Payroll Specialist

American Medical Administrators is a healthcare solutions company that is dedicated to transforming healthcare delivery through innovative solutions that prioritize quality, efficiency, and sustainability.

At AMA , our physician-led and owned coalition is reshaping healthcare to be patient-first, efficient, and universally accessible. We understand the administrative hurdles doctors face and are focused on innovating to reduce this overhead, allowing you to dedicate more time to patient care.

We are seeking a Payroll Specialist who can operate at a high level, manage complexity, and bring structure to a fast-moving, multi-entity Physician Practice environment over 6 states.

Position Overview

The Payroll Specialist will oversee end-to-end payroll operations across approximately 40 entities, ensuring accuracy, compliance, and consistency at scale. This role requires strong technical expertise, attention to detail, and the ability to lead processes in a high-volume, multi-state environment.
Key Responsibilities

• Lead, mentor, and develop payroll team members, holding a high bar for accuracy, timeliness, and service
• Establish, maintain, and enforce payroll policies, procedures, and internal controls across all entities
• Serve as the internal expert on payroll operations, including multi-state compliance, union pay structures, and healthcare-specific wage models
• Oversee full-cycle payroll processing within ADP Workforce Now , across multiple pay groups, frequencies, and employee classifications
• Ensure accurate processing of wages, bonuses, reimbursements, deductions, garnishments, PTO, and holiday pay
• Manage payroll calendars, approvals, deadlines, and cutoff schedules to ensure seamless execution
• Maintain compliance with federal, state, and local wage and hour laws, DOL regulations, payroll tax requirements, and union agreements
• Oversee payroll tax registrations, filings, quarterly reporting, and multi-jurisdictional setups
• Monitor employee classifications, overtime calculations, shift differentials, and compliance with break policies
• Conduct audits, variance analysis, and payroll reconciliations to ensure data integrity across all locations
• Develop reporting tools and dashboards to identify discrepancies, missing approvals, and compliance risks
• Partner with Finance on general ledger integration, accruals, reconciliations, and month-end close
• Collaborate with HR on onboarding, terminations, benefits, and timekeeping accuracy
• Support labor analytics, budgeting, and workforce metrics (including healthcare staffing models such as PPD)
• Drive process improvement initiatives, including automation, standardization, and system optimization
• Support ADP configuration and partner with IT on integrations across payroll, HRIS, and accounting systems

Qualifications

• Bachelor's degree in Accounting, Finance, HR, or related field preferred
• 2+ years of progressive payroll experience in multi-state, multi-entity environments
• Experience leading payroll in high-volume settings
• Strong working knowledge of wage and hour laws, DOL regulations, and payroll tax requirements
• Proficiency in ADP Workforce Now/ADP or comparable enterprise payroll systems
• Strong analytical mindset with the ability to identify issues and implement solutions
• Excellent organizational, communication, and leadership skills
• High attention to detail with the ability to perform under tight deadlines
• Proven ability to maintain strict confidentiality

Preferred Experience

• Shift-based environments, per diem staffing, or complex pay models
• CPP certification
• Experience with GL mapping, payroll reconciliations, and financial reporting
• Background in process improvement or system implementations

Benefits

• Health, Dental, Vision, and Disability Insurance
• Life Insurance
• 401(k)
• Paid Time Off
• Employee Assistance Program

Additional Perks:

• $0 copay telemedicine access
• Unlimited support for legal, financial, childcare, and elder care needs
• Exclusive Mayo Clinic wellness resources

These benefits are provided at no reduction to your take-home pay.

We only accept resumes and applications submitted directly through our Applicant Tracking System for posted positions. We do not accept unsolicited resumes from third-party agencies, recruiters, or staffing firms. Company employees and hiring managers are not authorized to enter into agreements or otherwise bind the company with respect to recruiting services. Any resumes submitted without a signed written agreement by the Executive Vice President of Recruitment will be considered unsolicited, and no fees will be owed.