Sam SmithHawaii’s job market reflects a fascinating balance between paradise and practicality. While the islands are known for their stunning landscapes and tourism appeal, the state’s economy is powered by healthcare, defense, aviation, and senior management roles. The cost of living — among the highest in the U.S. — pushes employers to offer competitive compensation, particularly in specialized fields.
Major economic anchors include the U.S. military presence, tourism industry, and environmental sciences, alongside healthcare systems that serve both local residents and a growing elderly population. As a result, Hawaii’s highest-paying jobs reward education, expertise, and adaptability to an island-based economy where specialization and logistics play critical roles.
Highest-paying Jobs In Hawaii What Drives Demand Locally
1. Surgeon – $320,000
Surgeons in Hawaii command top-tier salaries due to the state’s limited medical workforce and high demand for specialized care. Performing complex procedures in hospitals and surgical centers, they often handle trauma, orthopedics, or cardiovascular cases. The logistical challenges of island-based healthcare, along with limited access to mainland facilities, amplify the need for skilled surgeons. Their responsibilities require extensive education, precision, and stamina, making them some of Hawaii’s most essential and best-compensated professionals.
2. Anesthesiologist – $310,000
Anesthesiologists in Hawaii play a vital role in surgical procedures and pain management. Their expertise ensures patient safety before, during, and after surgery — a task made more complex by the state’s limited access to large-scale medical networks. Many work in hospitals across multiple islands, traveling as needed. Due to their highly specialized skillset, years of medical training, and critical role in every surgery, anesthesiologists consistently earn among the highest salaries in the state.
3. Psychiatrist – $290,000
Psychiatrists in Hawaii are in high demand, driven by a shortage of mental health professionals and growing awareness of mental wellness. They diagnose and treat conditions such as anxiety, depression, and addiction. Many operate private practices or work for public health agencies that serve remote island communities. Their ability to provide both therapy and medication management is crucial in a state where mental health resources can be limited, resulting in excellent pay and career stability.
4. Chief Executive Officer (CEO) – $270,000
CEOs in Hawaii lead major organizations spanning tourism, healthcare, construction, and energy. Their high salaries reflect the complexity of managing multi-island operations, regulatory challenges, and the logistics of importing goods and services. Many oversee companies that serve both residents and visitors, balancing profit with sustainability and local culture. Strategic leadership, financial acumen, and deep knowledge of Hawaii’s business environment make these top executives among the state’s best-paid professionals.
5. Dentist (Specialist) – $260,000
Specialized dentists in Hawaii — such as oral surgeons, orthodontists, and periodontists — are well compensated for their technical skills and limited competition. Dental care is highly valued, especially in remote areas where access to specialists is sparse. Many dentists operate private practices with high patient demand, focusing on restorative and cosmetic procedures. Their extensive training, use of advanced technology, and ability to work independently contribute to consistently high income levels across the islands.
6. Orthodontist – $250,000
Orthodontists in Hawaii earn high salaries due to the increasing demand for aesthetic and corrective dental treatments. They design and manage braces, aligners, and other corrective devices, often serving clients from multiple islands. Their work improves both oral function and confidence, making their services especially sought after in family-focused and tourist-heavy communities. High overhead costs and long waiting lists amplify earning potential, particularly for orthodontists with established reputations in Oahu and Maui.
7. Airline Pilot (Major Carrier) – $245,000
Airline pilots based in Hawaii earn substantial salaries, reflecting their expertise, flight hours, and the importance of inter-island and mainland connections. They navigate challenging weather patterns, oceanic routes, and rigorous safety standards. With tourism and logistics dependent on air travel, pilots play an essential role in the state’s economy. Senior captains for major carriers and intercontinental routes enjoy particularly high pay, complemented by benefits, travel perks, and union-backed contracts.
8. Petroleum Engineer – $240,000
Petroleum engineers in Hawaii focus on managing fuel import systems, refining logistics, and energy distribution networks rather than exploration. Despite Hawaii’s lack of domestic oil reserves, the state depends heavily on imported petroleum for transport and power. These engineers ensure safety, efficiency, and sustainability in the supply chain. Their expertise in energy systems, combined with environmental regulation knowledge, earns them strong compensation and strategic roles within Hawaii’s energy and infrastructure sectors.
9. Corporate Lawyer – $235,000
Corporate lawyers in Hawaii handle high-stakes business transactions, mergers, and regulatory compliance for major companies in tourism, energy, and construction. Their work is essential for navigating complex state and federal laws, particularly those involving land use, environmental impact, and taxation. Experienced attorneys often represent multinational firms with island operations. Their combination of legal expertise, negotiation skills, and understanding of Hawaii’s unique business environment commands some of the state’s top salaries.
10. General Practitioner (Physician) – $230,000
General practitioners in Hawaii earn strong salaries due to physician shortages and the logistical challenges of serving multiple islands. They provide essential healthcare, from preventive medicine to chronic disease management. Many operate in rural or semi-remote areas, where access to specialists is limited. Their ability to treat a broad range of conditions and maintain continuity of care for families makes them indispensable in Hawaii’s community-focused healthcare system.
11. Engineering Manager – $225,000
Engineering managers in Hawaii oversee large-scale projects in construction, utilities, and renewable energy. They coordinate multidisciplinary teams, manage budgets, and ensure compliance with environmental standards. With Hawaii’s infrastructure continuously adapting to sustainability goals and geographic constraints, these leaders are vital to the state’s development. Their combination of technical background, leadership experience, and project oversight responsibilities makes them among the most well-paid engineering professionals in the islands.
12. IT Director – $220,000
IT directors in Hawaii lead technology strategy and cybersecurity operations for major companies, hospitals, and government agencies. They are responsible for maintaining data systems, ensuring network security, and implementing new technologies across island networks. As Hawaii expands its tech sector, demand for experienced IT leaders has surged. High costs of living, limited senior-level tech talent, and the complexity of distributed infrastructure contribute to their impressive compensation packages.
13. Airline Captain (Inter-Island) – $215,000
Airline captains serving Hawaii’s inter-island routes play a crucial role in connecting the state’s population and economy. They operate short but frequent flights with high passenger loads, requiring exceptional precision and adaptability. While routes are shorter, the frequency of takeoffs and landings, combined with the state’s variable weather and oceanic navigation challenges, ensures high salaries. Seniority and flight hours significantly influence earnings, making this one of Hawaii’s most reliable and respected careers.
14. Financial Manager – $210,000
Financial managers in Hawaii oversee accounting, budgeting, and strategic investment for corporations, hotels, and public agencies. Their high earnings stem from the need to manage multi-island operations and fluctuating tourism revenues. Many specialize in financial risk analysis, ensuring stability despite seasonal income cycles. Skilled financial managers with CPA credentials and strong analytical expertise are highly valued, helping organizations remain profitable in Hawaii’s competitive and cost-intensive business environment.
15. Pharmacist – $205,000
Pharmacists in Hawaii earn high salaries due to limited workforce availability and the logistical complexities of distributing medication across islands. They provide prescriptions, educate patients on medication use, and manage inventory for hospitals and clinics. The state’s aging population and remote healthcare needs increase demand for accessible pharmaceutical services. Licensed pharmacists with advanced degrees or management roles in major chains often receive premium compensation for their expertise and reliability.
16. Data Scientist – $200,000
Data scientists in Hawaii are increasingly sought after as industries embrace analytics to improve efficiency and decision-making. They work in sectors ranging from tourism forecasting and renewable energy to healthcare analytics. The scarcity of advanced data professionals in the state drives salaries upward. With expertise in machine learning, statistics, and visualization, they help businesses make smarter, evidence-based decisions — a growing necessity in Hawaii’s evolving, tech-integrated economy.
17. Construction Manager – $195,000
Construction managers in Hawaii oversee large projects in commercial, residential, and infrastructure development. High wages reflect both skill and responsibility — coordinating labor, materials, and safety across island supply chains. The state’s strict environmental and zoning laws add complexity, increasing demand for experienced leaders. Given Hawaii’s continuous need for housing, tourism facilities, and renewable energy infrastructure, top construction managers enjoy excellent compensation and steady employment prospects.
18. Nurse Anesthetist (CRNA) – $190,000
Certified Registered Nurse Anesthetists (CRNAs) in Hawaii provide anesthesia services in hospitals and surgical clinics, often working independently in rural or island facilities. Their advanced training and ability to manage anesthesia care make them invaluable, especially where anesthesiologists are scarce. With long hours, high responsibility, and strong demand, CRNAs enjoy exceptional pay, professional autonomy, and job security in Hawaii’s expanding healthcare landscape.
19. Real Estate Attorney – $185,000
Real estate attorneys in Hawaii manage complex property transactions involving high-value land and commercial development. Their expertise is critical due to the state’s strict zoning, leasehold arrangements, and environmental regulations. They advise clients on purchases, disputes, and permitting processes. Given Hawaii’s booming real estate market and limited land availability, experienced attorneys in this field command top salaries for navigating legal and logistical complexities unique to the islands.
20. Aerospace Engineer – $180,000
Aerospace engineers in Hawaii design, test, and maintain aviation and defense systems. Many are employed by military contractors or research facilities supporting Pacific operations. Their roles require advanced technical knowledge in aerodynamics, propulsion, and systems design. Hawaii’s strategic location in the Pacific and growing interest in satellite communications and defense technology have increased demand, making aerospace engineering one of the state’s most specialized and highly paid career paths.
Top 100 Highest-Paying Jobs in Hawaii (Full List)
| Rank | Job Title | Average Annual Salary (USD) | Industry / Sector |
|---|---|---|---|
| 1 | Surgeon | $320,000 | Healthcare |
| 2 | Anesthesiologist | $310,000 | Healthcare |
| 3 | Psychiatrist | $290,000 | Healthcare |
| 4 | Chief Executive Officer (CEO) | $270,000 | Executive Management |
| 5 | Dentist (Specialist) | $260,000 | Healthcare |
| 6 | Orthodontist | $250,000 | Healthcare |
| 7 | Airline Pilot (Major Carrier) | $245,000 | Aviation |
| 8 | Petroleum Engineer | $240,000 | Engineering / Energy |
| 9 | Corporate Lawyer | $235,000 | Legal |
| 10 | General Practitioner (Physician) | $230,000 | Healthcare |
| 11 | Engineering Manager | $225,000 | Engineering / Management |
| 12 | IT Director | $220,000 | Technology |
| 13 | Airline Captain (Inter-Island) | $215,000 | Aviation |
| 14 | Financial Manager | $210,000 | Finance |
| 15 | Pharmacist | $205,000 | Healthcare |
| 16 | Data Scientist | $200,000 | Technology |
| 17 | Construction Manager | $195,000 | Construction |
| 18 | Nurse Anesthetist (CRNA) | $190,000 | Healthcare |
| 19 | Real Estate Attorney | $185,000 | Legal |
| 20 | Aerospace Engineer | $180,000 | Engineering / Defense |
| 21 | Marketing Director | $175,000 | Business / Marketing |
| 22 | Architect (Senior) | $174,000 | Architecture / Design |
| 23 | Software Engineer (Senior) | $173,000 | Technology |
| 24 | Hotel General Manager (Luxury Resort) | $172,000 | Hospitality |
| 25 | Actuary | $171,000 | Finance / Insurance |
| 26 | Environmental Engineer | $170,000 | Engineering / Sustainability |
| 27 | Airline Operations Manager | $169,000 | Aviation |
| 28 | Dentist (General) | $168,000 | Healthcare |
| 29 | Mechanical Engineer (Senior) | $167,000 | Engineering |
| 30 | Physician Assistant | $166,000 | Healthcare |
| 31 | Civil Engineer (Lead) | $165,000 | Engineering |
| 32 | Real Estate Broker (Luxury) | $164,000 | Real Estate |
| 33 | Project Manager (Engineering) | $163,000 | Construction / Engineering |
| 34 | Optometrist | $162,000 | Healthcare |
| 35 | Naval Architect | $161,000 | Engineering / Maritime |
| 36 | Operations Director | $160,000 | Business / Management |
| 37 | Biomedical Engineer | $159,000 | Healthcare / Technology |
| 38 | HR Director | $158,000 | Corporate Management |
| 39 | Financial Analyst (Senior) | $157,000 | Finance |
| 40 | Physician (Rural Practice) | $156,000 | Healthcare |
| 41 | Pilot (Charter / Cargo) | $155,000 | Aviation |
| 42 | Oceanographer | $154,000 | Science / Research |
| 43 | Mining Engineer | $153,000 | Engineering / Extraction |
| 44 | Cybersecurity Engineer | $152,000 | Technology / Security |
| 45 | Nurse Practitioner | $151,000 | Healthcare |
| 46 | Power Systems Engineer | $150,000 | Energy / Utilities |
| 47 | University Professor (Medical Sciences) | $149,000 | Education |
| 48 | Risk Manager | $148,000 | Finance / Insurance |
| 49 | Environmental Scientist | $147,000 | Sustainability |
| 50 | Electrical Engineer | $146,000 | Engineering |
| 51 | Logistics Manager | $145,000 | Transportation / Supply Chain |
| 52 | Renewable Energy Consultant | $144,000 | Energy / Sustainability |
| 53 | Software Developer (Full Stack) | $143,000 | Technology |
| 54 | Physician Assistant (Surgical) | $142,000 | Healthcare |
| 55 | Compliance Officer | $141,000 | Finance / Legal |
| 56 | Database Administrator | $140,000 | Technology |
| 57 | Public Health Administrator | $139,000 | Healthcare / Government |
| 58 | Air Traffic Controller | $138,000 | Aviation |
| 59 | Mechanical Systems Specialist | $137,000 | Engineering |
| 60 | Veterinarian | $136,000 | Healthcare |
| 61 | Marine Engineer | $135,000 | Maritime Engineering |
| 62 | Clinical Psychologist | $134,000 | Healthcare |
| 63 | Supply Chain Director | $133,000 | Logistics |
| 64 | Environmental Planner | $132,000 | Urban Planning |
| 65 | Software Architect | $131,000 | Technology |
| 66 | Aviation Maintenance Manager | $130,000 | Aviation / Engineering |
| 67 | Medical Laboratory Scientist (Lead) | $129,000 | Healthcare |
| 68 | Geologist | $128,000 | Science / Energy |
| 69 | Urban Planner | $127,000 | Government / Design |
| 70 | Accountant (Senior CPA) | $126,000 | Finance |
| 71 | Construction Superintendent | $125,000 | Construction |
| 72 | Industrial Engineer | $124,000 | Manufacturing |
| 73 | Health Services Manager | $123,000 | Healthcare |
| 74 | Ocean Resource Manager | $122,000 | Environmental Science |
| 75 | Clinical Pharmacologist | $121,000 | Healthcare |
| 76 | Tourism Development Director | $120,000 | Hospitality / Tourism |
| 77 | Software Product Manager | $119,000 | Technology |
| 78 | Network Engineer | $118,000 | Technology |
| 79 | Commercial Diver | $117,000 | Maritime / Construction |
| 80 | Research Scientist | $116,000 | Science / Academia |
| 81 | Environmental Compliance Manager | $115,000 | Energy / Environment |
| 82 | HVAC Engineer | $114,000 | Construction / Energy |
| 83 | Biomedical Scientist | $113,000 | Healthcare / Research |
| 84 | Renewable Energy Technician (Lead) | $112,000 | Energy |
| 85 | Civil Project Engineer | $111,000 | Engineering |
| 86 | Marine Biologist | $110,000 | Science / Research |
| 87 | Hospitality Operations Manager | $109,000 | Tourism |
| 88 | Technical Writer (Senior) | $108,000 | Technology |
| 89 | Construction Estimator | $107,000 | Construction |
| 90 | Occupational Therapist | $106,000 | Healthcare |
| 91 | Environmental Policy Analyst | $105,000 | Government / Sustainability |
| 92 | Speech-Language Pathologist | $104,000 | Healthcare |
| 93 | Electrical Systems Designer | $103,000 | Engineering |
| 94 | Physical Therapist | $102,000 | Healthcare |
| 95 | Civil Inspector (Senior) | $101,000 | Construction / Engineering |
| 96 | Paralegal (Senior Corporate) | $100,000 | Legal |
| 97 | Technical Project Coordinator | $99,000 | Technology |
| 98 | Surveyor (Senior) | $98,000 | Construction / Land Development |
| 99 | Environmental Technician (Lead) | $97,000 | Sustainability |
| 100 | Registered Nurse (BSN, Experienced) | $96,000 | Healthcare |
Closing
In summary, Hawaii’s economy rewards professionals who blend technical expertise with adaptability to the state’s unique geography and resource constraints. While doctors, executives, and engineers dominate the top salary tiers, skilled professionals in aviation, logistics, and environmental sciences are increasingly vital. The islands’ isolation means self-sufficiency is key — driving high pay in healthcare, infrastructure, and energy management. Though living costs are steep, Hawaii offers an exceptional quality of life for those who thrive in high-responsibility roles within a close-knit, innovation-driven environment.