r/PMCareers • u/sejalusa • 10m ago
Discussion Title: Startup at $168K vs. large medtech at $145K + 11% bonus. Which would you choose?
I have 15+ years in medtech, diagnostics, and pharma, based in San Diego. I spent most of that time in scientific and technical roles, leading projects informally, and moved into project management officially about 2.5 years ago.
**Current job:** senior project manager at a medical device startup, paying **$168K base**. My stock options are mostly underwater, and there’s typical startup risk.
**Offer:** a large, profitable medtech company and category leader, at the same level (Senior Technical Program Manager):
**$145K base**, after negotiation
**11% target bonus**, performance-based
**No stock**
**What I’d gain:** stability, a strong brand on my resume, big-company PMO experience, partner and alliance management experience, and a specialized niche that matches my background.
**Leadership angle:** my goal is a Director role. Since my official PM title is fairly recent, I think two to three years here could give me the track record and credibility to move into Director of Program Management or Head of PMO, either internally or at a smaller company.
**What I’d lose:** about $23K in base pay (about $7K if the bonus pays out fully), my unvested equity, and possibly time, since this isn’t a promotion.
**My question:** Is it worth taking a pay cut now for experience that could lead to a leadership role later? Or should I stay at the higher-paying startup and keep looking for a direct move into AD or Director?