Position: Payroll Manager

Monogram Health is seeking a Payroll Manager to lead end-to-end, multi-state payroll operations, ensuring accurate and timely processing in compliance with all federal, state, and local requirements. This role manages a team of payroll professionals and serves as the primary liaison with our HCM partner (UKG) and external agencies.

Responsibilities

• Lead end-to-end, multi-state payroll operations, ensuring accurate and compliant processing of timekeeping, tax withholdings, garnishments, and deductions, while driving standardization and scalability.
• Manage, coach, and develop the payroll team, fostering a high-performing, accountable, and continuously improving function.
• Ensure accurate, timely quarterly and annual agency filings; manage all tax remittances and statutory reporting.
• Maintain Federal, State, and Local account IDs and tax rates in UKG in coordination with the HCM partner.
• Partner closely with Accounting and Finance to support payroll funding, bank interfaces, general ledger mapping, journal entries, and financial reporting accuracy.
• Serve as the lead for all payroll-related audits (workers’ compensation, financial, and regulatory), ensuring audit readiness, strong internal controls, and timely documentation.
• Develop and maintain payroll policies, procedures, and controls aligned with labor laws and company policy.
• Regularly engage with senior leadership to present payroll performance, trends, and risk areas, providing strategic insights and recommendations to support operational and financial decision-making.
• Drive continuous process improvement; test, deploy, and measure enhancements across payroll and HRIS workflows.
• Monitor open cases with the HCM partner through resolution; maintain current system and training documentation.
• Stay current on payroll, wage, and hour regulations at federal, state, and local levels and new and continuing payroll initiatives.
• Partner with HR to maintain accurate employee data across new hires, terminations, and transfers.
• Collaborate cross-functionally with HR, Finance, and Operations to support strategic initiatives, workforce planning, and business objectives.
• Build and maintain relationships with external vendors including benefits providers and tax agencies.

Position Requirements

• Bachelor’s degree in Accounting, Finance or related field or equivalent relevant experience required.
• Minimum of five (5) years of experience in payroll accounting, including at least three (3) years in a supervisory or management capacity.
• Experience with UKG Pro (HCM) and Workforce Management required.
• Demonstrated experience managing multi-state payroll operations.
• Advanced proficiency in Microsoft Excel (including formulas and pivot tables) and experience with HRIS/payroll systems and database management.
• Knowledge of federal, state, and local payroll regulations, including wage and hour laws.
• Strong understanding of HR policies, procedures, and employment law compliance.
• Proven ability to analyze data, generate reports, and present findings to stakeholders at all levels of the organization.
• Excellent organizational, analytical, and communication skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced, time-sensitive environment.
• Demonstrated ability to identify process inefficiencies and implement improvements across payroll, HRIS, and related functions (e.g., accounts payable).
• Self-motivated, proactive, and able to work independently with minimal supervision.

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

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