Human Resources Manager / People Operations Manager

Human Resources Manager / People Operations Manager
Salary: $80,000–$100,000 per year
Job Type: Full-time
Location: San Diego, CA | Hybrid | Must be able to work regularly onsite at our headquarters clinic and laboratory

About Us

We are a rapidly growing, multi-state healthcare services platform built on an MSO-PC model, supporting clinical operations, provider groups, and specialty healthcare service lines across multiple markets.

This is not a legacy corporate HR environment.

We are building a modern, scalable infrastructure that supports clinical excellence, disciplined growth, acquisitions, and long-term enterprise value creation.

We are seeking an experienced Human Resources Manager / People Operations leader who can help us professionalize and scale our people operations function across multiple states and operating entities.

This role is ideal for someone who thrives in high-accountability, growth-oriented environments and wants to help build systems that scale.

The Opportunity

We are seeking a dedicated HR leader who can take ownership of our people operations infrastructure.

You will be responsible for both day-to-day HR execution and strategic systems-building, helping us move from reactive issue management to proactive leadership development, compliance, and scalable workforce processes.

This person will be a key operational partner to leadership and departmental managers.

You will help install standards, ensure consistent execution, and support integration of future acquisitions into the platform.

Key Responsibilities

Core HR Operations

• Own daily HR administration across a multi-state workforce of 100 employees
• Manage employee lifecycle processes including onboarding, offboarding, role changes, documentation, and benefits coordination
• Serve as the primary internal HR resource for managers and employees
• Manage HRIS and employee records systems

Payroll & Benefits

• Own and oversee payroll workflows, accuracy, timing, and issue resolution
• Coordinate closely with finance/accounting and our PEO
• Ensure multi-state payroll compliance, tax setup, and labor law adherence
• Optimize benefits administration and employee support

PEO Management

• Serve as the primary relationship manager with our Professional Employer Organization (PEO)
• Ensure we are fully utilizing embedded tools and services including compliance support, training resources, handbook tools, HRIS workflows, benefits administration, and reporting dashboards
• Hold the PEO accountable for service quality and deliverables

Compliance & Policy

• Upgrade and maintain our employee handbook
• Build and manage multi-state compliance processes
• Ensure compliance with federal and state employment laws
• Standardize policies, SOPs, documentation, and performance management workflows

Performance Management & Leadership Development

• Design and run structured performance review cycles
• Coach departmental leaders on employee documentation, performance conversations, corrective action workflows, and conflict resolution
• Help managers resolve lower-level employee issues before formal HR escalation
• Develop manager training systems and playbooks

Strategic Growth & M&A Integration

• Support workforce integration for acquisitions and roll-up transactions
• Assist with due diligence on HR, payroll, and compliance during acquisitions
• Standardize onboarding of acquired teams into platform workflows
• Support organizational design and workforce scaling initiatives

Qualifications

Required

• 5 years in HR, people operations, or HR management
• Strong hands-on payroll administration experience
• Multi-state employment and payroll compliance knowledge
• Experience working with or managing a PEO relationship
• Proven ability to build systems and process discipline
• Strong performance management and manager coaching skills
• Excellent documentation and policy writing skills

Highly Preferred

• Healthcare HR experience
• Experience in multi-site healthcare organizations
• Familiarity with MSO-PC structures
• M&A integration or acquisition onboarding experience
• Experience supporting scaling organizations
• Exposure to provider groups, laboratories, dermatology, or specialty healthcare settings

Ideal Candidate

You are highly organized, systems-minded, process disciplined, and comfortable holding managers accountable.

You are proactive rather than reactive and know how to build infrastructure that lasts.

Compensation & Benefits

• $80,000–$100,000 annual salary
• Full-time exempt position
• Growth opportunity within a rapidly scaling healthcare platform

Why Join Us

This is a high-impact role with direct visibility to leadership and a meaningful opportunity to shape the people infrastructure of a growing healthcare enterprise. The right person will directly influence organizational stability, compliance, manager effectiveness, and acquisition integration success.

Pay: $80,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Application Question(s):

• How many years of hands-on HR management or people operations experience do you have, including payroll, compliance, and employee relations?

Less than 3 years
3–5 years
5–7 years
7 years

• How many U.S. states have you directly managed payroll and employment compliance for?

1 state
2–3 states
4–10 states
10 states

• Have you directly managed the relationship with a Professional Employer Organization (PEO), including payroll, benefits, HRIS, and compliance workflows?

Yes, primary owner
Yes, secondary/support role
Limited exposure
No experience

• Please describe your HR experience in healthcare, clinical operations, laboratories, physician groups, or other regulated healthcare settings.

(short written response)

• Describe a situation where you trained department managers to independently resolve routine performance or employee relations issues before formal HR escalation. What systems or training did you implement?

(short written response)

• Have you supported onboarding or HR integration for an acquisition, merger, new clinic/location opening, or rapid workforce expansion? Please describe your role.

(short written response)

• What is one HR system, policy, or workflow you personally built or significantly improved that materially improved compliance, manager accountability, or employee performance?

(short written response)

Work Location: Hybrid remote in San Diego, CA 92121

Salary : $80,000 - $100,000