5-7 years of payroll management experience in a multi-entity environment
Strong knowledge of federal, state, and local labor laws and payroll tax regulations
Proven leadership skills with experience managing and developing teams
Experience with payroll software, preferably Rippling or similar systems
Excellent organizational skills with a focus on process improvement
Ability to work cross-functionally with HR, Finance, and Legal teams
Responsibilities
Oversee end-to-end payroll processing for multiple clinic locations
Lead and develop the payroll team, managing performance and workload
Ensure accurate calculation of wages, bonuses, and deductions
Manage payroll schedules and approvals in collaboration with clinic leadership
Serve as primary contact with external payroll providers
Ensure compliance with labor laws and payroll tax requirements
Support clinic managers with payroll inquiries and compliance guidance
Benefits
Opportunity to work in a growing and dynamic healthcare sector
Collaborative work environment with cross-functional teams
Professional development and leadership opportunities
Involvement in process improvement initiatives
Access to advanced payroll systems and technology
Full Job Description
We are seeking an experienced and detail-oriented Payroll & Compliance Manager to oversee payroll operations and regulatory compliance across our growing portfolio of medical aesthetics clinics, surgery centers, and corporate entities. This individual will lead the payroll function, ensure accuracy and compliance across multiple jurisdictions, and partner closely with HR, Finance, Operations, and Legal teams. The ideal candidate is a hands-on leader with strong technical payroll expertise, excellent organizational skills, and the ability to build scalable processes and systems that support continued growth, clinic acquisitions, and integrations.
Payroll Management
Oversee end-to-end payroll processing for hourly and salaried employees across multiple clinic entities/locations and corporate
Lead, manage, and develop the payroll team, including workload prioritization, performance management, and cross-training
Ensure accurate calculation of wages, commissions, bonuses, overtime, PTO, and deductions
Manage payroll schedules, approvals, and deadlines in coordination with clinic leadership
Serve as primary point of contact with external payroll providers (i.e., Rippling)
Reconcile payroll reports and resolve discrepancies in a timely manner
Ensure payroll-related GL entries are accurate and properly mapped
Compliance & Regulatory Oversight
Ensure compliance with federal, state/provincial, and local labor laws, wage-and-hour regulations, and payroll tax requirements
Monitor and implement changes related to employment law, payroll tax, and regulatory requirements impacting healthcare and medspa operations
In collaboration with the HR team, coordinate payroll tax filings, year-end reporting (W2s, 1099s, T4s if applicable), and audits
Support compliance related to employee classification, licensing requirements, and clinic-level regulations
Support Ambulatory Surgery Center (ASC) accreditation people related requirements in partnership with Clinical, Operations, and Compliance teams, including documentation, staffing compliance, and audit readiness
Maintain accurate documentation and audit-ready records
Cross-Functional Coordination
Partner closely with HR on new hires, terminations, compensation changes, benefits deductions, and leave administration
Work with Finance on budgeting, forecasting, accruals, and cash planning related to payroll
Support clinic managers with payroll questions, timekeeping issues, and compliance guidance
Coordinate with Legal, HR, and external advisors as needed
Support the Integrations team during onboarding of new clinics, including payroll setup, entity configuration, tax registrations, system integrations, and transition of historical payroll data
Act as payroll and compliance subject matter expert during clinic acquisitions and integrations, ensuring a smooth and compliant go-live
Process Improvement & Controls
Evaluate and improve payroll and compliance processes to enhance accuracy, efficiency, and scalability
Develop and maintain payroll policies, SOPs, and internal controls
Identify risks and recommend corrective actions
Support system implementations, upgrades, and integrations related to payroll and HRIS
