Global Payroll Manager

Job Description

Job Description

About Care Access

Care Access is working to make the future of health better for all.  With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care.  We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need,  and contribute to the medical breakthroughs of tomorrow.

With programs like  Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and  Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.

To learn more about Care Access, visit 

How This Role Makes a Difference

The Global Payroll Manager will oversee payroll operations across the Care Access business, with direct responsibility for U.S. and Canada payroll and oversight of international payroll delivered through a global vendor including support for additional countries as they are brought under the Care Access entity. This role is responsible for ensuring accurate, timely, and compliant payroll processing in a complex, multi-entity environment, while driving vendor performance, process consistency, and continuous improvement. The position partners closely with People, Finance, and external providers to deliver a seamless and scalable payroll experience for employees. This role will play a key part in evolving and strengthening payroll operations as the organization continues to scale.

How You'll Make An Impact

• Payroll Operations & Processing
  • Own end-to-end payroll processing for designated entities within Care Access, including both semi-monthly and bi-weekly payroll cycles.
  • Ensure accurate and timely processing of salaries, wages, bonuses, commissions, and benefits, including appropriate application of deductions and tax withholdings.
  • Validate, reconcile, and audit payroll data, proactively identifying and resolving discrepancies.
  • Lead year-end payroll activities, including quarterly and annual tax reconciliations, W-2 preparation, and related filings.
  • Partner with People and Finance teams to ensure alignment across payroll inputs, reporting, and downstream impacts.Compliance & Tax Administration
• Compliance & Tax Administration
  • Ensure compliance with all federal, state, local, and applicable international payroll regulations.
  • Manage payroll tax setup and registrations across jurisdictions, including support for new state or country expansions.
  • Monitor regulatory changes and assess impact to payroll processes, ensuring timely implementation.
  • Partner with external agencies and internal stakeholders to resolve payroll tax and compliance issues.
• Employee & Stakeholder Support
  • Serve as a trusted point of contact for payroll-related inquiries, including compensation, taxes, and time tracking.
  • Resolve complex or escalated payroll issues with a high degree of accuracy, judgment, and discretion.
  • Partner with People and Finance teams to proactively address payroll-related issues and improve the employee experience.
• Systems, Reporting & Vendor Management
  • Oversee relationships with payroll providers, including accountability for service delivery, accuracy, and compliance across domestic and international payrolls.
  • Act as the primary point of contact for global payroll vendors, ensuring effective coordination, issue resolution, and continuous improvement.
  • Partner with HRIS and Finance teams to maintain data integrity across systems and ensure seamless integration of payroll inputs and outputs.
  • Prepare, analyze, and deliver payroll reporting to support business and financial decision-making.
  • Support system enhancements, implementations, and process automation initiatives to improve scalability and efficiency.
• Continuous Improvement & Projects
• Identify and drive process improvements to enhance accuracy, efficiency, and scalability of payroll operations.
• Support and lead payroll-related initiatives, including process standardization, policy updates, and regulatory changes.
• Contribute to broader People and Finance initiatives where payroll plays a critical role.

The Expertise Required

• Deep knowledge of U.S. payroll regulations, tax laws, and compliance requirements; familiarity with international payroll and vendor-supported models.
• Strong analytical and problem-solving skills, with high attention to detail and accuracy.
• Ability to manage multiple payroll cycles and deadlines in a complex, multi-entity environment.
• Experience with payroll systems and HRIS platforms (e.g., Workday), including reporting, data validation, and integrations.
• Strong communication and stakeholder management skills, with the ability to partner effectively with People, Finance, and external vendors.
• Advanced Excel skills and experience working with large datasets and reconciliations.
• Ability to handle sensitive and confidential information with discretion.

Certifications/Licenses, Education, and Experience

• Minimum Education:
  • Certified Payroll Professional (CPP) or similar certification preferred.
  • Bachelor's degree in Accounting, Finance, Business Administration, or a related field (or equivalent practical experience).
• Minimum Experience:
  • 7+ years of progressive payroll experience, including ownership of end-to-end payroll processing.
  • Experience supporting multi-entity and/or multi-state payroll environments; experience with Canada payroll strongly preferred.
  • Experience working with or overseeing global payroll vendors or international payroll operations preferred.
  • Experience operating in a high-growth or evolving environment, including exposure to process improvements, system changes, or organizational scaling efforts.

How We Work Together

• Location : Remote within the United States. This role requires 100% of work to be performed in a remote office environment.
• Travel : This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.
• Physical demands associated with this position Include : The ability to use keyboards and other computer equipment.

The expected salary range for this role is $100,000 - $130,000 USD per year for full time team members.

Benefits & Perks (US Full Time Employees)

• Paid Time Off (PTO) and Company Paid Holidays
• 100% Employer paid medical, dental, and vision insurance plan options
• Health Savings Account and Flexible Spending Accounts
• Bi-weekly HSA employer contribution
• Company paid Short-Term Disability and Long-Term Disability
• 401(k) Retirement Plan, with Company Match 

Mandatory Employer Disclosures

Notice to Illinois applicants: Applicants are not obligated to disclose expunged juvenile records or adjudication, arrest, or conviction.
Notice to Connecticut applicants: Care Access may require applicants to submit to a urinalysis drug test in connection with an application for employment.
Notice to Arizona, Georgia, Indiana, and North Dakota applicants: Care Access complies with applicable laws prohibiting smoking in and around places of employment.
Notice to Massachusetts applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Notice to Rhode Island applicants: Care Access complies with Rhode Island law prohibiting smoking in enclosed areas within places of employment. Care Access is also subject to is subject to Chapters 29–38 of Title 28 of the Rhode Island General Laws.
Notice to Maryland applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100. 

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Diversity & Inclusion

We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. 

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Care Access is unable to sponsor work visas at this time.

If you need an accommodation to apply for a role with Care Access, please reach out to: View email address on us.fitly.work