Health System Payroll Director

Health System Payroll Director opportunity in central Tennessee: lead a high-impact payroll transformation for a thriving hospital system, shape enterprise-wide results, and have fun doing it in a role that blends innovation, purpose, and career acceleration!

The Health System Payroll Director role is tailor-made for a builder and innovator who thrives in complex healthcare environments, and the Director Oracle Payroll or Director Payroll leader selected will join a hospital network known for a mission-driven, patient-first culture, measurable outcomes, clinical excellence, low infection rates, strong patient experience, and a surge of positive media momentum fueled by investments in technology, analytics, virtual care, and modernized facilities.

Within the integrated System Finance organization, the Health System Payroll Director will anchor payroll strategy at the enterprise level, and the Director Oracle Payroll will support a platform backed by a diversified healthcare delivery network whose core selling points include its massive national footprint, commitment to community-based care, robust innovation strategies, and extensive joint ventures, extending across dozens of states with tens of thousands of employees, numerous community hospital campuses, and many rehabilitation and behavioral health facilities, operating as a for profit healthcare system that blends scale, speed, and agility for continuous improvement.

Reporting to a senior System Finance executive with strong cross-functional ties to HR, IT, and Accounting, the Health System Payroll Director will be supported by a capable shared-services team and collaborative leaders, while the Director Payroll will partner daily with friendly nurses and a diverse healthcare professional team to ensure accurate timekeeping, equitable pay practices, service-minded issue resolution, and white-glove support for caregivers and leaders across the hospital.

As the System Director Oracle Payroll, this position will oversee multi-state payroll operations end-to-end, including time and attendance integration, garnishments, taxes, general ledger posting, SOX-quality internal controls, and year-end filings; the Health System Payroll Director will drive Oracle Payroll optimization (Fusion/Cloud or EBS), automate workflows, build dashboards and KPIs, strengthen compliance (FLSA, DOL, state/local), standardize policies, lead vendor governance, and coach a high-performing team to deliver accurate, on-time payroll at enterprise scale.

Central Tennessee offers the perfect backdrop for a Director Oracle Payroll seeking both career growth and quality of life: the Health System Payroll Director will enjoy a vibrant job market anchored by healthcare and technology, a favorable cost of living, no state income tax, dynamic neighborhoods with diverse housing options, four-season weather with mild winters, and easy commutes via major interstates and a bustling international airport; add in acclaimed music and arts, major-league sports, award-winning cuisine, top-tier universities, excellent K–12 schools, abundant parks and greenways, lakes and rivers for boating and hiking, walkable urban districts, bike-friendly trails, strong community spirit, inclusive culture, robust entrepreneurship, and continuous regional growth that balances lifestyle, safety, and access to exceptional healthcare services.

The Health System Payroll Director will be offered competitive executive compensation with performance incentives, and the System Director Oracle Payroll can expect a full suite of health and retirement benefits, paid time off, professional development support, and meaningful pathways for advancement—connect with a Clinical Management Consultants recruiter today to explore how this Director Payroll opportunity can elevate your career and your impact; start the conversation now and turn potential into momentum.