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Payroll and Accounting Manager

Healthcare IT Leaders
Alpharetta, GA Contractor
POSTED ON 3/26/2026
AVAILABLE BEFORE 4/24/2026
Hybrid position in Alpharetta, GA

Position Summary

The Payroll & Accounting Manager is responsible for overseeing payroll processing, accounts payable and receivable functions, tax compliance, and financial operations support. This role ensures accuracy, compliance, and efficiency across payroll, invoicing, collections, and regulatory reporting, while supporting broader financial and operational processes within the organization.

Key Responsibilities

Payroll & Compensation

  • Manage full-cycle bi-weekly payroll processing, including commissions and bonus payments
  • Process monthly commissions and bonus accruals/payouts
  • Maintain payroll-related accrual entries and reconciliations
  • Support annual workers’ compensation audits and estimations

Accounts Payable & Vendor Management

  • Manage onboarding and setup of new vendors, including W-9 collection and compliance
  • Process accounts payable invoices and execute weekly payment runs (checks and ACH)
  • Oversee provider payments and related financial transactions

Accounts Receivable & Billing

  • Manage customer invoicing in accordance with contract terms (SOW-specific billing)
  • Oversee accounts receivable and collections processes
  • Apply customer payments to outstanding invoices
  • Administer customer rebates, discounts, and T&E adjustments

Tax & Compliance

  • Prepare and file W-9 and year-end IRS documentation
  • Manage sales tax registrations, filings, and remittances
  • Coordinate business registrations in new states and maintain annual filings
  • Prepare detailed schedules for state and local tax filings
  • Complete quarterly B&O tax calculations and filings
  • Respond to state inquiries and regulatory requests
  • Support state-specific reporting requirements (e.g., NY reporting)

Financial Reporting & Analysis

  • Prepare monthly medical malpractice summary reporting
  • Provide documentation and support for semi-annual audits (e.g., Wells Fargo audits)
  • Review project financial models and provide insights

Systems & Operational Support

  • Approve placements in Salesforce, including provider and ACH setup
  • Set up project placements and related system configurations
  • Review and maintain system data integrity, including updates to fields and configurations for multi-placement scenarios
  • Review T&E submissions and ensure accurate billing

Qualifications

  • Bachelor’s degree in Accounting, Finance, or related field
  • 5 years of experience in payroll, accounting, or finance operations
  • Strong knowledge of payroll processing, AP/AR, and tax compliance
  • Experience with multi-state payroll and tax filings preferred
  • Proficiency in accounting systems and CRM platforms (e.g., Salesforce)
  • High attention to detail and strong organizational skills
  • Ability to manage multiple priorities and meet deadlines

Healthcare IT Leaders is a national leader in IT workforce solutions, connecting healthcare provider, payer and life sciences organizations with experienced technology talent for consulting and full-time hiring. For more information, visit us on the web at www.healthcareitleaders.com .

Healthcare IT Leaders provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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$50.00 to $64.00
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