At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it.
As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.
Founded in 2021, we've grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.
Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place—and we look forward to working with you.
For more information about our company, visit CuranaHealth.com.
SummaryThe Payroll Tax Lead serves as a senior payroll tax subject matter expert within the payroll team, responsible for payroll tax compliance and operations across a complex, multi-state workforce. This role ensures accurate and timely employee and employer payroll tax withholding, deposits, filings, reconciliations, registrations, amendments, and year-end reporting.
Working closely with Payroll, People Systems, Finance, and external payroll tax vendors, the Payroll Tax Lead will resolve complex payroll tax matters, strengthen controls, and ensure payroll tax processes and systems remain compliant and scalable. Essential Duties & Responsibilities- Lead multi-state federal, state, and local payroll tax compliance, including employee and employer taxes, deposits, filings, and reconciliations.
- Coordinate quarterly and year-end payroll tax activities, including Forms 941, 940, W-2, W-2C, amendments, and related reconciliations.
- Manage payroll tax registrations, agency notices, audits, penalties, and correspondence through timely resolution.
- Monitor regulatory changes and partner with Payroll and People Systems to ensure payroll tax processes, controls, and system configuration remain compliant.
- Identify root causes of payroll tax issues, drive sustainable corrective actions, and ensure effective performance of external payroll tax vendors.
- Participate in M&A diligence and integration activities, providing payroll tax expertise and supporting end-to-end readiness, compliance, and issue resolution.
- Develop payroll tax reporting and provide clear recommendations on material compliance risks, trends, and opportunities for improvement.
Required Qualifications:
- Bachelor's degree in business, Accounting, Finance, Human Resources, or a related field.
- Minimum of 5 years of payroll tax experience in a complex, multi-state environment, with strong knowledge of federal, state, and local payroll tax laws and regulations.
- Experience across payroll tax filings, reconciliations, registrations, amendments, agency notices, and year-end reporting.
- Experience working with enterprise payroll platform and payroll tax providers.
- Strong analytical, problem-solving, and communication skills.
Preferred Qualifications:
- Workday Payroll experience.
- ADP payroll and payroll tax experience.
- Experience supporting mergers, acquisitions, or large-scale organizational changes.
- Healthcare or other highly regulated industry experience.
- CPP (Certified Payroll Professional) certification or similar credential.
Skills Required
- Bachelor's degree in business, Accounting, Finance, Human Resources, or a related field
- At least 5 years of payroll tax experience in a complex, multi-state environment
- Strong knowledge of federal, state, and local payroll tax laws and regulations
- Experience with payroll tax filings, reconciliations, registrations, amendments, agency notices, and year-end reporting
- Experience working with enterprise payroll platforms and payroll tax providers
- Strong analytical, problem-solving, and communication skills
- Workday Payroll experience
- ADP payroll and payroll tax experience
- Experience supporting mergers, acquisitions, or large-scale organizational changes
- Healthcare or other highly regulated industry experience
- CPP certification or similar credential
What We Do
Curana Health is a national value-based healthcare company focused on senior housing residents. It provides compassionate, coordinated, on-site primary care, health insurance plans, Accountable Care Organization (ACO) services, and Medicare Advantage Special Needs Plans. Its model combines clinicians, care teams, technology, analytics, and operator partnerships to improve health outcomes, reduce preventable hospitalizations, support aging in place, and help senior living communities deliver more effective care.
