Payroll Manager
Hellotend · Remote or Hybrid, USA
NoneClinical
<p>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.</p>
<p><strong>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.</strong></p>
<p><strong>What You’ll Do</strong></p>
<p><strong>Payroll Operations &amp; Processing</strong></p>
<ul>
<li>Own and execute bi-weekly payroll for a multi-state, multi-entity healthcare workforce across clinical studios and corporate teams.</li>
<li>Ensure accurate processing for hourly, salaried, and contractor populations, including multiple pay cycles, rates, and premium structures.</li>
<li>Manage complex pay components including shift differentials, clinical premiums, overtime, blended rates, state-specific rules, and retroactive adjustments.</li>
<li>Oversee payroll inputs including time and attendance, PTO, leaves of absence, bonuses, commissions, and off-cycle payments.</li>
<li>Process and reconcile 401(k) and other benefit-related payroll deductions, including employee contributions, employer matches, and loan repayments.</li>
</ul>
<p><strong>Compliance, Tax &amp; Regulatory Management</strong></p>
<ul>
<li>Ensure compliance with federal, state, and local wage-and-hour laws, with particular attention to healthcare and state-specific requirements.</li>
<li>Manage payroll tax setup, filings, deposits, reconciliations, and agency notices in partnership with payroll vendors.</li>
<li>Own year-end processes including W-2s, 1099s, and all required state and federal reporting.</li>
</ul>
<p><strong>Audits, Controls &amp; Financial Integrity</strong></p>
<ul>
<li>Conduct payroll audits, reconciliations, and internal controls to ensure accuracy, compliance, and financial integrity.</li>
<li>Partner with Finance on payroll accruals, general ledger alignment, and labor reporting for clinical and corporate teams.</li>
</ul>
<p><strong>Systems, Tools &amp; Process Improvement</strong></p>
<ul>
<li>Serve as system owner for payroll and timekeeping platforms, ensuring pay rules, premiums, and state requirements are correctly configured.</li>
<li>Lead continuous improvement of payroll processes, documentation, and controls to support scale and a strong team member experience.</li>
</ul>
<p><strong>Cross-Functional Partnership &amp; Support</strong></p>
<ul>
<li>Act as a trusted partner to People, Finance, Legal, and Studio leaders on complex payroll and pay practice questions.</li>
</ul>
<p><strong>Who You Are</strong></p>
<p><strong>Tend Values</strong>&nbsp;</p>
<ul>
<li><strong>Tend to Others</strong>: You deliver accurate, timely payroll outcomes that build trust with every team member and protect Tend’s financial integrity.</li>
<li><strong>Embrace Our Differences:</strong> You respect the needs of a diverse, multi-state workforce and adapt payroll solutions to meet different roles, markets, and situations.</li>
<li><strong>Be Brave Enough to Lead</strong>: You raise risks, address errors, and push for better systems an
<p><strong>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.</strong></p>
<p><strong>What You’ll Do</strong></p>
<p><strong>Payroll Operations &amp; Processing</strong></p>
<ul>
<li>Own and execute bi-weekly payroll for a multi-state, multi-entity healthcare workforce across clinical studios and corporate teams.</li>
<li>Ensure accurate processing for hourly, salaried, and contractor populations, including multiple pay cycles, rates, and premium structures.</li>
<li>Manage complex pay components including shift differentials, clinical premiums, overtime, blended rates, state-specific rules, and retroactive adjustments.</li>
<li>Oversee payroll inputs including time and attendance, PTO, leaves of absence, bonuses, commissions, and off-cycle payments.</li>
<li>Process and reconcile 401(k) and other benefit-related payroll deductions, including employee contributions, employer matches, and loan repayments.</li>
</ul>
<p><strong>Compliance, Tax &amp; Regulatory Management</strong></p>
<ul>
<li>Ensure compliance with federal, state, and local wage-and-hour laws, with particular attention to healthcare and state-specific requirements.</li>
<li>Manage payroll tax setup, filings, deposits, reconciliations, and agency notices in partnership with payroll vendors.</li>
<li>Own year-end processes including W-2s, 1099s, and all required state and federal reporting.</li>
</ul>
<p><strong>Audits, Controls &amp; Financial Integrity</strong></p>
<ul>
<li>Conduct payroll audits, reconciliations, and internal controls to ensure accuracy, compliance, and financial integrity.</li>
<li>Partner with Finance on payroll accruals, general ledger alignment, and labor reporting for clinical and corporate teams.</li>
</ul>
<p><strong>Systems, Tools &amp; Process Improvement</strong></p>
<ul>
<li>Serve as system owner for payroll and timekeeping platforms, ensuring pay rules, premiums, and state requirements are correctly configured.</li>
<li>Lead continuous improvement of payroll processes, documentation, and controls to support scale and a strong team member experience.</li>
</ul>
<p><strong>Cross-Functional Partnership &amp; Support</strong></p>
<ul>
<li>Act as a trusted partner to People, Finance, Legal, and Studio leaders on complex payroll and pay practice questions.</li>
</ul>
<p><strong>Who You Are</strong></p>
<p><strong>Tend Values</strong>&nbsp;</p>
<ul>
<li><strong>Tend to Others</strong>: You deliver accurate, timely payroll outcomes that build trust with every team member and protect Tend’s financial integrity.</li>
<li><strong>Embrace Our Differences:</strong> You respect the needs of a diverse, multi-state workforce and adapt payroll solutions to meet different roles, markets, and situations.</li>
<li><strong>Be Brave Enough to Lead</strong>: You raise risks, address errors, and push for better systems an
Posted 19 Jun 2026 · DentalSync AI — global BDS career platform