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.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed