Payroll Manager

Responsibilities

• Payroll Operations & Processing
• Own and execute bi-weekly payroll for a multi-state, multi-entity healthcare workforce across clinical studios and corporate teams.
• Ensure accurate processing for hourly, salaried, and contractor populations, including multiple pay cycles, rates, and premium structures.
• Manage complex pay components including shift differentials, clinical premiums, overtime, blended rates, state-specific rules, and retroactive adjustments.
• Oversee payroll inputs including time and attendance, PTO, leaves of absence, bonuses, commissions, and off-cycle payments.
• Process and reconcile 401(k) and other benefit-related payroll deductions, including employee contributions, employer matches, and loan repayments.
• Compliance, Tax & Regulatory Management
• Ensure compliance with federal, state, and local wage-and-hour laws, with particular attention to healthcare and state-specific requirements.
• Manage payroll tax setup, filings, deposits, reconciliations, and agency notices in partnership with payroll vendors.
• Own year-end processes including W-2s, 1099s, and all required state and federal reporting.
• Audits, Controls & Financial Integrity
• Conduct payroll audits, reconciliations, and internal controls to ensure accuracy, compliance, and financial integrity.
• Partner with Finance on payroll accruals, general ledger alignment, and labor reporting for clinical and corporate teams.
• Systems, Tools & Process Improvement
• Serve as system owner for payroll and timekeeping platforms, ensuring pay rules, premiums, and state requirements are correctly configured.
• Lead continuous improvement of payroll processes, documentation, and controls to support scale and a strong team member experience.
• Cross-Functional Partnership & Support
• Act as a trusted partner to People, Finance, Legal, and Studio leaders on complex payroll and pay practice questions.

Requirements

• Tend Values
• Tend to Others : You deliver accurate, timely payroll outcomes that build trust with every team member and protect Tend's financial integrity.
• Embrace Our Differences: You respect the needs of a diverse, multi-state workforce and adapt payroll solutions to meet different roles, markets, and situations.
• Be Brave Enough to Lead : You raise risks, address errors, and push for better systems and controls - even when it's uncomfortable or complex.
• Savor the Ride : You bring calm, clarity, and positive energy to high-volume payroll cycles and help others feel supported through change.
• Rooted in Growth : You seek feedback, learn from mistakes, and continuously improve how you operate and lead.
• Role-Based Competencies
• Make It Right Every Time : You own payroll outcomes end-to-end and hold yourself and partners accountable for accuracy, compliance, and follow-through.
• Build Smart Systems : You design, document, and improve payroll processes that scale with Tend while reducing risk and manual effort.
• Make It Make Sense : You explain complex payroll and compliance topics in a clear, empathetic way that builds confidence and trust across the organization.
• What You Have
• 7+ years of progressive payroll experience, including ownership of multi-state, multi-unit payroll in healthcare or similarly complex environments.
• Deep experience supporting hourly, salaried, and contractor populations, including clinical teams with shift-based scheduling and premium pay.
• Strong working knowledge of payroll tax compliance, wage-and-hour laws, and healthcare-specific pay practices.
• Hands-on experience managing payroll audits, tax notices, garnishments, and regulatory inquiries.
• Experience administering 401(k) and other benefit-related payroll deductions in partnership with Total Rewards and Finance.
• Advanced experience with payroll and timekeeping systems (UKG preferred; ADP, Workday, or similar platforms).
• Strong Excel and reporting skills for audits, reconciliations, and leadership reporting.
• A high bar for accuracy, strong organization, and the ability to operate calmly and effectively in fast-paced, high-volume environments.
• A collaborative, service-oriented mindset with the ability to build trust and influence across People, Finance, Legal, and Studio teams.

Benefits

Additional Information

At Tend, how we pay our people is one of the most tangible ways we build trust. The Payroll Manager owns the end-to-end payroll experience for a complex, multi-state healthcare workforce that includes clinical teams, corporate employees, and contractors. This role blends deep payroll expertise with operational excellence and cross-functional partnership to ensure every team member is paid accurately, compliantly, and on time - while helping Tend scale responsibly as we grow. This position is hybrid if Nashville-based (Tuesdays and Wednesday in office) or remote if based outside of Nashville. Candidates must be based in central or east coast time zones.

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at hellotend? Share your experience