Demo

Vice President of Payroll

Creative Solutions In HealthCare
Fort Worth, TX Full Time
POSTED ON 5/8/2026
AVAILABLE BEFORE 6/6/2026
Join Our Team as a Vice President of Payroll

Lead Payroll Strategy, Ensure Compliance, and Support a Growing Healthcare Organization

Creative Solutions in Healthcare is seeking an experienced and strategic Vice President of Payroll to oversee payroll operations across our growing network of skilled nursing and long-term care facilities throughout Texas.

This executive leadership role is responsible for ensuring accurate and compliant payroll processing, strengthening payroll systems and controls, and supporting operational excellence across a large multi-site organization. If you are a payroll leader who thrives in a fast-paced environment and enjoys building efficient processes and strong teams, we would love to hear from you.

Your Impact as Vice President of Payroll

In this role, you will:

  • Lead all payroll operations across a multi-facility organization
  • Ensure timely, accurate, and compliant payroll processing
  • Oversee payroll compliance with federal, state, and local regulations
  • Develop and maintain payroll policies, procedures, and internal controls
  • Partner with HR, Finance, and Operations leadership to support organizational goals
  • Analyze payroll data, trends, and reporting to improve efficiency and reduce risk
  • Oversee payroll audits, tax reporting, and compliance reviews
  • Lead payroll system enhancements, integrations, and process improvements
  • Build and mentor a high-performing payroll team
  • Provide strategic guidance and support to executive leadership
  • Ensure confidentiality and security of employee payroll information
  • Monitor payroll-related budgets, forecasting, and labor reporting
  • Oversee multi-facility payroll operations and ensure wage and hour compliance
  • Assist with acquisitions, transitions, and payroll onboarding for newly acquired facilities
  • Develop scalable payroll workflows to support company growth and operational needs


What Makes You a Great Fit

We’re looking for someone who:

  • Has a minimum of 7-10 years of progressive payroll leadership experience
  • Has experience overseeing payroll for multi-facility operations
  • Possesses strong knowledge of payroll regulations, tax laws, garnishments, and wage and hour compliance
  • Has experience with payroll systems, HRIS platforms, and payroll integrations
  • Demonstrates strong leadership and team development skills
  • Has exceptional analytical, organizational, and problem-solving abilities
  • Communicates effectively with executive leadership and cross-functional teams
  • Can manage multiple priorities and deadlines in a fast-paced environment
  • Maintains a high level of professionalism, confidentiality, and integrity
  • Has advanced Excel and payroll reporting experience
  • Has experience leading payroll audits and compliance initiatives
  • Is detail-oriented with a strong focus on accuracy and process improvement
  • Can work independently while driving accountability across teams


Preferred Qualifications

  • Bachelor’s degree in Accounting, Finance, Human Resources, Business Administration, or related field preferred
  • Healthcare, skilled nursing, or long-term care experience strongly preferred
  • Experience with high-volume employee payroll processing preferred
  • Experience supporting mergers, acquisitions, or rapid organizational growth preferred


Benefits (Full-Time)

Comprehensive Coverage: Health, Dental, and Vision Insurance (Available Day 1!)

Extra Protection: AD&D, Short-Term Disability, Cardiac, Cancer, Critical Illness, and more

Life Insurance: Whole and Term Policies

Professional Growth: Tuition Reimbursement

Time to Recharge: Paid Time Off

Retirement Planning: Immediate 401(k) eligibility

Unwavering Support: Exceptional corporate resources and leadership

Equal Opportunity Employer

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Salary.com Estimation for Vice President of Payroll in Fort Worth, TX
$152,824 to $200,967
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