Healthcare Payroll Leader – Multi-State & Systems

Excelsia Injury Care; Middle River, Northern (MD, KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Excelsia Injury Care is seeking an experienced Payroll Manager to lead end-to-end multi-state payroll operations for our network of clinics. You will oversee system integrations, compliance, and payroll accounting to ensure accurate, timely compensation for clinicians, staff, and corporate teams.

The role requires 5+ years in multi-state payroll, expertise with Workday/UKG/UltiPro/ADP, and strong Excel and GL reconciliation skills.

Qualifications

• Bachelor’s degree in Finance, Accounting, Business Administration, HR, or related.
• 5+ years of progressive multi-state payroll experience, including at least 2+ years leading payroll operations.
• Experience with modern cloud HRIS/payroll platforms (Workday, UKG/UltiPro, ADP Vantage).
• Advanced Excel skills (VLOOKUP, XLOOKUP, pivot tables, data modeling) and GL reconciliation.
• CPP designation strongly preferred.
• Healthcare multi-site clinic or multi-entity experience preferred.

Responsibilities

• Direct full-cycle, multi-state payroll across locations with 100% compliance.
• Administer diverse compensation structures including bonuses and overtime.
• Manage time and attendance, leaves, and final pay calculations per state timelines.
• Register with states for run benefit programs and unemployment.
• Lead payroll system optimizations and data integrity audits.
• Build integrations between HRIS, GL, and benefit providers.
• Reconcile payroll GL and labor distribution with Accounting/Finance.
• Produce headcount, labor cost, overtime trend, and variance reports.
• Lead year-end close activities and W-2 processes.
• Establish SOPs and internal controls aligned with SOX.

Skills

Multi-state payroll

Payroll processing

Regulatory compliance

SOX controls

Communication skills

Excel advanced

Education

Bachelor's degree in Finance, Accounting, Business Administration, HR, or related

Certified Payroll Professional (CPP) certification (preferred)

Tools

Workday

UKG/UltiPro

ADP Vantage

Time/attendance systems

Job description

Excelsia Injury Care is seeking an experienced Payroll Manager to lead end-to-end multi-state payroll operations for our network of clinics. You will oversee system integrations, compliance, and payroll accounting to ensure accurate, timely compensation for clinicians, staff, and corporate teams.

The role requires 5+ years in multi-state payroll, expertise with Workday/UKG/UltiPro/ADP, and strong Excel and GL reconciliation skills.