Payroll Manager

Payroll Manager @ Midi Health 💸📊
📍 Remote (U.S.-Based) | Full-Time

The difference you’ll make:

At Midi Health, payroll is more than just a function, it’s how we ensure our team feels supported, secure, and valued. As our Payroll Manager, you’ll take full ownership of payroll operations across our 500+ person, multi-entity organization. You'll ensure accurate, timely, and compliant processing while driving reconciliation, collaboration, and continuous improvement.

In this high-impact role, you’ll collaborate with Finance, HR, Legal, and Leadership to ensure our systems stay compliant, efficient, and transparent. Your work will keep our people paid and our operations running smoothly, and you’ll be the go-to expert when it comes to all things payroll.

This job is HOT 🔥

We’re scaling fast and that means complex payroll systems, multi-state compliance, and a lot of opportunity to improve processes. If you love the details and thrive in a fast-moving environment, this one’s for you.

What you’ll do:

📋 Run Payroll Operations Across Entities

• Manage end-to-end payroll for 500+ employees across three entities (bi-weekly and monthly cycles)
• Maintain accurate records for salary changes, bonuses, benefits, deductions, and tax details
• Lead reconciliation between HRIS (Rippling), accounting (Campfire), and payroll systems

✅ Ensure Compliance & Reporting

• Stay up-to-date on multi-state payroll regulations and ensure full legal compliance
• Support year-end activities including W-2s, 941s, and audit reporting
• Act as the internal SME for payroll audits, employee inquiries, and compliance questions

📈 Partner Cross-Functionally

• Collaborate with HR and Finance to manage equity activity via Carta (grants, terminations, reports)
• Provide monthly variance analysis and insights to support Finance reporting
• Support process improvements and system transitions or upgrades

What you’ll need to succeed: 🌱

• 5+ years of experience in accounting or finance with a deep focus on payroll
• Strong attention to detail and organizational skills
• Expertise in payroll systems — Rippling experience highly preferred
• Intermediate Excel/Google Sheets skills

Bonus Points: 

• Certified Payroll Professional (CPP) is a plus
• Experience with MSO or P.C. org structures is a plus
• Familiarity with healthcare industry standards
• Taking a company from start-up to IPO

The interview process will include: 📚

• Recruiter Screen (30 min)
• Hiring Manager Interview (45 min)
• Cross-Functional Final Interviews (2 hours)

The application window for this role closes at 5PM Central on August 22nd, 2025

• Hear from our patients — they love Midi 💜here and here

This role is not eligible for sponsorship. Must have authorization to work in the United States now and in the future.

The salary range for this position is $140,000-160,000, which is dependent on experience and location.

Midi Health is a diverse organization. We encourage applications regardless of color, religion, gender, sexual orientation, gender identity or expression, age, nationality, marital status, disability, and veteran status. #LI-JA1