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Cadence is a clinical AI company automating chronic disease treatment. The company partners with 20+ leading health systems and serves a population of 100,000+ patients. Cadence has been recognized by TIME as a Top 100 HealthTech Company and by LinkedIn as a Top Startup (#4, 2025).
The Payroll Specialist will support accurate, timely US payroll operations for a growing, multi-state healthcare technology organization. Reporting to the Senior Payroll Manager, you will process multiple pay groups across biweekly and semimonthly cycles and partner closely with Finance, Benefits, and People to maintain reliable payroll operations and positive employee experience.
Key responsibilities include:
**Payroll Processing & Timekeeping:** Process multiple US pay groups across biweekly and semimonthly cycles, completing payroll previews, audits, and approvals within deadlines. Validate new hires, terminations, compensation changes, retroactive pay, bonuses, and commissions. Review payroll results for unexpected changes and investigate discrepancies. Calculate and process off-cycle and manual payments. Audit timekeeping data and resolve exceptions. Administer garnishments, child support orders, and tax levies. Maintain and audit PTO and leave accruals.
**Payroll Tax, Compliance & Controls:** Support multi-state payroll tax compliance including registrations and rate updates. Monitor agency notices and coordinate resolution. Support quarter-end and year-end activities including W-2 preparation and reconciliation. Maintain knowledge of federal, state, and local wage and hour requirements. Support internal and external audits. Maintain documented procedures, audit trails, and internal controls.
**Finance, Benefits & People Partnership:** Partner with Finance on payroll funding and general ledger mapping. Reconcile benefit deductions with Benefits and carriers. Partner with People on employee data integrity and onboarding/offboarding. Support 401(k) contribution and loan processing. Communicate payroll cutoffs and exceptions to relevant partners.
**Employee Support:** Serve as responsive point of contact for employee payroll questions. Research and resolve issues with accuracy and discretion. Explain findings and correction timelines clearly.
**Reporting, Systems & Process Improvement:** Produce standard and ad hoc payroll reports. Support payroll system configuration, upgrades, and implementations. Identify recurring errors and recommend improvements. Keep payroll procedures current.
**Requirements:**
- At least five years of hands-on US payroll processing experience, including multi-state payroll
- Experience processing multiple pay groups and pay frequencies, including biweekly and semimonthly cycles
- Working knowledge of federal and multi-state wage and hour, payroll tax, and pay practice requirements
- Demonstrated accuracy and attention to detail with ability to prioritize competing tasks and meet firm payroll deadlines
- Strong analytical and problem-solving skills, including ability to investigate discrepancies, reconcile records, and document resolutions
- Proven discretion when handling confidential compensation and employee information
- Clear written and verbal communication with employees, managers, and cross-functional partners
- Ability to work independently in a fully remote environment, take ownership of recurring responsibilities, and escalate risks promptly
**Preferred Qualifications:**
- Experience with Rippling
- Experience supporting state and local payroll tax registrations and account setup
- Healthcare or other multi-site workforce experience with substantial hourly employee population
- Experience supporting payroll through organizational growth, acquisitions, or system implementations
