Payroll Specialist (LHMSH)

Larry H. Miller Senior Health•Sandy, UT

About The Position

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.

Requirements

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

Nice To Haves

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

Responsibilities

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
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
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
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.
Ensure compliance with FLSA, state wage laws, and healthcare-specific regulations
Support internal and external audits
Maintain documentation for payroll processes and tax registrations
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.