Payroll Manager

At Tend, how we pay our people is one of the most tangible ways we build trust. The Payroll Manager owns the end-to-end payroll experience for a complex, multi-state healthcare workforce that includes clinical teams, corporate employees, and contractors. This role blends deep payroll expertise with operational excellence and cross-functional partnership to ensure every team member is paid accurately, compliantly, and on time — while helping Tend scale responsibly as we grow.

This position is hybrid if Nashville-based (Tuesdays and Wednesdays in office) or remote if based outside of Nashville. Candidates must be based in central or east coast time zones.

Quick Facts

• Hybrid (Nashville-based, Tuesdays and Wednesdays in office) or remote (central or east coast time zones required)
• Pay Range: $95,000—$125,000 USD
• Bonus eligible based on company and individual performance

Description

Payroll Operations & Processing

• Own and execute bi-weekly payroll for a multi-state, multi-entity healthcare workforce across clinical studios and corporate teams.
• Ensure accurate processing for hourly, salaried, and contractor populations, including multiple pay cycles, rates, and premium structures.
• Manage complex pay components including shift differentials, clinical premiums, overtime, blended rates, state-specific rules, and retroactive adjustments.
• Oversee payroll inputs including time and attendance, PTO, leaves of absence, bonuses, commissions, and off-cycle payments.
• Process and reconcile 401(k) and other benefit-related payroll deductions, including employee contributions, employer matches, and loan repayments.

Compliance, Tax & Regulatory Management

• Ensure compliance with federal, state, and local wage-and-hour laws, with particular attention to healthcare and state-specific requirements.
• Manage payroll tax setup, filings, deposits, reconciliations, and agency notices in partnership with payroll vendors.
• Own year-end processes including W-2s, 1099s, and all required state and federal reporting.

Audits, Controls & Financial Integrity

• Conduct payroll audits, reconciliations, and internal controls to ensure accuracy, compliance, and financial integrity.
• Partner with Finance on payroll accruals, general ledger alignment, and labor reporting for clinical and corporate teams.

Systems, Tools & Process Improvement

• Serve as system owner for payroll and timekeeping platforms, ensuring pay rules, premiums, and state requirements are correctly configured.
• Lead continuous improvement of payroll processes, documentation, and controls to support scale and a strong team member experience.

Cross-Functional Partnership & Support

• Act as a trusted partner to People, Finance, Legal, and Studio leaders on complex payroll and pay practice questions.

What You Have

• 7+ years of progressive payroll experience, including ownership of multi-state, multi-unit payroll in healthcare or similarly complex environments.
• Deep experience supporting hourly, salaried, and contractor populations, including clinical teams with shift-based scheduling and premium pay.
• Strong working knowledge of payroll tax compliance, wage-and-hour laws, and healthcare-specific pay practices.
• Hands-on experience managing payroll audits, tax notices, garnishments, and regulatory inquiries.
• Experience administering 401(k) and other benefit-related payroll deductions in partnership with Total Rewards and Finance.
• Advanced experience with payroll and timekeeping systems (UKG preferred; ADP, Workday, or similar platforms).
• Strong Excel and reporting skills for audits, reconciliations, and leadership reporting.
• A high bar for accuracy, strong organization, and the ability to operate calmly and effectively in fast-paced, high-volume environments.
• A collaborative, service-oriented mindset with the ability to build trust and influence across People, Finance, Legal, and Studio teams.

Benefits

• Health Comes First - Medical, dental, and vision insurance, plus a Dental Wellness Program.
• Plan for the Future - 401(k) plan.
• Support When You Need It - Life & AD&D insurance, health advocacy, legal support, and Employee Assistance Program (EAP).
• Smart Spending Options - Flexible Spending Accounts (FSAs), Health Savings Accounts (HSAs), and pre-tax transit/parking benefits.
• Time to Recharge - Generous Paid Time Off (PTO) and company holidays.
• Bonus Eligible - Annual bonus based on company and individual performance.

Tend is an Equal Opportunity Employer. Tend complies with all applicable federal, state, and local laws governing nondiscrimination, equal employment opportunity, pay transparency, and other employment-related requirements.