HR / Payroll Manager

Posted Yesterday
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San Francisco, CA, USA
In-Office
70K-90K Annually
Entry level
Healthtech
The Role
Manages human resources and payroll operations for a skilled nursing facility, including payroll processing, benefits administration, onboarding, employee records, recruitment support, compliance, training coordination, audits, and employee inquiries. Ensures accurate and timely payroll, maintains confidentiality, supports California regulatory compliance, coordinates required training and screenings, and partners with facility leadership on employee relations and operational needs.
Summary Generated by Built In

Now Hiring: HR / Payroll Manager


San Francisco Post Acute | San Francisco, CA

Pay: $70,000–$90,000 per year, depending on experience
Schedule: Full-Time
Benefits: Comprehensive benefits package


Join Our Team!

San Francisco Post Acute is seeking an experienced and detail-oriented HR / Payroll Manager to join our team! This position plays a key role in supporting human resources operations, payroll processing, employee onboarding, benefits administration, and regulatory compliance within our skilled nursing facility.

The ideal candidate is organized, confidential, dependable, and knowledgeable in both HR and payroll practices. If you enjoy working in a team-oriented healthcare environment and are committed to supporting employees while maintaining accurate records and compliant processes, we encourage you to apply!


General Purpose

The HR / Payroll Manager is responsible for coordinating and administering human resources functions, employee orientation, payroll operations, benefits administration, employee records, and compliance activities. This role works closely with the Administrator, Director of Nursing (DON), Director of Staff Development (DSD), Human Resources Business Partner (HRBP), and other facility leadership to support organizational goals, maintain regulatory compliance, and ensure employees are paid accurately and on time.


Essential Duties and Responsibilities

Human Resources Administration

  • Support organizational goals, values, policies, and procedures.
  • Maintain strict confidentiality of employee and resident information.
  • Ensure HR policies, procedures, and reporting practices comply with applicable federal and state laws and regulations.
  • Maintain and update employee records related to hiring, transfers, promotions, leaves of absence, and terminations.
  • Assist with recruitment, job advertising, candidate screening, interview scheduling, and onboarding.
  • Coordinate new-hire orientation, including resident rights, facility policies, safety, infection control, and standards of care.
  • Administer employee benefits, including health, dental, life, and disability insurance, retirement plans, paid time off, sick leave, and other applicable programs.
  • Respond to employee questions regarding HR policies, benefits, payroll, and employment records.
  • Partner with the assigned HRBP on complex employee relations matters and ensure alignment with organizational policies.
  • Work with the Risk Manager as needed on workers' compensation and other complex HR cases.
  • Prepare HR reports, maintain accurate documentation, and conduct regular audits to support compliance.

Payroll Management

  • Manage payroll workflows to ensure all transactions are processed accurately and within established deadlines.
  • Review, reconcile, and validate payroll data before transmission.
  • Process payroll adjustments, manual checks, and final paychecks in accordance with applicable California requirements.
  • Review and update payroll records for tax withholding, insurance coverage, deductions, job titles, and department transfers.
  • Process garnishments and other payroll-related orders and deductions.
  • Prepare payroll reports summarizing earnings, taxes, deductions, leave, disability, and other applicable wage information.
  • Monitor paid sick leave and vacation accruals and maintain accurate employee balances.
  • Verify payroll liabilities, including applicable employee and employer taxes and other required payments.
  • Prepare payroll allocation reports for the finance team.
  • Investigate and resolve payroll discrepancies and reconcile payroll accounts.
  • Complete employment verification requests and respond to employee payroll inquiries.
  • Maintain payroll confidentiality and safeguard sensitive compensation and financial information.

Training, Safety, and Regulatory Compliance

  • Coordinate employee in-services and ensure training schedules are communicated and posted appropriately.
  • Maintain accurate records of employee orientation, training, and in-service attendance.
  • Assist in coordinating employee health examinations and screenings as required.
  • Coordinate and document required fire drills and internal disaster preparedness drills.
  • Assist with incident and accident documentation in accordance with facility policies and procedures.
  • Participate in facility surveys and assist with preparation of required documentation.
  • Support workplace safety initiatives and ongoing compliance audits.
  • Maintain professional working relationships with facility personnel, residents, families, and the public.

Additional Responsibilities

  • Promote positive employee relations and professional communication throughout the facility.
  • Maintain a strong working relationship with the Administrator, DON, DSD, HRBP, and other department leaders.
  • Provide timely and accurate information to employees and management.
  • Demonstrate regular attendance, reliability, initiative, and accountability.
  • Perform other duties as assigned by the Administrator or supervisor.

Qualifications

  • Previous experience in human resources, payroll administration, or a combined HR / Payroll role required.
  • Experience in a skilled nursing facility, post-acute care, or healthcare setting strongly preferred.
  • Knowledge of payroll processing, employee benefits, onboarding, employee records, and HR compliance.
  • Familiarity with California employment laws, payroll requirements, and final paycheck deadlines strongly preferred.
  • Experience handling confidential employee information and sensitive HR matters.
  • Strong organizational, analytical, communication, and problem-solving skills.
  • Proficiency with payroll systems, HRIS platforms, and Microsoft Office applications.
  • Ability to manage multiple priorities, meet deadlines, and work independently while collaborating with facility leadership.

Why Join San Francisco Post Acute?

  • Competitive annual salary of $70,000–$90,000, depending on experience.
  • Full-time employment with a comprehensive benefits package.
  • Opportunity to make a meaningful impact on employee experience and facility operations.
  • Collaborative, team-oriented work environment.
  • Opportunity to contribute to employee development, operational excellence, and regulatory compliance.

Apply Today!


If you are an organized HR and payroll professional who takes pride in accuracy, confidentiality, and supporting a strong healthcare team, we invite you to apply for the HR / Payroll Manager position at San Francisco Post Acute.


We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

Skills Required

  • Previous experience in human resources, payroll administration, or a combined HR and payroll role
  • Experience in a skilled nursing facility, post-acute care, or healthcare setting
  • Knowledge of payroll processing, employee benefits, onboarding, employee records, and HR compliance
  • Familiarity with California employment laws, payroll requirements, and final paycheck deadlines
  • Experience handling confidential employee information and sensitive HR matters
  • Strong organizational, analytical, communication, and problem-solving skills
  • Proficiency with payroll systems, HRIS platforms, and Microsoft Office applications
  • Ability to manage multiple priorities, meet deadlines, and work independently while collaborating with facility leadership
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The Company
HQ: Salt Lake City, UT
1,556 Employees
Year Founded: 2013

What We Do

PACS trains and hires healthcare leaders, and provides a wide array of back-office support services to healthcare facilities, reducing administrative burdens so local leadership and care teams can focus more of their efforts on the care, well-being, and quality of life of their patients. The PACS team consists of 300+ professionals who provide accounting, finance, human resources, payroll, accounts receivable and payable, legal, risk management, information technology and other business advice and support from its headquarters in Farmington, UT, and satellite offices across the United States. PACS provides back-office administrative support to 321 independently-operated healthcare facilities in 17 states.

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