Lead, Payroll

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. 

Benefits & Perks 

• Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.


• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. 


• Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.


• Time Off & Leave – Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.


• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. 
  

What You’ll Do 

We’re looking for a Payroll Lead to oversee payroll operations as we scale. This is a hands-on role for someone who enjoys solving complex challenges with innovative, compliant, and efficient solutions. At Strive, we believe payroll is more than just getting people paid—it’s about building trust, ensuring fairness, and supporting our team. If you're excited about scaling systems, owning processes, and making a real impact, we’d love to meet you! 

Key Responsibilities 

Payroll Processing 

• Manage accurate and timely processing of bi-weekly, multi-state payroll for 600+ salaried and hourly employees (and growing!) 

• Process off-cycle payrolls including final pay, bonuses, and adjustments 

• Ensure all hours, incentives, and pay are correctly entered and calculated 

Deductions & Compliance 

• Oversee all payroll deductions, including benefits, garnishments, and other withholdings 

• Ensure compliance with federal, state, and local tax regulations 

• Manage and maintain payroll tax registrations and filings in new and existing counties and states 

Systems, Training & Support 

• Train employees and managers on payroll systems (e.g., time tracking, pay stub access) 

• Collaborate with Strive's HR and Accounting teams to ensure aligned and efficient processes 

• Support employee questions regarding pay, tax forms, and related topics 

Reporting & Auditing 

• Maintain accurate payroll records and internal controls 

• Generate recurring and ad hoc payroll reports (weekly, bi-monthly, monthly, annual, etc.) 

• Perform audits and data validations to ensure payroll accuracy and compliance 

Minimum Requirements  

• 4+ years of hands-on experience managing end-to-end multi-state payroll  

• Strong knowledge of payroll laws, taxes, and compliance standards  

Preferred Qualifications  

• Strong background in Microsoft excel 

• Experience with Rippling, Netsuite 

About You

• You’re analytical, curious, and resourceful, with a high attention to detail and a commitment to accuracy  

• You take initiative and own your work with integrity  

• You communicate clearly—especially when breaking down complex info  

• You stay cool under pressure and thrive on bringing order to chaos  

• You understand the importance of confidentiality and handle sensitive data with care 

Annual Salary Range: $74,000 - $90,000

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

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