Payroll Specialist

Cadence is the clinical AI company automating the treatment of chronic disease. Its Clinical Intelligence takes on the routine, high-volume work of chronic care – monitoring patients, surfacing risks, and coordinating action – so clinicians can focus on the decisions that require them. Grounded in partnerships with more than 20 leading health systems, deep EMR integrations, dedicated medical group, and experience serving a population of more than 100,000 patients, the system learns from real-world care delivery, improving as it scales. Cadence has been recognized by TIME as one of the Top 100 HealthTech Companies and by LinkedIn as a Top Startup (#4, 2025).

The Role

We’re hiring a Payroll Specialist to own accurate, on-time US payroll across multiple pay groups for Cadence’s fully remote, multi-state workforce. Reporting to the Senior Payroll Manager, you will work with Finance, Benefits, and People so the clinicians and care teams who extend primary care into patients’ homes are paid correctly every cycle. The role combines hands-on processing, audits, tax compliance, and employee service, with a growing emphasis on documentation, controls, and workflow optimization as Cadence scales.

What You’ll Do

• Own end-to-end processing of multiple US pay groups across biweekly and semimonthly cycles, completing previews, audits, approvals, and funding steps within established deadlines
• Validate new hires, terminations, compensation changes, retroactive pay, bonuses, commissions, and off-cycle or final payments against approved source records, resolving or escalating exceptions before submission
• Audit timekeeping data, PTO and leave accruals, garnishments, and other court-ordered deductions for accuracy, partnering with managers, People, and Benefits to resolve discrepancies
• Manage multi-state payroll tax compliance, including jurisdiction registrations, rate updates, agency notices, and quarter-end and year-end activities such as W-2 preparation and W-2c corrections
• Reconcile payroll to the general ledger, benefit carrier invoices, and 401(k) funding with Finance and Benefits, and maintain the audit trails and internal controls that support financial, 401(k), and workers’ compensation audits
• Serve as the point of contact for employee payroll questions, researching earnings, deductions, and taxes and documenting resolutions with accuracy and discretion
• Improve payroll reporting, procedures, and system testing, applying AI tools such as Claude and ChatGPT to streamline recurring workflows as the payroll function scales

What You Need

• At least five years of hands-on US payroll processing experience, including multi-state payroll
• Experience processing multiple pay groups and pay frequencies, including biweekly and semimonthly cycles
• Working knowledge of federal and multi-state wage and hour, payroll tax, and pay practice requirements, including FLSA, overtime, and final pay
• Demonstrated ability to investigate discrepancies, reconcile records, and document resolutions while meeting firm payroll deadlines
• Experience handling confidential compensation and employee information with discretion
• Ability to work independently in a fully remote environment and communicate clearly, in writing and verbally, with employees, managers, and cross-functional partners
• Fluency with AI productivity tools (such as Gemini, Notion AI, or comparable platforms) and comfort applying them to structured workflows, reporting, and process documentation

Compensation

The anticipated pay range for this role is $80,000 - $100,000 annualized, depending on experience, skills, seniority, and business needs. Depending on role classification, pay may be structured as an annual salary or as an hourly rate with an equivalent annualized value. This position is remote and based in the United States. Actual compensation will be determined based on factors including experience, skills, internal equity, and applicable law.

Benefits & Perks

• Competitive pay & equity*
• Fully remote
• Comprehensive health coverage: Medical, dental & vision
• Paid time off
• 401k plan + matching
• Paid parental leave
• Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

If you require a reasonable accommodation during the interview or hiring process, please notify your recruiter.