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Tend · 23 hours ago

Payroll Manager

Nashville, TN

Full-time

Hybrid

Mid, Senior Level

$100K/yr - $125K/yr

7+ years exp

Tend is a healthcare company focused on building trust through its payroll processes. The Payroll Manager will oversee end-to-end payroll operations for a multi-state workforce, ensuring compliance and accuracy while partnering with various teams to support the company's growth.

DentalHealth CareMedicalPersonal HealthWellness

Responsibilities

Own and execute bi-weekly payroll for a multi-state, multi-entity healthcare workforce across clinical studios and corporate teams

Ensure accurate processing for hourly, salaried, and contractor populations, including multiple pay cycles, rates, and premium structures

Manage complex pay components including shift differentials, clinical premiums, overtime, blended rates, state-specific rules, and retroactive adjustments

Oversee payroll inputs including time and attendance, PTO, leaves of absence, bonuses, commissions, and off-cycle payments

Process and reconcile 401(k) and other benefit-related payroll deductions, including employee contributions, employer matches, and loan repayments

Ensure compliance with federal, state, and local wage-and-hour laws, with particular attention to healthcare and state-specific requirements

Manage payroll tax setup, filings, deposits, reconciliations, and agency notices in partnership with payroll vendors

Own year-end processes including W-2s, 1099s, and all required state and federal reporting

Conduct payroll audits, reconciliations, and internal controls to ensure accuracy, compliance, and financial integrity

Partner with Finance on payroll accruals, general ledger alignment, and labor reporting for clinical and corporate teams

Serve as system owner for payroll and timekeeping platforms, ensuring pay rules, premiums, and state requirements are correctly configured

Lead continuous improvement of payroll processes, documentation, and controls to support scale and a strong team member experience

Act as a trusted partner to People, Finance, Legal, and Studio leaders on complex payroll and pay practice questions

Qualification

Multi-state payroll managementPayroll tax compliancePayroll auditsPayroll systems expertiseExcel skillsService-oriented mindsetCollaborationOrganizational skills

Required

7+ years of progressive payroll experience, including ownership of multi-state, multi-unit payroll in healthcare or similarly complex environments

Deep experience supporting hourly, salaried, and contractor populations, including clinical teams with shift-based scheduling and premium pay

Strong working knowledge of payroll tax compliance, wage-and-hour laws, and healthcare-specific pay practices

Hands-on experience managing payroll audits, tax notices, garnishments, and regulatory inquiries

Experience administering 401(k) and other benefit-related payroll deductions in partnership with Total Rewards and Finance

Advanced experience with payroll and timekeeping systems (UKG preferred; ADP, Workday, or similar platforms)

Strong Excel and reporting skills for audits, reconciliations, and leadership reporting

A high bar for accuracy, strong organization, and the ability to operate calmly and effectively in fast-paced, high-volume environments

A collaborative, service-oriented mindset with the ability to build trust and influence across People, Finance, Legal, and Studio teams

Benefits

Health Comes First - We offer medical, dental, and vision insurance — plus a Dental Wellness Program to keep your smile as sharp as your skills.

Plan for the Future - Our 401(k) comes with a company match because your future matters just as much as your now.

Support, When You Need It - Life & AD&D insurance, health advocacy, legal support, and an Employee Assistance Program (EAP) — all designed to have your back when life gets real.

Smart Spending Options - We’ve got Flexible Spending Accounts (FSAs), Health Savings Accounts (HSAs), and pre-tax transit/parking benefits to make your dollars go further.

Time to Recharge - Enjoy generous Paid Time Off (PTO) and company holidays — because rest is productive.

Bonus Eligible - Annual bonus based on company and individual performance