HR & People Operations Manager - XRHealth America

XRHealth; Needham (MA); Sur place; USD 90 000 - 140 000; Plein temps

Résumé du poste

XRHealth America is seeking a Human Resources & People Operations Manager to own HR operations across our US-based employees and coordinate offshore staffing partners. This hands-on role requires building scalable processes, overseeing recruitment, payroll, benefits, performance management, and compliance in a fast-growing healthcare tech environment.

You will partner with HQ HR leadership to align policies and ensure accurate payroll, vendor management, and cost control while delivering a

Qualifications

• 2–3 years of hands-on HR experience across multiple HR functions.
• Experience with recruitment, payroll administration, onboarding, and employee relations.
• Knowledge of US employment laws and HR compliance; quick learner.
• Experience with HR and payroll systems; Rippling familiarity is a plus.
• Experience coordinating with external staffing agencies and offshore teams.
• Strong organizational skills and ability to manage multiple priorities.
• Excellent interpersonal, communication, and vendor management skills.
• Comfortable building processes from the ground up in a fast-paced startup.

Responsabilités

• Own end-to-end HR operations for US-based and offshore teams.
• Oversee payroll processing, benefits administration, and compensation processes.
• Coordinate onboarding, offboarding, and employee documentation.
• Manage relationships with external staffing vendors and EOR partners.
• Develop scalable HR policies aligned with HQ leadership.
• Track HR metrics and report on headcount, turnover, and costs.

Connaissances

HR operations

Recruitment

Payroll administration

Employee onboarding

Employee relations

Vendor management

US employment law

Offshore staffing

Formation

Bachelor's degree in Human Resources

SHRM-CP / SHRM-SCP / PHR / SPHR certification

Outils

Rippling HR platform

Description du poste

Human Resources & People Operations Manager

XRHealth is a global leader in immersive healthcare, providing FDA-registered, AI-powered virtual reality therapy solutions for physical, cognitive, and behavioral health.

Through XRHealth America, our U.S. commercialization business, we operate across several business lines, including accredited DME operations, commercialization, distribution, logistics, and strategic partnerships.

About the Role

XRHealth America is seeking a Human Resources & People Operations Manager to take full ownership of HR operations and people-related activities across our rapidly growing organization.

This is a hands-on role for an HR professional with a strong foundation, a proactive mindset, and the ability to learn quickly while managing day-to-day operations and building scalable processes.

The ideal candidate will oversee the entire employee lifecycle, including recruitment, hiring, onboarding, payroll, benefits administration, employee relations, performance management, and HR compliance.

In addition to owning HR operations for our US based employees, this role will coordinate our international and offshore staffing operations, working with multiple external staffing vendors and employment partners. Responsibilities include recruitment coordination, onboarding, vendor management, staffing payments, and ongoing administrative support.

The role will work closely with XRHealth's HQ HR leadership to ensure alignment on company-wide HR policies, employee benefits, and broader people initiatives, while maintaining ownership of day-to-day HR operations and execution for XRHealth America.

We are looking for a fast learner who thrives in a fast-paced, high-growth environment, is highly organized and proactive, and is eager to grow with the organization.

Key Responsibilities

Recruitment & Talent Acquisition:

• Own the end-to-end recruitment process across all teams, from job postings and candidate sourcing through interviews, offers, and hiring.
• Partner with team leaders to define staffing needs, job descriptions, and hiring priorities.
• Manage recruiting platforms, external recruiters, staffing agencies, and other talent acquisition resources.
• Coordinate recruitment and hiring processes for both US-based and offshore team members.
• Develop and continuously improve recruitment processes to support rapid hiring and reduce time-to-hire.
• Track recruitment metrics, hiring pipelines, and recruiting performance.

HR Operations & Employee Lifecycle:

• Manage all HR activities throughout the employee lifecycle, including onboarding, employee documentation, internal transitions, and offboarding.
• Implement and maintain HR policies, procedures, and employee handbooks in alignment with the company's HQ HR leadership, while ensuring compliance with applicable US employment regulations.
• Maintain accurate employee records and ensure HR systems are updated.
• Oversee employment agreements, offer letters, and other employment-related documentation.
• Support organizational planning, employee engagement, and retention initiatives.
• Coordinate onboarding and offboarding activities with team leaders and external vendors.
• Own and coordinate US payroll operations, ensuring accurate and timely processing.
• Coordinate benefits administration for US-based employees with HQ HR.
• Administer payroll through Rippling and coordinate with external HR vendors as needed.
• Manage compensation administration, salary adjustments, bonuses, and related processes.
• Coordinate payroll changes, employee reimbursements, and compensation-related reporting.
• Ensure compliance with applicable payroll, tax, wage, and benefits regulations.
• Identify opportunities to optimize employment-related costs and improve administrative efficiency.
• Take ownership of the operational and administrative management of offshore staffing arrangements across multiple countries and external staffing providers.
• Serve as the primary point of contact for offshore staffing vendors, Employer of Record (EOR) providers, and other international employment partners.
• Coordinate offshore recruitment, hiring, onboarding, staffing changes, and offboarding.
• Manage staffing agreements, vendor contracts, renewals, and ongoing relationships.
• Oversee monthly offshore staffing invoices, validate charges against active headcount and agreed compensation, and coordinate timely payments.
• Track offshore staffing costs, vendor fees, compensation changes, and other employment-related expenses.
• Work with Finance to ensure accurate budgeting, expense allocation, invoice approvals, and payment processing.
• Support offshore team members and team leaders with employment-related questions, administrative needs, and vendor coordination.
• Evaluate existing staffing vendors, negotiate commercial terms, and identify opportunities to reduce costs and improve service levels.
• Maintain accurate records of offshore team members, including compensation, employment arrangements, start dates, and vendor assignments.
• Coordinate with vendors to ensure appropriate handling of local employment requirements and contractual obligations.

Employee Relations & Performance Management:

• Serve as the primary HR contact for US-Based employees, offshore team members, and team leaders.
• Support team leaders in employee performance management, feedback, and development.
• Handle employee relations matters, workplace concerns, and conflict resolution.
• Implement and manage performance review processes in alignment with HQ HR leadership and company-wide practices.
• Support a positive, accountable, and high-performance company culture.
• Coordinate employee engagement initiatives and internal company activities.

HR Compliance & Administration:

• Ensure compliance with applicable federal, state, and local employment laws and regulations.
• Manage employment documentation, I-9 verification, leave administration, and other compliance requirements.
• Coordinate with HQ HR leadership on company-wide HR policies and compliance initiatives, ensuring appropriate implementation within XRHealth America.
• Work with external legal counsel, HR advisors, and offshore employment vendors when necessary.
• Ensure appropriate confidentiality and protection of employee information.

HR Systems, Data & Process Improvement:

• Manage and optimize HR systems, payroll platforms, applicant tracking systems, and related tools.
• Implement scalable HR processes that support the company's rapid growth.
• Leverage technology, automation, and AI tools to improve recruitment and HR operational efficiency.
• Track and report key HR metrics, including total headcount (US and offshore), hiring progress, turnover, compensation, and workforce costs.
• Maintain visibility into staffing costs across different vendors and employment arrangements.
• Continuously identify opportunities to simplify workflows, reduce administrative work, and improve the employee experience.

Qualifications

Required:

• 2–3 years of hands‑on HR experience across multiple HR functions.
• Hands‑on experience with recruitment, payroll administration, employee onboarding, and employee relations.
• Working knowledge of US employment laws and HR compliance requirements, with the ability to learn quickly and seek guidance when needed.
• Experience using HR and payroll systems; familiarity with Rippling is a plus.
• Experience coordinating with external staffing agencies, international staffing vendors, or offshore teams.
• Strong organizational skills and ability to manage multiple priorities simultaneously.
• Excellent interpersonal, communication, and vendor management skills.
• High level of discretion and professionalism when handling confidential information.
• Comfortable working independently, taking ownership, and building processes from the ground up.
• Fast learner who is tech‑savvy, resourceful, and comfortable adopting new systems and processes.
• Ability to thrive in a fast‑paced, rapidly changing startup environment.

Preferred:

• Experience in a startup or rapidly scaling organization.
• Experience in healthcare or a related regulated industry.
• Experience supporting employees across multiple US states.
• Experience working with Employer of Record (EOR) providers or international staffing companies.
• Experience managing staffing vendor invoices, compensation tracking, and vendor contracts.
• Familiarity with HR automation, AI‑powered recruitment tools, and modern HR platforms.
• Bachelor's degree in Human Resources, Business Administration, or a related field.
• SHRM-CP, SHRM-SCP, PHR, or SPHR certification.

What We're Looking For

• Hands‑on and execution‑focused: Comfortable managing everything from payroll and benefits to recruiting, offshore staffing, and vendor payments.
• Highly organized: Able to manage multiple processes, vendors, deadlines, and priorities without losing attention to detail.
• Proactive and independent: Identifies problems, proposes solutions, and drives execution without requiring constant direction.
• Data‑driven: Uses metrics and reporting to improve recruitment, retention, staffing costs, and HR efficiency.
• Tech‑forward: Embraces automation, AI, and new systems to streamline operations.
• Adaptable: Thrives in an entrepreneurial environment where priorities evolve quickly.
• Collaborative: Works effectively with local leadership, HQ HR, team leaders, and external partners.
• People‑oriented: Builds strong relationships while maintaining accountability and professionalism.

Why Join XRHealth America

• Join a rapidly growing healthcare technology company transforming access to care.
• Take ownership of XRHealth America HR and people operations as the organization scales.
• Work directly with leadership and collaborate with HQ HR functions.
• Build and improve processes rather than simply maintaining existing ones.
• Play a key role in supporting both US and international team growth.
• Be part of an innovative, collaborative, and entrepreneurial team.