US Payroll Manager

Alto Pharmacy

2d•$103,500 - $129,500•Remote

About The Position

At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs. Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.

Requirements

7+ years of US payroll experience, including multi-state and multi-entity environments
2+ years in a supervisory or team lead role with direct people management responsibility
Deep knowledge of US federal and state payroll tax law, wage and hour regulations, and year-end compliance
Hands-on experience with enterprise payroll systems (Workday Payroll)
Experience operating within SOX-controlled environments
CPP (Certified Payroll Professional) and Workday Payroll certification necessary
Advanced excel skills and Power BI preferred
Multi-state payroll tax expertise
Payroll system administration
SOX controls and audit readiness
Year-end reconciliation and W-2
Excel / data analysis proficiency
HRIS integration knowledge
Decisive under time pressure
Clear communicator across levels
Builds team capability proactively
High ownership and accountability
Comfortable with global stakeholders
Continuous improvement mindset
Applicants must be authorized to work for any employer in the U.S.

Responsibilities

Manage, coach and develop 3 Payroll Specialists; conduct regular 1:1s, set objectives, and lead performance reviews
Allocate entity and workload ownership across the team, balancing complexity and coverage risk
Build a positive team culture with clear accountability and defined career pathways
Serve as first-line escalation for all payroll queries, exceptions, and processing issues during US hours
Oversee end-to-end payroll processing cycles across all 5 US legal entities, ensuring accuracy and on-time delivery
Perform final review and sign-off on payroll runs before funding; act as hands-on processor for complex or high-risk entities
Manage off-cycle payroll runs, retroactive adjustments, and termination calculations
Own the payroll calendar and ensure all deadlines are met across entities
Ensure compliance with federal, state, and local payroll tax regulations across all jurisdictions
Maintain SOX controls documentation and support internal and external audits
Manage year-end processes including W-2 production, reconciliations, and tax filings
Monitor legislative and regulatory changes affecting US payroll; implement required process updates
Own day-to-day relationships with payroll system vendor, tax filing agents, and benefit administrators
Partner with HR, Finance, Legal, and Benefits teams as the primary US payroll contact
Prepare and present payroll metrics, exception reports, and KPIs for the Global Payroll Director and senior stakeholders
Identify and lead process improvement initiatives to enhance accuracy, efficiency, and controls
Support system upgrades, new entity set-ups, and M&A-related payroll integrations
Contribute to global payroll strategy and standardization projects led by the Global Payroll Director

Benefits

dental
vision
multiple group medical plans to choose from
a 401(k) retirement savings plan
group life insurance
accidental death and dismemberment (AD&D) insurance
flexible spending account (FSA)
health savings account (HSA)
commuter benefits
employer-paid short-term (STD) and long-term disability (LTD) insurance
additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
flexible vacation time
accrued paid sick time
10 paid holidays
(2 floating holidays for full time non-exempt employees)
eight weeks of paid parental leave for eligible employees
additional paid weeks for the birthing parent
4 weeks paid caregiver leave
a Lifestyle Spending Account allowance each month