with an ATS scan before each application

Turn your experience into top-of-band language

Health authority recruiters use keyword filters before a human reads your resume - using the right terms for your EMR platforms, billing skills, and patient intake scope can shift you from screened-out to shortlisted in the $52K-$60K band. Optimize your resume to reflect what Island Health and BC health authority postings are actually looking for.

What drives Medical Office Assistant salaries higher in Victoria

Higher-paying candidates typically show:

  • Employer type - Island Health and BC health authority positions follow union classification grids (CUPE/HEU) and typically pay $3-$6/hr more than equivalent private clinic roles
  • EMR platform proficiency - hands-on experience with OSCAR, Accuro, or Wolf EMR is cited in most higher-paying job postings and directly affects placement level
  • Union step and seniority - unionized MOAs accumulate grid steps over time, adding $1-$2/hr per step without changing role title
  • Medical billing and coding skills - MOAs who handle MSP billing, WCB claims, or ICBC documentation are valued at specialist clinics and command premiums
  • Shift and schedule type - evening, weekend, or on-call shifts at hospital outpatient departments attract shift differentials on top of base pay
  • Setting complexity - roles in oncology, surgical, or mental health outpatient clinics require higher skill depth and are compensated accordingly

Medical Office Assistant salaries by BC city

Victoria, BC

$43K - $60K CAD

The largest local employer is Island Health (VIHA); union-covered roles typically reach the mid-to-upper band, while private family clinics anchor the lower end near $36K-$43K.

Vancouver, BC

$44K - $65K CAD

Vancouver offers a slightly wider range due to large health authorities (Vancouver Coastal Health, PHC) and a higher density of specialist and surgical clinics paying above-median MOA wages.

Nanaimo, BC

$38K - $55K CAD

Island Health also governs Nanaimo General and surrounding community clinics; union roles are accessible but the smaller market means fewer senior postings than Victoria.

Kamloops, BC

$38K - $54K CAD

Interior Health Authority is the primary public employer; private clinic pay tends to track BC minimum wage floors more closely than in coastal urban centres.

Prince George, BC

$39K - $55K CAD

Northern Health postings sometimes carry a northern allowance or retention premium, partially offsetting the higher cost of living relative to the lower urban density.

Victoria candidates with union-eligible credentials should prioritize Island Health casual pools as a direct path to higher pay steps. If you are open to remote administrative support roles at Vancouver-based health organizations or US-headquartered telehealth companies, those postings can push total compensation to $60K+ CAD without relocating - but confirm whether the role is classified as MOA or as a broader health admin title before benchmarking pay.

Union vs. non-union pay gap

Island Health MOA roles covered under CUPE or HEU agreements typically pay $2-$5/hr more than non-union private clinic equivalents in Victoria. Union employees also accrue grid steps over time, meaning a 5-year Island Health MOA often earns more than a 10-year private clinic MOA at the same title. If you are in a non-union role, Canada's Job Bank wage data is your strongest negotiation reference.

Shift differentials and overtime

Hospital outpatient and walk-in clinic MOA roles may include evening and weekend shift differentials of $1.50-$3.00/hr above base, which are not captured in annual salary averages. When comparing offers, always convert total compensation including anticipated overtime or differential hours. Island Health collective agreements set these rates explicitly.

Benefits and pension

Health authority and large clinic roles typically include extended health, dental, and MSP premium coverage as part of total compensation - adding an estimated $3,000-$6,000/yr in non-cash value. Provincial government and health authority employees may also access the Municipal Pension Plan. Private clinic roles vary significantly; confirm benefit eligibility before evaluating a total compensation package.

Negotiation and preparation checklist for Victoria MOA roles

Use this list before submitting applications and before any salary conversation with a hiring manager or HR contact.

  • Look up the current Canada's Job Bank BC median for Medical Office Assistant (NOC 14101) and note the $22.00/hr benchmark
  • Identify whether the posting is unionized (Island Health / VIHA CUPE or HEU) or non-union and research the applicable grid or pay band
  • List every EMR platform you have used (OSCAR, Accuro, Wolf, MedAccess) by name in your resume skills section
  • Document any billing or coding tasks (MSP, ICBC, WCB) as concrete bullet points with volume or scope
  • Run your resume through an ATS keyword check against the specific job posting before submitting
  • Prepare a one-sentence salary anchor for the interview: cite Indeed Victoria average ($23.79/hr) and Job Bank BC median ($22.00/hr) as your floor
  • Ask the employer to confirm the full pay band or grid step range - not just the starting rate - before accepting an offer
  • Confirm benefits package value in writing, including extended health, dental, and pension eligibility dates

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Common Questions

Answers to the most common questions about Medical Office Assistant compensation in Victoria, BC.

How much does a Medical Office Assistant make in Victoria, BC?

Based on aggregated data from Indeed, Glassdoor, and Canada's Job Bank, the average salary for a Medical Office Assistant in Victoria, BC is approximately $47,000 CAD per year as of early 2026. The full typical range runs from about $36,000 at entry level to $67,000 for experienced lead or supervisor roles in health authority settings. Figures are base salary only and exclude shift differentials, overtime, and benefits.

What is the hourly rate for a Medical Office Assistant in BC?

Canada's Job Bank reports a BC hourly range of $17.40 to $29.00, with a median of $22.00/hr for Medical Office Assistants. Indeed reports a Victoria-specific average of $23.79/hr based on over 100 reported salaries as of early 2026. Hourly rates are higher in unionized Island Health or hospital outpatient roles than in private family clinics.

Do Medical Office Assistants at Island Health earn more than at private clinics?

Yes. Island Health (VIHA) MOA positions covered under CUPE or HEU collective agreements typically pay $2 to $5/hr more than non-union private clinic roles in Victoria and Nanaimo. Union employees also receive automatic step increases based on seniority, extended health benefits, and access to the Municipal Pension Plan, which significantly increases total compensation over a career.

What skills increase Medical Office Assistant pay in Victoria?

The highest-impact skills are hands-on proficiency with electronic medical records (EMR) platforms such as OSCAR, Accuro, or Wolf EMR; medical billing for MSP, WCB, or ICBC; and experience in specialist or surgical clinic settings. MOAs who can handle referral coordination and triage intake alongside standard front-desk duties are consistently placed at higher pay bands in both union and non-union environments.

Is a Medical Office Assistant certificate required to work in BC?

BC does not mandate a provincially regulated certificate to work as an MOA, but most employers - especially Island Health and specialist clinics - prefer or require completion of a recognized MOA or medical office administration program from institutions such as BCIT, Camosun College, or an accredited private college. Certified candidates typically start at a higher pay step and are shortlisted faster in competitive postings.

What is the difference between a Medical Office Assistant and a Healthcare Assistant in BC?

Medical Office Assistants (MOAs) perform administrative and clerical tasks - scheduling, billing, records management - and do not provide direct patient care. Healthcare Assistants (HCAs or care aides) provide hands-on personal care in hospitals, long-term care, and community health settings and are governed by a separate BC registry. HCAs tend to earn slightly more due to their direct care responsibilities; the two roles have distinct training pathways and NOC codes.

How do Medical Office Assistant salaries in Victoria compare to Vancouver?

Vancouver-area MOA roles typically run $44,000 to $65,000 CAD annually, reflecting the larger volume of specialist clinics and health authorities such as Vancouver Coastal Health and Providence Health Care. Victoria's range of $36,000 to $67,000 is comparable, with the upper end tied to Island Health authority positions. The cost-of-living difference between the two cities has narrowed significantly, making Victoria an increasingly competitive market.

Can a Medical Office Assistant work remotely in BC?

Most MOA roles require on-site presence for patient interaction, handling physical documents, and supporting medical staff in real time. However, a growing number of telehealth platforms and virtual care clinics in BC and nationally post remote health administrative roles that overlap with MOA duties. These roles typically require strong EMR and digital triage skills and may be posted under different titles such as Virtual Care Coordinator or Remote Health Administrator.

Explore how Medical Office Assistant salaries compare to similar administrative and healthcare roles across Canada.

Job titleEntry LevelMid-CareerSeniorSenior Public Sector / Union
Administrative Assistant$37K - $44K CAD$44K - $55K CAD$55K - $65K CAD$63K - $75K CAD
Receptionist$31,000 - $37,000 CAD$37,000 - $44,000 CAD$44,000 - $50,000 CAD$50,000 - $54,000 CAD
Office Manager$42K - $52K CAD$52K - $68K CAD$68K - $82K CAD$82K - $95K CAD
Health Care Aide / PSW$30,000 - $35,000 CAD$35,000 - $42,000 CAD$42,000 - $47,000 CAD$46,000 - $50,000 CAD
Caregiver / Personal Support Worker$36K - $40K CAD$40K - $47K CAD$47K - $54K CAD$54K - $62K CAD
Executive Assistant$40K - $50K CAD$50K - $65K CAD$65K - $78K CAD$78K - $88K CAD
Data Entry Clerk$35K - $41K CAD$41K - $47K CAD$47K - $54K CAD$54K - $60K CAD

Sources and methodology

Salary figures on this page were compiled by cross-referencing self-reported salary data and employer postings from multiple Canadian labour market sources published between mid-2025 and April 2026. Where sources conflicted, the median of reported averages was used and ranges were anchored to Canada's Job Bank (NOC 14101) as the primary government reference.

What Medical Office Assistants in Victoria and BC are actually saying

These quotes reflect themes from Canadian healthcare admin forums and review platforms compiled through early 2026. They represent common experiences and do not constitute individual endorsements.

Reddit · r/bcpublicservice and r/HealthcareWorkers
Island Health pays noticeably better once you get on the union grid - the step increases add up fast

A common theme in BC healthcare admin communities is that health authority union grid access is the single biggest pay lever for MOAs who start in private clinics.

Indeed · Victoria, BC company reviews
Great workplace but the starting pay is low - you really need to push for the Island Health postings

Reviews from Victoria-area MOAs on Indeed consistently flag the gap between private clinic starting wages and health authority compensation, pointing to employer type as the key differentiator.

Glassdoor · Victoria, BC MOA salary submissions
EMR experience and knowing how to do MSP billing made a real difference in what I was offered

Self-reported salary submissions in Victoria link higher initial offers to documented billing and EMR skills, consistent with what job postings in the region actively require.

Reddit · r/VictoriaBC
Cost of living here is brutal - even $22/hr doesn't go that far anymore

The Victoria subreddit reflects ongoing tension between the provincial median wage and local housing costs, underscoring why candidates are increasingly targeting health authority bands and remote-eligible admin roles.

Indeed · BC Medical Office Assistant job reviews
Casual pool at VIHA was the best decision I made - got permanent within 8 months

A recurring path reported by Victoria MOAs is entering Island Health through the casual pool to establish seniority and access union-protected pay steps before transitioning to a permanent position.

Employers actively hiring Medical Office Assistants in Victoria and BC

Island Health (VIHA) · BC Cancer Victoria · Royal Jubilee Hospital · Victoria General Hospital · Cambie Surgery Centre Victoria · Vancouver Island Health Authority Community Health · Pacific Centre Family Services · Synergy Medical Staffing · Care Connections · Ramsay Health Care Canada · First Nations Health Authority BC · Accent Inns Medical Partnerships

Canada's Job Bank - Medical Office Assistant wages in British Columbia (NOC 14101), updated November 2025 Job Bank BC MOA wages

Indeed Canada - Medical Office Assistant salary in Victoria, BC, based on 113 reported salaries, updated February 2026 Indeed Victoria MOA salary

PayScale - Medical Office Assistant hourly pay in Canada, based on 190 salary profiles, last updated September 2025 PayScale MOA Canada

Data note: All salary figures on this page are approximate estimates compiled from publicly available aggregated sources including Indeed, Glassdoor, Canada's Job Bank (Government of Canada), and PayScale. Data reflects reported figures from approximately mid-2025 through early 2026. Figures represent base salary only and exclude overtime pay, shift differentials, bonuses, benefits, pension contributions, and any equity or incentive compensation. Individual compensation varies based on employer, union status, experience, certifications, setting, and negotiation outcome. Yotru does not guarantee the accuracy of third-party salary data. This page is intended for general career research purposes only and should not be used as the sole basis for employment or compensation decisions.