Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.
In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.
We're hiring a People Enablement Lead, Payroll and HR Systems to partner on creating the operational backbone that will support our US expansion. You'll run payroll, help us expand to new states, keep our systems accurate, and maintain the documentation that helps employees and partners get answers fast. This is a high-ownership role on a small team — the work is detail-oriented and process-driven, with real visibility into how we build People infrastructure as we grow from ~100 to 300+ employees.
What you'll do in the first 6-12 MonthsRun bi-weekly US payroll end-to-end via ADP Workforce Now, across a multi-state footprint
Manage Workday transactions: new hire onboarding, employee data changes, offboarding, and ongoing record accuracy
Own knowledge base documentation in SharePoint (and later Atomicwork): employee-facing guides, internal process docs, and partner resources for HRBPs and Recruiting
Support state payroll registrations as we expand into new jurisdictions
Flag process gaps and help build the systems and guides that close them
6-8 years in payroll and HR generalist operations roles
Hands-on experience running multi-state payroll (NYC and California required); ADP Workforce Now experience preferred
AI fluency is key, we want someone who can manage and design the payroll process that will sustain the growth we need
Workday proficiency at the transaction level (data entry, employee records)
Strong attention to detail and comfort owning recurring, high-stakes processes
Clear written communication — you'll be writing docs that employees rely on
Based in NYC, able to work in-office two days per week
Skills Required
- 6-8 years of experience in payroll and HR generalist operations roles
- Hands-on experience running multi-state payroll, including NYC and California
- ADP Workforce Now experience
- AI fluency and ability to manage and design scalable payroll processes
- Workday proficiency at the transaction level, including data entry and employee records
- Strong attention to detail and comfort owning recurring, high-stakes processes
- Clear written communication skills for creating employee-facing documentation
- Based in NYC and able to work in-office two days per week
Neko Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Neko Health and has not been reviewed or approved by Neko Health.
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Healthcare Strength — Benefits materials and U.S. role listings describe comprehensive medical, dental, and vision coverage, often including mental-health support for clinical staff. This indicates a strong health-focused foundation aligned with a preventive-care mission.
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Wellbeing & Lifestyle Benefits — Offerings include a complimentary annual Neko Health scan for employees (often extended to eligible family members), a monthly wellness allowance, and wellness rewards. These distinctive perks emphasize preventive health and everyday wellbeing.
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Leave & Time Off Breadth — Paid time off and paid holidays are standard, with flexible time policies depending on role. Clinician postings also call out CME days in some markets.
Neko Health Insights
What We Do
Neko Health is a Swedish health-tech company co-founded in 2018 by Hjalmar Nilsonne and Daniel Ek. Neko's vision is to create a healthcare system that can help people stay healthy through preventive measures and early detection. This requires completely reimagining the patient's experience and incorporating the latest advances in sensors and AI. Neko has developed a new medical scanning technology concept to make it possible to do broad and non-invasive health data collection that is convenient and affordable for the public.
