About Legent Health
At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.”
Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.”
Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do:
- Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience.
- Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all.
- Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners.
Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care.
About the Role
The Payroll Specialist is responsible for the accurate and timely processing of bi-weekly and off-cycle payrolls in a multi-state environment while serving as a key payroll partner to the Vice President of Human Resources. This role ensures payroll accuracy, compliance oversight, benefit deduction integrity, and effective coordination with ADP, benefit vendors, and retirement plan providers. While ADP serves as the organization’s payroll tax filing provider, the Payroll Specialist actively monitors tax activity, audits benefit deductions, and maintains required uploads to benefit and 401(k) vendors to ensure accuracy, compliance, and audit readiness.
POSITION’S ESSENTIAL RESPONSIBILITIES:
Payroll Processing & Administration
- Process bi-weekly payrolls and off-cycle payrolls for exempt and non-exempt employees
- Ensure accurate calculation of wages, overtime, bonuses, shift differentials, stipends, reimbursements, retro pay, and other special payments
- Enter, audit, and validate payroll changes including new hires, job changes, compensation updates, terminations, and one-time payments
- Review payroll registers, identify discrepancies, and confirm payroll readiness prior to final approval
Payroll Tax Oversight & Compliance Monitoring
- Partner with ADP as the payroll tax filing provider to ensure federal, state, and local payroll taxes are calculated, filed, and paid accurately
- Monitor payroll tax filings, agency notices, amendments, and correspondence
- Track, research, and follow up on outstanding payroll tax issues in coordination with ADP, Finance, and HR
- Support year-end activities including W-2 validation and payroll reconciliations
Benefits & Retirement Deduction Oversight
- Audit employee benefit deductions to ensure accuracy and alignment with benefit elections, eligibility rules, and carrier requirements
- Partner with HR and Benefits to resolve deduction discrepancies, retroactive changes, and missed or incorrect deductions
- Maintain and submit regular payroll-related uploads and files to benefit carriers, COBRA administrators, and other benefit vendors
- Prepare and transmit payroll census files, contribution files, and required uploads to 401(k) and retirement plan providers
- Support benefit and retirement plan audits by providing payroll data, reconciliation reporting, and documentation
Audits, Controls & Reporting
- Support payroll-, benefits-, and retirement-related audits, including internal, external, and vendor audits
- Maintain documentation, controls, and audit trails related to payroll processing, tax activity, benefit deductions, and vendor uploads
- Prepare payroll and deduction reconciliation reports for HR and Finance leadership
Employee Support & HR Partnership
- Serve as point of contact for employee payroll and deduction inquiries, ensuring timely and accurate resolution
- Partner closely with HR Operations and Benefits to ensure alignment between payroll, benefits administration, and HR policies
- Ensure payroll practices consistently align with organizational policies and pay practices
Systems & Process Improvement
- Maintain payroll and deduction data integrity within ADP Workforce Now (or similar HRIS/payroll systems)
- Support payroll and benefits system testing, implementations, enhancements, and integrations
- Identify opportunities to strengthen controls, streamline processes, and improve employee experience
POSITION REQUIREMENTS:
- Experience processing bi-weekly and off-cycle payrolls
- Hands-on experience with ADP Workforce Now or comparable payroll systems
- Experience auditing benefit deductions and coordinating payroll-related benefit and retirement uploads
- Healthcare or multi-entity organization experience, preferred
- CPP or FPC certification, preferred
- Experience supporting benefit and retirement plan audits, preferred
EDUCATION AND EXPERIENCE REQUIREMENTS:
- Bachelor’s degree in Accounting, Finance, Human Resources, or related field (or equivalent experience)
- 3–5 years of payroll processing experience in a multi-state environment
- Strong attention to detail, follow-through, and confidentiality
Why Join Legent Health?
Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture.
We Offer:
- Competitive salary and performance incentives
- Comprehensive benefits package
- Paid time off and wellness programs
- Career development and training opportunities
Equal Employment Opportunity (EEO) Statement
Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic.
I-9 and E-Verify Compliance:
Employment eligibility will be verified through the U.S. Department of Homeland Security’s E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.
#legenthiring
Skills Required
- Experience processing bi-weekly and off-cycle payrolls
- Hands-on experience with ADP Workforce Now or comparable payroll systems
- Experience auditing benefit deductions and coordinating payroll-related benefit and retirement uploads
- Bachelor's degree in Accounting, Finance, Human Resources, or a related field, or equivalent experience
- 3-5 years of payroll processing experience in a multi-state environment
- Strong attention to detail, follow-through, and confidentiality
- Healthcare or multi-entity organization experience
- CPP or FPC certification
- Experience supporting benefit and retirement plan audits
What We Do
Legent Health is a progressive healthcare system that champions patient-centric, best-in-class care. Through a partnership model with physicians, we empower our teams to deliver high-quality, personalized healthcare in orthopedics, spine care, pain management, and ear, nose, and throat. We leverage our deep expertise in managing hospitals and ambulatory surgical centers to deliver exceptional outcomes. Our goal and commitment to our communities is to redefine the patient experience and improve healthcare delivery. We partner with physicians to create state-of-the-art facilities that blend advanced technology and innovative procedures. We stand by not only being able to meet but to exceed the expectations of our patients, families, and communities we serve. We are proud to provide a seamless care experience that prioritizes patient comfort and safety. We take pride in our team of highly skilled and dedicated healthcare professionals who work tirelessly to provide tailored care. Committed to continuous improvement, we embrace advancements in medical care to deliver cutting-edge treatment options. Our facilities are located across Texas and Florida, and we are continuously expanding. Each facility is designed to promote healing and comfort, with an emphasis on quality and efficiency. With a strong commitment to community health, we strive to make a significant contribution to the well-being of the communities we serve. At Legent Health, we believe that patient satisfaction goes beyond medical care. Our team is committed to creating a warm and welcoming environment that makes each patient feel valued and cared for. We believe in treating each patient as a unique individual with specific healthcare needs. We’re dedicated to continuing to transform the healthcare landscape by delivering personalized, high-quality care to each patient. Your health, our priority.








