The Payroll Manager role is responsible for overseeing and managing end-to-end payroll operations across multiple practices and multiple states. The payroll manager is a detail-oriented professional with strong expertise in payroll, benefits, compliance, and employee lifecycle operations. This role serves as the primary point of coordination for payroll processing, benefits administration and regulatory compliance. While this role is a part of the finance team and reports to the VP Controller the role partners closely with HR leadership, the practice teams, and ADP professionals to ensure accurate, complaint, and efficient payroll and tax processes. This role is ideal for a hands-on professional who thrives in a fast-paced, multi-site environment and can effectively balance big picture analysis and transactional execution with employee support and operational excellence.
Key Responsibilities- Full Payroll Process Management – bi-weekly payroll process across multiple sites and states
- Review and approve payrolls, ensuring employees are paid accurately, on time and according to applicable requirements
- Coach practice administrative staff, provide training, and advise on payroll related policies
- Coordinate monthly bonus processing, establish timelines, review calculations, and confirm accurate payments
- Review payroll files and any related journal entries
- Oversee federal, state, and local payroll tax activities including benefits filings and year-end W-2 processing, in conjunction with ADP Smart Compliance
- Build management and census reports as needed that help team members understand payroll data while protecting confidential employee information
- Improve payroll processes and system workflows to strengthen accuracy, consistency, and efficiency.
- Partner with HR, Practice staff and teams, IT, Finance, Legal, and ADP providers to resolve issues and support payroll projects.
- New acquired practice integration work – will serve as the liaison between Ascend Aesthetics, and the newly acquired practices. The payroll manager will ensure payroll is integrated into ADP and the new employees’ payroll is processed in a timely manner and integrated into the existing company.
Required
- Bachelor’s degree in accounting, finance, business administration or related field
- 5 to 6 years of payroll processing experience
- 1 to 2 years of supervisory or managerial experience
- Experience utilizing ADP or comparable payroll vendors and software
- Background in accounting, reconciliations, and financial close
Technical Skills
- Strong knowledge of payroll systems (e.g. ADP, Workday, SAP)
- Proficiency in Microsoft Excel (advanced functions pivot tables, reconciliation analysis)
- Familiarity with ERP systems (e.g. NetSuite, Oracle, SAP)
- Understanding of SOX Controls and audit requirements
Preferred Qualifications
- Ability to help shape a payroll system built around accurate pay, strong relationships, and continuous improvement.
- Ability to support month-end financial closing activities with finance and accounting teams and other business partners
Compliance Responsibilities
- Tax Withholding: Withhold the correct federal, state, and local income taxes from paychecks.
- Payroll Taxes: File quarterly and annual tax reports (IRS Form 941) on time.
- Wage Laws: Follow the Fair Labor Standards Act (FLSA) for minimum wage and overtime rules.
- Record Keeping: Update and maintain payroll processing files for each pay period.
- Garnishments: Work with ADP Smart Compliance to process court-ordered wage garnishments and child support payments accurately.
- Benefits and Deductions: Ensure correct pre-tax and post-tax deductions for health insurance and retirement plans
- Audits: Provide reports and analysis as needed
At Ascend Aesthetic Partners, we offer exciting career opportunities that allow you to grow professionally while making a significant impact on patient care in the plastic surgery and aesthetics industry.
Ascend Aesthetic Partners is a Management Services Organization (MSO) in the field of Plastic Surgery and Aesthetics. Founded on a commitment to excellence, innovation, and patient care, Ascend PSP brings together a network of highly accomplished plastic surgeons and their practices to advance aesthetic medicine, helping our patients feel more confident in their own bodies.
We are a group of plastic surgeons that have come together to collaborate on a whole new level. We believe that by learning from like-minded plastic surgeons and collaborating, we can continually evolve and improve our practices, reaching more people and positively changing their lives.
Ascend Aesthetic Partners is an Equal Opportunity EmployerAll qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws
Approval and Authority to ProceedJOB TITLE: Corporate Payroll Manager
Department: Finance
Reports to: VP Controller
FLSA Status: Exempt
Date Prepared: 10/08/2026
We approve the job description as described above and authorize the team to proceed.
Skills Required
- Bachelor's degree in accounting, finance, business administration, or a related field
- 5 to 6 years of payroll processing experience
- 1 to 2 years of supervisory or managerial experience
- Experience using ADP or comparable payroll vendors and software
- Background in accounting, reconciliations, and financial close
- Strong knowledge of payroll systems such as ADP, Workday, or SAP
- Proficiency in Microsoft Excel, including advanced functions, pivot tables, and reconciliation analysis
- Familiarity with ERP systems such as NetSuite, Oracle, or SAP
- Understanding of SOX controls and audit requirements
- Ability to shape a payroll system focused on accurate pay, strong relationships, and continuous improvement
- Ability to support month-end financial closing activities with finance and accounting teams
What We Do
Ascend Aesthetic Partners has built a growing network in plastic surgery and aesthetic care. It brings private practices and board-certified plastic surgeons into a multi-state network. Its locations span Alabama, Georgia, Florida, New Mexico, South Carolina, and Utah, illustrating its reach across the United States. The network includes eight private practices and over 20 board-certified plastic surgeons, with additional growth underway.
