---
title: Jobs in Roanoke, VA — Healthcare, Rail & Manufacturing
description: Jobs in Roanoke, VA span healthcare, rail, manufacturing, and education in western
  Virginia. Browse open roles, top employers, and salary data for Roanoke workers.
type: location_city
url: https://www.foundrole.com/locations/virginia/roanoke
date: 2026-09-28T19:13:59Z
og_description: Roanoke, VA is western Virginia's largest job market, anchored by Carilion Clinic
  and Norfolk Southern. Explore jobs hiring now.
og_image: https://www.foundrole.com/og/olvkj7.png
breadcrumbs:
  - label: Home
    url: https://www.foundrole.com/
  - label: United States
    url: https://www.foundrole.com/locations
  - label: Virginia
    url: https://www.foundrole.com/locations/virginia
---

# Jobs in Roanoke, VA — Healthcare, Rail & Manufacturing

**State:** [Virginia Jobs Hiring Now | Salary, Industries, Companies](https://www.foundrole.com/locations/virginia?utm_source=ai_markdown)
**Country:** [Top Job Trends By Locations](https://www.foundrole.com/locations?utm_source=ai_markdown)
**Open jobs:** 2,161

**Hiring momentum:** -16.7% — 30 new postings in the last 28 days vs 36 in the 28 days before, on career sites tracked through both periods
## Summary

- Postings on employer career sites published Jun 1 – Sep 28, 2026: 3,113
- Median salary: $53K
- Salary range (P25–P75): $41K – $87K
- Remote share: 4.4%

## Market Insights — September 2026

*Based on 3,113 postings published Jun 1 – Sep 28, 2026 • Updated September 28, 2026*

- Industries with the most postings in Roanoke, VA: Hospitals and Health Care (28% of all postings), followed by Retail and Staffing Agencies.
- Pay in Roanoke, VA runs 24% below the United States median ($53K vs $70K).
- New postings for Roanoke, VA fell 17% in the last 28 days (30 vs 36 in the 28 days before).

*Numbers above are computed from postings on employer career sites published in the window shown below, closed ones included. Salary figures use posted ranges where available; the market median is the median of the country the pay is quoted in, as its location page shows it. Confidence reflects sample size and signal stability vs the prior month.*

## Top industries in Roanoke, VA

| Industry | Total jobs | Median salary |
|---|---|---|
| Hospitals & Health Care | 879 | $67K |
| Retail | 490 | $33K |
| Staffing & Recruiting | 235 | — |
| Restaurants | 118 | — |
| Construction | 84 | $48K |
| Telecommunications | 78 | $72K |
| Food & Beverage Services | 72 | $43K |
| Civil Engineering | 60 | — |
| Financial Services | 54 | $49K |
| Medical & Diagnostic Laboratories | 49 | $42K |

## Top roles hiring in Roanoke, VA

| Role | Total jobs | Median salary |
|---|---|---|
| Registered Nurse | 330 | $87K |
| Retail Sales Associate | 119 | $32K |
| Customer Service Representative | 79 | — |
| CDL Driver | 78 | $67K |
| Delivery Driver | 67 | — |
| Radiologic Technologist | 58 | $72K |
| Patient Care Technician | 58 | $43K |
| Assistant Manager | 56 | — |
| Licensed Practical Nurse (LPN) | 55 | $62K |
| Security Officer | 46 | $37K |

## Top hiring companies in Roanoke, VA

| Company | Total jobs |
|---|---|
| [Domino's Pizza Pakistan Jobs & Careers — QSR](https://www.foundrole.com/companies/domino-s-pizza?utm_source=ai_markdown) | 103 |
| [CVS Health Jobs & Careers — Pharmacy & Healthcare](https://www.foundrole.com/companies/cvs-health?utm_source=ai_markdown) | 51 |
| [AutoZone Jobs & Careers — Auto Parts Retail](https://www.foundrole.com/companies/autozone?utm_source=ai_markdown) | 42 |
| [Starbucks Jobs & Careers — Coffee & Retail](https://www.foundrole.com/companies/starbucks?utm_source=ai_markdown) | 38 |

**H1B sponsorship (FY2025 Q4 – FY2026 Q3):** 19 employers filed 65 petitions; 1% of the employers hiring here now are among them.

## Top visa sponsors in Roanoke, VA

| Company | Workers | Median filed wage |
|---|---|---|
| Virginia Tech | 15 | — |
| Virginia Transformer | 10 | — |
| Avant Healthcare Professionals | 122 | — |
| TMEIC | 9 | — |
| Carilion Clinic | 7 | — |

## Frequently Asked Questions

### What industries are most active in Roanoke, VA?

Healthcare, rail transportation, manufacturing, education, and government are the top sectors. Carilion Clinic and Norfolk Southern are the region's anchor employers, supplemented by Virginia Tech's Roanoke campus.
### Who are the biggest employers in Roanoke, VA?

Carilion Clinic, Norfolk Southern Railway, Roanoke City Public Schools, and Virginia Western Community College are among the top employers. Advanced manufacturing firms also have a strong presence.
### What salaries can I expect for jobs in Roanoke, VA?

Roanoke salaries are generally below the Northern Virginia average but competitive for western Virginia. Healthcare and rail industry roles often pay the most. See current benchmarks on this page.
### Are remote jobs available in Roanoke, VA?

Some technology and professional services roles in Roanoke support remote or hybrid work. Healthcare, manufacturing, and rail positions require on-site presence. Filter for remote roles using the tools here.
### How do I find jobs across western Virginia from Roanoke?

Use the Virginia state page to explore job markets in Lynchburg, Charlottesville, and other western and central Virginia cities within driving distance of Roanoke.
## Related

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