US Payroll Manager

Alto Pharmacy

$103K — $129K *
US-Anywhere
+ 38 other locationsRemote
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years of US payroll experience in multi-state and multi-entity environments
  • 2+ years in a supervisory or team lead role
  • Deep knowledge of federal and state payroll tax law and year-end compliance
  • Hands-on experience with enterprise payroll systems, particularly Workday Payroll
  • Experience in SOX-controlled environments
  • CPP (Certified Payroll Professional) and Workday Payroll certification required
  • Proficient in advanced Excel and Power BI.

Responsibilities

  • Lead and develop a team of 3 Payroll Specialists, including setting objectives and conducting performance reviews
  • Oversee complete payroll processing for 5 US legal entities, ensuring accuracy and timeliness
  • Perform final reviews and manage complex or high-risk payroll processing as needed
  • Ensure compliance with payroll tax regulations across all jurisdictions
  • Maintain documentation for SOX controls and support audits
  • Manage year-end payroll processes and monitor regulatory changes
  • Identify and lead initiatives for payroll process improvements.

Benefits

  • Comprehensive dental, vision, and multiple medical plans
  • 401(k) retirement savings plan
  • Flexible spending account (FSA) and health savings account (HSA)
  • Employer-paid short-term and long-term disability insurance
  • Flexible vacation time and accrued paid sick leave
  • Eight weeks of paid parental leave and additional caregiver leave
  • Lifestyle Spending Account allowance each month.
Full Job Description
Job Summary

The US Payroll Manager is the senior operational leader for all US payroll activity, serving as the primary point of escalation and decision-making during US business hours. This role removes time-zone dependency on the Global Payroll Director by owning end-to-end delivery across 5 legal entities, leading a team of 3 specialists, and driving continuous improvement across processes, compliance, and systems.

Key Responsibilities:

Team Leadership & Development

  • Manage, coach and develop 3 Payroll Specialists; conduct regular 1:1s, set objectives, and lead performance reviews

  • Allocate entity and workload ownership across the team, balancing complexity and coverage risk

  • Build a positive team culture with clear accountability and defined career pathways

  • Serve as first-line escalation for all payroll queries, exceptions, and processing issues during US hours

Payroll Operations

  • Oversee end-to-end payroll processing cycles across all 5 US legal entities, ensuring accuracy and on-time delivery

  • Perform final review and sign-off on payroll runs before funding; act as hands-on processor for complex or high-risk entities

  • Manage off-cycle payroll runs, retroactive adjustments, and termination calculations

  • Own the payroll calendar and ensure all deadlines are met across entities

Compliance & Controls

  • Ensure compliance with federal, state, and local payroll tax regulations across all jurisdictions

  • Maintain SOX controls documentation and support internal and external audits

  • Manage year-end processes including W-2 production, reconciliations, and tax filings

  • Monitor legislative and regulatory changes affecting US payroll; implement required process updates

Vendor & Stakeholder Management

  • Own day-to-day relationships with payroll system vendor, tax filing agents, and benefit administrators

  • Partner with HR, Finance, Legal, and Benefits teams as the primary US payroll contact

  • Prepare and present payroll metrics, exception reports, and KPIs for the Global Payroll Director and senior stakeholders

Process Improvement & Projects

  • Identify and lead process improvement initiatives to enhance accuracy, efficiency, and controls

  • Support system upgrades, new entity set-ups, and M&A-related payroll integrations

  • Contribute to global payroll strategy and standardization projects led by the Global Payroll Director

Required Experience & Qualifications

  • 7+ years of US payroll experience, including multi-state and multi-entity environments

  • 2+ years in a supervisory or team lead role with direct people management responsibility

  • Deep knowledge of US federal and state payroll tax law, wage and hour regulations, and year-end compliance

  • Hands-on experience with enterprise payroll systems (Workday Payroll)

  • Experience operating within SOX-controlled environments

  • CPP (Certified Payroll Professional) and Workday Payroll certification necessary

  • Advanced excel skills and Power BI preferred

Skills and Competencies

  • Multi-state payroll tax expertise

  • Payroll system administration

  • SOX controls and audit readiness

  • Year-end reconciliation and W-2

  • Excel / data analysis proficiency

  • HRIS integration knowledge

Leadership and Behavioral

  • Decisive under time pressure

  • Clear communicator across levels

  • Builds team capability proactively

  • High ownership and accountability

  • Comfortable with global stakeholders

  • Continuous improvement mindset



Additional Information

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Salary and Benefits

Salary Range: $103,500 - $129,500

Commission Eligible: No

Travel: Yes/No - Required up to 10% of the time

Location Requirement:

Fuze Health is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.

Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month. More

Benefits Information Here: https://west.acrisure.com/fuzehealth/benefits/

Application deadline: August 31st, 2026 (deadline may be extended as needed)

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