- Dual-Entity Payroll Execution: Execute end-to-end payroll across our dual US entities while maintaining strict operational and legal separation between clinical and corporate payrolls, with consolidated reporting for Finance.
- Global Tax Compliance: Own multi-state and multi-national tax compliance, including jurisdictional registrations, statutory filings, and year-end reporting across all active regions.
- Finance Partnership: Partner with Finance on payroll funding, cash flow forecasting, and GL mapping, and lead all payroll-related audits, 401(k) testing, and Workers' Comp filings.
- Benefits Architecture: Design and administer a scalable US benefits portfolio including medical, dental, vision, and 401(k)/HSA tailored to both corporate staff and clinical providers.
- Global Total Rewards: Manage statutory and supplemental benefit schemes globally, ensuring local market competitiveness within a unified total rewards philosophy.
- M&A Integration: Lead the payroll and benefits workstream for M&A activity from pre-acquisition due diligence through full workforce integration, ensuring accuracy in compensation and benefits from Day 1.
- International Expansion: Establish the framework for rapidly onboarding new international entities and Employer of Record (EOR) partnerships as the business expands.
- HRIS Ownership: Serve as the product owner for our global HRIS and payroll tech stack, building automated workflows for onboarding, leave administration, and offboarding to eliminate manual processes and minimize error.
Why You Might Be a Good Fit
- You are a compliance-first operator who finds real satisfaction in building airtight controls and systems that hold up under scrutiny.
- You understand how HR data and finance connect, specifically how payroll touches the general ledger, tax liability, and cash flow.
- You are drawn to automating and streamlining processes, and you have the technical fluency to turn inefficient workflows into scalable systems.
- You enjoy the complexity of M&A and the challenge of bringing acquired teams into a unified, well-run structure.
- You are a collaborative leader who is comfortable as a strategic partner to Finance, Legal, and executive leadership, not just an operator behind the scenes.
- You are energized by growth and the nuance of managing people operations across multiple geographies and regulatory environments.
- You are looking for a steady-state role managing an established payroll function, as this role requires evolving systems in a fast-changing environment.
- You prefer a purely domestic scope, as international tax complexity and global benefits management are core to this role, not secondary responsibilities.
- You are looking for an individual contributor seat, as this role carries significant cross-functional leadership responsibility and executive visibility.
Your Qualifications
- 7+ years in payroll and benefits leadership, with at least 4 years managing multiple global entities and international payroll vendors.
- Proven experience leading the People Ops and payroll workstream for at least 3 significant acquisitions from due diligence through integration.
- Expert-level proficiency in modern, global-first HRIS and payroll platforms with a strong understanding of how payroll data integrates with accounting and GL systems.
- Deep knowledge of US domestic tax law, ERISA, ACA, HIPAA, and international statutory requirements.
- Experience navigating the operational nuances of dual-entity or parent/subsidiary structures in a regulated environment.
- Bachelor's degree or equivalent work experience.
- Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
- Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
- Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
- Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
- Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
- Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.
Fabric Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Fabric Health and has not been reviewed or approved by Fabric Health.
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Fair & Transparent Compensation — Pay is considered aligned with role expectations, with explicit remarks that compensation reflects the demands of the work and “pay rate” highlighted as a strength.
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Leave & Time Off Breadth — Time off is described as generous, with unlimited PTO in some roles and a company holiday period that includes a full week off at year‑end.
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Equity Value & Accessibility — Equity is available to full‑time employees, and multiple role descriptions highlight stock options as part of total rewards.
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What We Do
Fabric Health is a pioneering care access platform dedicated to solving one of healthcare's most pressing challenges: operational capacity. We equip health systems, health plans, employers, and brokers with consumer-grade solutions designed to make healthcare faster, smarter, and more accessible at the exact moment of need. Our core mission is to empower boundless care through seamless, intuitive experiences that benefit both patients and providers. At the heart of our offering is a commitment to streamlining the entire care journey. We achieve this by integrating and optimizing every touchpoint from initial intake and intelligent triage to precise routing and effective treatment, encompassing both virtual and in-person care modalities. Our platform is meticulously crafted to enhance operational efficiency, addressing the complex logistical problems that often hinder timely and quality care delivery. What makes Fabric Health uniquely effective is our deep understanding of the patient and clinician experience. We develop robust automation workflows that significantly reduce administrative burdens on healthcare professionals, allowing them to focus invaluable time on what matters most: direct patient care. By automating repetitive tasks and streamlining processes, we enable clinicians to work more efficiently, leading to reduced burnout and a higher quality of service. Our comprehensive suite of features and services includes an advanced AI Assistant that guides users, dynamic Engagement & Pathways to ensure continuity of care, a versatile Virtual Care Platform for remote consultations, and dedicated Virtual Care Services for immediate support. Furthermore, our Intake & Care Guides simplify initial patient interactions, while our Enterprise Features provide scalable solutions for large organizations. Ultimately, Fabric Health drives tangible outcomes: reduced care costs, expanded access to care, and the delivery of consistent, higher-quality patient experiences. We are relentlessly focused on creating better, more intuitive interactions for consumers and equipping providers with the tools they need to deliver exceptional care efficiently. Every solution we develop is a testament to our dedication to transforming healthcare delivery, ensuring that timely, compassionate, and effective care is within everyone's reach.
Why Work With Us
Discover a culture of innovation, collaboration, and continuous growth. We offer a dynamic, remote-first environment where talented individuals thrive by tackling meaningful challenges. Contribute to cutting-edge solutions, work alongside inspiring peers, and truly make a difference in a flexible setting. Grow your career with purpose.
