US Payroll Manager

At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.
Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.
Job Description
 

The US Payroll Manager is the senior operational leader for all US payroll activity, serving as the primary point of escalation and decision-making during US business hours. This role removes time-zone dependency on the Global Payroll Director by owning end-to-end delivery across 5 legal entities, leading a team of 3 specialists, and driving continuous improvement across processes, compliance, and systems.

Key Responsibilities:

Team Leadership & Development

• Manage, coach and develop 3 Payroll Specialists; conduct regular 1:1s, set objectives, and lead performance reviews

• Allocate entity and workload ownership across the team, balancing complexity and coverage risk

• Build a positive team culture with clear accountability and defined career pathways

• Serve as first-line escalation for all payroll queries, exceptions, and processing issues during US hours

Payroll Operations

• Oversee end-to-end payroll processing cycles across all 5 US legal entities, ensuring accuracy and on-time delivery

• Perform final review and sign-off on payroll runs before funding; act as hands-on processor for complex or high-risk entities

• Manage off-cycle payroll runs, retroactive adjustments, and termination calculations

• Own the payroll calendar and ensure all deadlines are met across entities

Compliance & Controls

• Ensure compliance with federal, state, and local payroll tax regulations across all jurisdictions

• Maintain SOX controls documentation and support internal and external audits

• Manage year-end processes including W-2 production, reconciliations, and tax filings

• Monitor legislative and regulatory changes affecting US payroll; implement required process updates

Vendor & Stakeholder Management

• Own day-to-day relationships with payroll system vendor, tax filing agents, and benefit administrators

• Partner with HR, Finance, Legal, and Benefits teams as the primary US payroll contact

• Prepare and present payroll metrics, exception reports, and KPIs for the Global Payroll Director and senior stakeholders

Process Improvement & Projects

• Identify and lead process improvement initiatives to enhance accuracy, efficiency, and controls

• Support system upgrades, new entity set-ups, and M&A-related payroll integrations

• Contribute to global payroll strategy and standardization projects led by the Global Payroll Director  

Required Experience & Qualifications 

•  7+ years of US payroll experience, including multi-state and multi-entity environments

• 2+ years in a supervisory or team lead role with direct people management responsibility

• Deep knowledge of US federal and state payroll tax law, wage and hour regulations, and year-end compliance

• Hands-on experience with enterprise payroll systems (Workday Payroll)

• Experience operating within SOX-controlled environments

• CPP (Certified Payroll Professional) and Workday Payroll certification necessary

• Advanced excel skills and Power BI preferred

Skills and Competencies

• Multi-state payroll tax expertise

• Payroll system administration

• SOX controls and audit readiness

• Year-end reconciliation and W-2

• Excel / data analysis proficiency

• HRIS integration knowledge

Leadership and Behavioral

•  Decisive under time pressure

• Clear communicator across levels

• Builds team capability proactively

• High ownership and accountability

• Comfortable with global stakeholders

• Continuous improvement mindset 

Additional Information
 

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary and Benefits

Salary Range: $103,500 - $129,500

Commission Eligible: No

Travel: Yes/No - Required up to 10% of the time  

Location Requirement: 

Fuze Health is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.

Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month. More

Benefits Information Here:  https://west.acrisure.com/fuzehealth/benefits/

Application deadline: August 31st, 2026 (deadline may be extended as needed)

#LI-Remote ​

Equal Opportunity Employer

Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at [email protected]. 

Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.

Use of Automated Decision Tools

Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at [email protected]. 

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