Payroll Specialist (LHMSH)
4/14/2026
The Payroll Specialist is responsible for processing accurate and timely payroll for a multi-state healthcare organization while ensuring compliance with federal, state, and local tax laws. This role involves managing tax registrations, reconciling payroll taxes, and providing support for system implementations and internal audits.
Working Hours
40 hours/week
Company Size
1,001-5,000 employees
Language
English
Visa Sponsorship
No
Description
The Payroll Specialist is responsible for processing accurate and timely payroll for a multi-state healthcare organization. This role requires strong expertise in multi-state tax registration, employment tax compliance, and payroll regulations, particularly within complex environments such as skilled nursing, post-acute care, or multi-entity healthcare systems.
Payroll Processing and Administration
- Process bi-weekly and/or weekly payroll for multi-state employees (hourly, salaried, per visit)
- Ensure accurate calculation of wages, overtime, shift differentials, and bonuses
- Review and audit payroll data for completeness and accuracy prior to processing
- Manage off-cycle payrolls, corrections, and adjustments
Multi-State Tax Registration & Compliance
- Lead state and local tax registrations for new jurisdictions as the organization expands
- Maintain compliance with all federal, state, and local payroll tax laws
- Monitor Nexus changes and coordinate timely registration and account setup
- Ensure proper employee tax setup based on work and resident states
- Partner with tax teams or vendors to resolve tax notices and discrepancies
Employment Tax Management
- Reconcile payroll taxes and ensure timely filing and payments
- Support quarterly and annual filings (941s, state returns, W-2s, W-2Cs)
- Manage year-end processes, including balancing and audit support
- Research and resolve tax issues, including amendments and corrections
Systems & Process support
- Enter and maintain sensitive data in payroll and timekeeping systems while maintaining confidentiality. (e.g., Workday, OSV, or Paylocity)
- Generate payroll and tax reports for internal stakeholders
- Assist with system implementations, upgrades, or integrations
- Ensure proper coding of earnings, deductions, and tax setups
- Assist with payroll system testing, upgrades, and process improvements.
- Follow established payroll procedures and internal controls.
Compliance & Audit
- Ensure compliance with FLSA, state wage laws, and healthcare-specific regulations
- Support internal and external audits
- Maintain documentation for payroll processes and tax registrations
Employee Support
- Respond to employee payroll and tax inquiries in a timely manner
- Assist with corrections related to pay, taxes, or deductions
- Protect the legal, financial, and moral well-being of Larry H. Miller Senior Health.
- All other duties as assigned.
Requirements
- 3 to 5+ years of payroll experience, preferably in healthcare or multi-entity environments
- Strong experience with multi-state payroll tax registration and compliance
- Knowledge of federal and state employment tax regulations
- Experience handling payroll for multi-state workforces (1000+ employees preferred)
- Proficiency with payroll systems (Workday preferred)
- Strong Excel skills
Preferred
- Experience in post-acute care, skilled nursing, or similar healthcare setting
- Certified Payroll Professional (CPP)
- Experience managing tax notices, W-2Cs, and state amendments
- Familiarity with rapid-growth or acquisition-heavy environments
Physical Requirements
- Required vision includes close, distance, and peripheral vision, as well as the ability to adjust focus.
- Prolonged periods of sitting at a desk and working on a computer.
- Maintain regular attendance and timeliness as set forth in the work schedule designated by the department supervisor/manager.
- Ability to communicate effectively, both orally and in writing.
- Ability to manage time effectively and meet strict payroll deadlines while managing other job responsibilities.
Benefits
- Medical, Dental, and Vision plans
- Life Insurance and Short-Term Disability
- Flexible Spending and Health Savings Options
- PTO
- Discounts on Home, Auto, and Pet Insurance
- Employee Discount at Larry H. Miller Megaplex Theaters
- 401(k) plans, the company will match a percentage of employees' contributions.
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