Vice President of Payroll

Creative Solutions in Healthcare•Fort Worth, TX

19h•Onsite

About The Position

Creative Solutions in Healthcare is seeking an experienced and strategic Vice President of Payroll to oversee payroll operations across our growing network of skilled nursing and long-term care facilities throughout Texas. This executive leadership role is responsible for ensuring accurate and compliant payroll processing, strengthening payroll systems and controls, and supporting operational excellence across a large multi-site organization. If you are a payroll leader who thrives in a fast-paced environment and enjoys building efficient processes and strong teams, we would love to hear from you.

Requirements

Has a minimum of 7–10 years of progressive payroll leadership experience
Has experience overseeing payroll for multi-facility operations
Possesses strong knowledge of payroll regulations, tax laws, garnishments, and wage and hour compliance
Has experience with payroll systems, HRIS platforms, and payroll integrations
Demonstrates strong leadership and team development skills
Has exceptional analytical, organizational, and problem-solving abilities
Communicates effectively with executive leadership and cross-functional teams
Can manage multiple priorities and deadlines in a fast-paced environment
Maintains a high level of professionalism, confidentiality, and integrity
Has advanced Excel and payroll reporting experience
Has experience leading payroll audits and compliance initiatives
Is detail-oriented with a strong focus on accuracy and process improvement
Can work independently while driving accountability across teams

Nice To Haves

Bachelor’s degree in Accounting, Finance, Human Resources, Business Administration, or related field preferred
Healthcare, skilled nursing, or long-term care experience strongly preferred
Experience with high-volume employee payroll processing preferred
Experience supporting mergers, acquisitions, or rapid organizational growth preferred

Responsibilities

Lead all payroll operations across a multi-facility organization
Ensure timely, accurate, and compliant payroll processing
Oversee payroll compliance with federal, state, and local regulations
Develop and maintain payroll policies, procedures, and internal controls
Partner with HR, Finance, and Operations leadership to support organizational goals
Analyze payroll data, trends, and reporting to improve efficiency and reduce risk
Oversee payroll audits, tax reporting, and compliance reviews
Lead payroll system enhancements, integrations, and process improvements
Build and mentor a high-performing payroll team
Provide strategic guidance and support to executive leadership
Ensure confidentiality and security of employee payroll information
Monitor payroll-related budgets, forecasting, and labor reporting
Oversee multi-facility payroll operations and ensure wage and hour compliance
Assist with acquisitions, transitions, and payroll onboarding for newly acquired facilities
Develop scalable payroll workflows to support company growth and operational needs