Director of Payroll (Knoxville Metropolitan Area)

About Shared Health Services

Shared Health Services partners with hospitals and physician practices to design, build, and operate outpatient wound care and hyperbaric oxygen therapy centers. We help healthcare providers create clinically effective, financially sustainable programs that expand access to advanced wound care in their communities.

About the Role

We're looking for a Director of Payroll to own end-to-end payroll operations across our growing network of outpatient centers. This is a fully remote role responsible for ensuring accurate, compliant, and timely payroll processing for a multi-site, multi-state workforce, while partnering closely with HR, finance, and center-level leadership to support our operational and clinical teams.

You'll manage the full payroll cycle — from processing and tax compliance to reporting and audits — using payroll software and reporting tools, with minimal need for travel or in-person work. This role requires strong attention to detail, a solid grasp of multi-state payroll regulations, and the ability to work independently while coordinating across departments.

What You'll Do

Oversee all payroll processing cycles across multiple states and work locations, ensuring accuracy and timeliness

Maintain compliance with federal, state, and local payroll tax regulations and reporting requirements

Manage relationships with payroll vendors/systems (e.g., ADP, Paychex, Workday) and recommend process improvements

Reconcile payroll data with general ledger and support month-end/year-end close processes

Respond to payroll-related inquiries from employees and leadership, resolving discrepancies promptly

Prepare payroll reports and analytics for finance and executive leadership

Ensure proper handling of garnishments, benefits deductions, bonuses, and other payroll adjustments

Support internal and external payroll audits

What You Bring

• 3+ years of experience in payroll management or payroll operations, ideally across multiple states
• Proficiency with payroll/HRIS systems (ADP, Paychex, Workday, or similar) and strong Excel skills
• Solid working knowledge of payroll tax law, wage and hour regulations, and compliance requirements
• Experience reconciling payroll with accounting records and supporting audits
• Strong organizational skills and the ability to manage deadlines independently in a remote environment
• Clear, professional communication skills for coordinating with HR, finance, and operational leadership
• Bachelor's degree in Accounting, Finance, Human Resources, or related field, or equivalent professional experience
• Experience in healthcare or multi-site organizations is a plus