At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you.

For more information about our company, visit CuranaHealth.com.

We’re hiring a Manager of Payroll Systems & Strategy, who will be responsible for supporting a compliant, scalable, and operationally efficient payroll environment across a rapidly growing, multi-state healthcare organization. This role oversees payroll systems strategy, integrations, automation initiatives, payroll governance, payroll tax operations oversight, vendor management, and process optimization efforts that strengthen operational scalability and reduce manual dependency across the payroll ecosystem. 

In this position, you will partner closely with Payroll, HR, Finance, Benefits, IT, and Operations to strengthen controls, streamline workflows, improve accuracy, and support scalable business operations.

• Support oversight of payroll tax operations including multi-state compliance, agency notices, powers of attorney (POAs), tax issue resolution, and coordination with ADP tax services and external vendors.  
• Partner with Payroll and Benefits teams to support payroll processes related to leaves of absence (LOAs), deductions, tax setup, and employee pay impacts.  
• Assist with payroll tax discrepancies, agency inquiries, reconciliations, compliance escalations, and vendor-related tax issues.
• Support Workday payroll configuration, testing, enhancements, and ongoing system optimization.
• Manage payroll-related integrations across Workday, ADP, benefits, retirement, finance, and third-party vendor platforms.  
• Partner with Payroll, Benefits, HRIS, Finance, and vendors to support accurate payroll deductions, file feeds, and payroll-related data processing.  
• Monitor and help resolve payroll integration issues, deduction discrepancies, vendor file errors, and payroll processing impacts.  
• Identify opportunities for automation, workflow improvements, and reduction of manual payroll processes.  
• Partner cross-functionally to improve payroll processes, system functionality, and operational efficiency.  
• Support payroll controls, audit readiness, reconciliations, and compliance reporting activities.  
• Maintain data integrity across systems impacting payroll operations and downstream financial processes.  
• Support payroll operations related to organizational growth, acquisitions, and evolving business needs.  
• Serve as a resource for troubleshooting payroll system, integration, deduction, and tax-related issues. 
• Manage vendor relationships related to payroll operations, tax services, retirement administration, and payroll system support. 

Education and Experience: 

• Bachelor’s degree in Business, Finance, Information Systems, or related field preferred.  
• 5+ years of experience supporting payroll operations, automations, payroll systems, HRIS, payroll tax, benefits deductions, or related functions.  
• Experience supporting payroll in a multi-state environment required.  
• Experience with Workday Payroll, ADP, payroll integrations, vendor management, payroll operations, or payroll tax support preferred.  

Preferred Qualifications:

• Experience supporting payroll operations in a high-growth or complex operational environment preferred.  
• Experience supporting acquisitions, system implementations, integrations, or process improvement initiatives preferred.