Executive HR & Payroll Leader – Skilled Nursing Growth

Sila Healthcare; Salt Lake City (UT); On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Comprehensive health benefits

Competitive time-off

Executive leadership exposure

Travel opportunities

Job summary

Apploi is seeking a VP of Human Resources and Payroll to lead HR and payroll across a growing skilled nursing operator with Salt Lake City roots and Texas expansion plans. You will partner with ownership and senior leadership to design people strategies, build scalable processes, and ensure compliance with federal and state requirements.

The role focuses on shaping the people function, driving recruitment and retention for clinical roles, and guiding organizational design during rapid growth.

Qualifications

• Bachelor’s degree in Human Resources, Business, or related field; Master’s preferred.
• 10+ years of progressive HR experience with 5+ years in an HR leadership role (Director level or above).
• Multi-site healthcare HR experience strongly preferred; skilled nursing/post-acute ideal.
• Experience scaling HR through growth, acquisitions, or new facility openings.
• Strong knowledge of employment law; Texas experience a plus.
• SHRM‑SCP, SPHR, or similar certification preferred.

Responsibilities

• Lead all HR functions across the organization, including payroll, onboarding, employee relations, compensation, benefits, HRIS, and compliance.
• Build scalable HR infrastructure to support new facility acquisitions and openings.
• Partner with executive leadership on workforce planning, retention strategy, and organizational design.
• Drive recruiting and retention for hard‑to‑fill clinical roles in Texas labor markets.
• Ensure compliance with applicable employment laws and CMS requirements.
• Lead HR integration when new facilities join the portfolio.
• Develop leadership training, performance management, and culture initiatives.

Skills

Strategic HR leadership

Payroll management

HRIS and payroll systems

Employee relations

Staff recruitment & retention

Workforce planning

Organizational design

Education

Bachelor’s degree in HR or related field

Master’s degree preferred

SHRM‑SCP or SPHR preferred

Tools

HRIS systems

Payroll software

CMS compliance knowledge

Job description

Apploi is seeking a VP of Human Resources and Payroll to lead HR and payroll across a growing skilled nursing operator with Salt Lake City roots and Texas expansion plans. You will partner with ownership and senior leadership to design people strategies, build scalable processes, and ensure compliance with federal and state requirements.

The role focuses on shaping the people function, driving recruitment and retention for clinical roles, and guiding organizational design during rapid growth.