Payroll Specialist (LHMSH)

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.

• 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.