Prenuvo · 4 hours ago
Senior Payroll & Benefits Specialist
United States
Full-time
Remote
Mid, Senior Level
$90K/yr - $118K/yr
5+ years expPrenuvo is on a mission to transform healthcare through proactive health solutions. The Senior Payroll & Benefits Specialist will manage full-cycle payroll and benefits administration for employees across the U.S. and Canada, ensuring compliance and delivering exceptional employee experiences.
Health CareHealth DiagnosticsMedical
Responsibilities
Process bi-weekly and semi-monthly payrolls for a multi-state U.S. and multi-province Canadian workforce, including both salaried and hourly employees
Calculate and process leave-related pay (e.g., U.S. statutory/state leaves, employer top-ups, Canadian EI-related leaves, and company top-ups), ensuring correct earnings codes, offsets, and taxation for both countries
Provide backup support for contractor payroll processing during coverage periods, ensuring accurate and compliant payments when the primary owner is out
Review and validate payroll inputs such as hours worked, overtime, bonuses, commissions, retroactive pay, off-cycle payments, and leave pay adjustments
Ensure accurate calculation and application of benefit and retirement deductions each payroll cycle
Prepare and process Records of Employment (ROEs) for Canadian employees in accordance with Service Canada requirements
Maintain strong internal controls and support continuous improvement of payroll processes and documentation
Manage new state and provincial payroll tax registrations and ensure proper configuration in payroll systems
Monitor and apply multi-state and Canadian provincial payroll tax rules, including taxation of benefits, leave payments, and fringe compensation
Liaise with U.S. state agencies, the IRS, and the CRA for registrations, filings, updates, notices, and issue resolution
Support workers’ compensation setup and classification, ensuring correct wage reporting and alignment with payroll and benefits data
Assist with compliance activities related to retirement plans (e.g., 401(k) or equivalent), including contribution limits, corrections, and year-end processes
Administer day-to-day benefits operations for U.S. and Canada employees, including medical, dental, vision, life, disability, and wellness programs
Manage end-to-end benefits enrollment processes for new hires, qualified life events, and terminations, ensuring accurate and timely updates in HRIS, payroll, and carrier/broker systems
Maintain and apply benefits eligibility rules and waiting periods across multiple plans and jurisdictions, including distinctions by employment status, hours, and location
Coordinate with benefits brokers and carriers in the U.S. and Canada on enrollments, file issues, escalations, and plan operations
Perform regular audits of benefits deductions, carrier invoices, and enrollment data to identify and resolve discrepancies between HRIS, payroll, carriers, and brokers
Support ACA administration, including tracking hours for measurement/stability periods, monitoring eligibility, and ensuring accurate coding for offers of coverage and reporting
Assist with the preparation of required benefits and payroll reports, including audit support, non-discrimination testing, and government filings
Partner with Finance to reconcile payroll, benefits, and retirement plan data and maintain audit-ready documentation
Respond to employee payroll and benefits inquiries in a clear, timely, and service-oriented manner, explaining pay calculations, leave pay, deductions, eligibility, and plan details
Support contractor-related questions during coverage periods, escalating complex issues as needed
Build and maintain strong working relationships with the U.S. and Canada benefits brokers and vendors, supporting day-to-day issue resolution and small process improvements
Support wellness program administration, including eligibility management, communications, incentives, and coordination with internal teams and external partners
Collaborate closely with People and HR Operations to ensure employee records are accurate and changes are consistently reflected in payroll, benefits, and leave pay calculations
Qualification
Required
5–6+ years of hands-on, end-to-end payroll experience covering both U.S. and Canadian employees (salaried and hourly)
Demonstrated experience calculating and processing leave-related pay for U.S. and Canadian employees, including coordination with state programs, insurers, and Canadian EI/top-up designs
Strong working knowledge of multi-jurisdiction payroll and benefits regulations, including FLSA, ACA, and key Canadian programs such as EI and CPP/QPP
Experience supporting a mid-to-large employee population (approximately 1,000+ employees) in a high-growth or multi-location environment
Practical experience with retirement plans (e.g., 401(k) or equivalent), including eligibility, enrollments, deferral changes, and annual contribution limits
Demonstrated ability to reconcile benefits invoices, audit deductions, and partner with vendors/brokers to resolve discrepancies
Proficiency with modern cloud-based HRIS/payroll platforms; experience with Rippling is a strong asset but not required
Strong Excel skills for reporting and reconciliations
Excellent attention to detail, strong analytical skills, and a service-oriented mindset with the ability to handle sensitive information confidentially
Preferred
Experience with Rippling or similar HRIS/payroll platforms is an asset but not required
Direct experience administering benefits across the full lifecycle (enrollment, changes, terminations, leaves) in the U.S., with exposure to Canadian benefits strongly preferred
Payroll or benefits-related certifications (e.g., U.S. or Canadian payroll certification, CEBS, or similar) are an asset
Benefits
Free, whole-body scans to each team member
Flexible vacation policy
Prenuvo’s Commuter Benefits Plan
401(k) plan
Comprehensive benefits package including health, dental, vision, including Mental Health coverage
Company
Prenuvo
Prenuvo offers whole body MRI screening - we provide deep insights for earlier detection.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$190MKey Investors
Felicis
2025-02-13Series B· $120M
2022-10-18Series A· $70M
2022-10-18Debt Financing
Leadership Team
Andrew Lacy
Founder and CEO
Raja Haddad
Chief Marketing Officer
Recent News
Ars Technica - All content
2026-01-16
felicis.com
2025-12-29
EU Startup News
2025-12-03
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