What We Strive For
At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference.
Benefits & Perks
- Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
- Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
- Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
- Time Off & Leave – Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
- Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.
What You’ll Do
We’re looking for a Payroll Lead to oversee payroll operations as we scale. This is a hands-on role for someone who enjoys solving complex challenges with innovative, compliant, and efficient solutions. At Strive, we believe payroll is more than just getting people paid—it’s about building trust, ensuring fairness, and supporting our team. If you're excited about scaling systems, owning processes, and making a real impact, we’d love to meet you!
Key Responsibilities
Payroll Processing
- Manage accurate and timely processing of bi-weekly, multi-state payroll for 600+ salaried and hourly employees (and growing!)
- Process off-cycle payrolls including final pay, bonuses, and adjustments
- Ensure all hours, incentives, and pay are correctly entered and calculated
Deductions & Compliance
- Oversee all payroll deductions, including benefits, garnishments, and other withholdings
- Ensure compliance with federal, state, and local tax regulations
- Manage and maintain payroll tax registrations and filings in new and existing counties and states
Systems, Training & Support
- Train employees and managers on payroll systems (e.g., time tracking, pay stub access)
- Collaborate with Strive's HR and Accounting teams to ensure aligned and efficient processes
- Support employee questions regarding pay, tax forms, and related topics
Reporting & Auditing
- Maintain accurate payroll records and internal controls
- Generate recurring and ad hoc payroll reports (weekly, bi-monthly, monthly, annual, etc.)
- Perform audits and data validations to ensure payroll accuracy and compliance
Minimum Requirements
- 8+ years of hands-on experience managing end-to-end multi-state payroll
- Strong knowledge of payroll laws, taxes, and compliance standards
- Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
- Ability to travel and be onsite to meet business needs.
Preferred Qualifications
- Strong background in Microsoft excel
- Experience with Rippling, Netsuite
About You
- You’re analytical, curious, and resourceful, with a high attention to detail and a commitment to accuracy
- You take initiative and own your work with integrity
- You communicate clearly—especially when breaking down complex info
- You stay cool under pressure and thrive on bringing order to chaos
- You understand the importance of confidentiality and handle sensitive data with care
Annual Salary Range: $74,000 - $105,000
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.
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What We Do
Strive Health is built for purpose — to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive’s model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from chronic kidney disease through end-stage kidney disease, leveraging comparative and predictive data and analytics to identify at-risk patients. Strive Health’s interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top talent in the healthcare community and set a new standard for how kidney care should be done.
Why Work With Us
“At Strive, we’re transforming kidney care. While our mission, vision, and values-based culture play critical roles in that transformation, our people (Strivers) make it happen. Strivers are delivering compassionate kidney care and creating an incredible place to work.” Chris Riopelle (CEO)
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