The Senior Manager of Global Payroll & Benefits will manage payroll and benefits systems for US and international operations, ensuring compliance while supporting rapid headcount growth and acquisitions.
About Fabric Health
About the Role
What You'll Do
Why You Might Be a Good Fit
This Might Not Be The Right Fit If...
Your Qualifications
The national pay range for this role is $100,000.00 – $130,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, stock options and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.
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At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient.
We are a mission-driven team of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones.
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Fabric is looking for a Senior Manager of Global Payroll & Benefits to own the employment infrastructure that powers our people operations across the US and internationally. This role sits at the heart of the People team, responsible for the architecture, implementation, and management of payroll and benefits systems that are scalable, compliant, and automated to support rapid headcount growth and international expansion.
You will serve as the operational backbone of the People team, owning payroll, benefits, compliance, and systems across our dual US entities, a Management Services Organization (MSO) and Professional Corporation (PC), and growing global footprint. You will be a key partner to Finance, Legal, and executive leadership, playing a central role in how we integrate acquired companies and stand up new markets as Fabric continues to scale.
As the Senior Manager of Global Payroll & Benefits, you will own the strategy and execution of our global employment operations. Your primary responsibilities will include:
- Dual-Entity Payroll Execution: Execute end-to-end payroll across our dual US entities while maintaining strict operational and legal separation between clinical and corporate payrolls, with consolidated reporting for Finance.
- Global Tax Compliance: Own multi-state and multi-national tax compliance, including jurisdictional registrations, statutory filings, and year-end reporting across all active regions.
- Finance Partnership: Partner with Finance on payroll funding, cash flow forecasting, and GL mapping, and lead all payroll-related audits, 401(k) testing, and Workers' Comp filings.
- Benefits Architecture: Design and administer a scalable US benefits portfolio including medical, dental, vision, and 401(k)/HSA tailored to both corporate staff and clinical providers.
- Global Total Rewards: Manage statutory and supplemental benefit schemes globally, ensuring local market competitiveness within a unified total rewards philosophy.
- M&A Integration: Lead the payroll and benefits workstream for M&A activity from pre-acquisition due diligence through full workforce integration, ensuring accuracy in compensation and benefits from Day 1.
- International Expansion: Establish the framework for rapidly onboarding new international entities and Employer of Record (EOR) partnerships as the business expands.
- HRIS Ownership: Serve as the product owner for our global HRIS and payroll tech stack, building automated workflows for onboarding, leave administration, and offboarding to eliminate manual processes and minimize error.
Why You Might Be a Good Fit
- You are a compliance-first operator who finds real satisfaction in building airtight controls and systems that hold up under scrutiny.
- You understand how HR data and finance connect, specifically how payroll touches the general ledger, tax liability, and cash flow.
- You are drawn to automating and streamlining processes, and you have the technical fluency to turn inefficient workflows into scalable systems.
- You enjoy the complexity of M&A and the challenge of bringing acquired teams into a unified, well-run structure.
- You are a collaborative leader who is comfortable as a strategic partner to Finance, Legal, and executive leadership, not just an operator behind the scenes.
- You are energized by growth and the nuance of managing people operations across multiple geographies and regulatory environments.
- You are looking for a steady-state role managing an established payroll function, as this role requires evolving systems in a fast-changing environment.
- You prefer a purely domestic scope, as international tax complexity and global benefits management are core to this role, not secondary responsibilities.
- You are looking for an individual contributor seat, as this role carries significant cross-functional leadership responsibility and executive visibility.
Your Qualifications
- 7+ years in payroll and benefits leadership, with at least 4 years managing multiple global entities and international payroll vendors.
- Proven experience leading the People Ops and payroll workstream for at least 3 significant acquisitions from due diligence through integration.
- Expert-level proficiency in modern, global-first HRIS and payroll platforms with a strong understanding of how payroll data integrates with accounting and GL systems.
- Deep knowledge of US domestic tax law, ERISA, ACA, HIPAA, and international statutory requirements.
- Experience navigating the operational nuances of dual-entity or parent/subsidiary structures in a regulated environment.
- Bachelor's degree or equivalent work experience.
Fabric Health is aware of scammers attempting to impersonate employers. To ensure that any recruiting contact you receive is legitimate, please adhere to the following:
- Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
- Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
- Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
- Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
- Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
- Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.
If you question the validity of a contact or receive a suspicious message, do not click any links. Report the issue immediately to [email protected].
Please note: The security inbox is for reporting fraudulent activity only. Do not email this address for application status updates or to share application materials, as these will not be reviewed. Applications are only accepted and reviewed if submitted through our official application portal, and no application status information will be provided via the security email.
Top Skills
Global Payroll Platforms
Hris
Payroll Systems
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