Payroll Coordinator

Location: Brentwood, TN (Hybrid - 2 days in office)

Schedule: Full-Time

IVX Health is a national provider of high-quality infusion and injection therapy for patients with chronic conditions. As our organization continues to grow across the country, we’re committed to creating a smooth and reliable experience for our employees. We’re looking for a Payroll Coordinator who brings payroll knowledge, excellent attention to detail, and a service-oriented mindset.

The Payroll Coordinator processes accurate and timely multistate payroll for more than 1,000 employees. This role ensures payroll integrity through careful data review, technical troubleshooting, and close partnership with HR, Benefits, Accounting, Operations, and external vendors. You’ll also serve as a key resource for employee questions, helping create a positive and consistent payroll experience.

This position is ideal for someone who enjoys working with data, solving problems, and improving processes in a fast-paced, growing environment.

• Process accurate multistate payroll and ensure compliance with all federal, state, and local regulations
• Review and validate timecards, resolve discrepancies, and support off‑cycle payments
• Maintain payroll tax profiles and troubleshoot multistate tax issues
• Administer payroll components such as healthcare differentials, PTO audits, benefit deductions, and self‑bill reconciliations
• Support year‑end activities including W‑2s, 1099s, and garnishment processes
• Provide documentation for internal/external audits

• Maintain accurate HRIS and payroll data
• Prepare payroll reports and reconciliation files for Accounting, Benefits, and leadership
• Partner with retirement vendors on 401(k) deferrals and employer contributions
• Support LOA‑related payroll adjustments and benefit tracking

• Manage the payroll inbox and respond to employee and manager questions
• Provide clear guidance on timelines, deductions, taxes, and time‑keeping processes
• Partner with HR and Operations to troubleshoot payroll‑related issues

• Use HRIS and payroll systems effectively and stay informed on system updates
• Conduct routine audits to identify errors or inconsistencies
• Recommend workflow improvements with a focus on accuracy and scalability
• Use tools such as Excel, reporting features, and automation to strengthen payroll operations

• Bachelor’s degree in Accounting, HR, Business, or related field - or equivalent experience
• 2–4 years of hands‑on payroll experience (multistate and/or high‑growth environment preferred)
• Experience processing payroll for 1,000+ employees (or similar volume)
• Proficiency with payroll platforms and time‑keeping systems such as Paycom, ADP, or similar
• Strong knowledge of payroll taxes, garnishments, W‑2/1099 processes, and year‑end activities
• Experience working with benefit vendors or retirement plan providers preferred

• Exceptional attention to detail and accuracy
• Strong communication skills, especially when explaining payroll information
• Customer service mindset with the ability to support employees and leaders
• Ability to troubleshoot payroll and tax issues independently
• High level of confidentiality and professionalism
• Strong organizational skills and ability to meet deadlines
• Comfortable adapting to new processes, system enhancements, and changes
• Ability to build strong partnerships with HR, Benefits, Accounting, and Operations

• Intermediate Excel (pivot tables, XLOOKUP, data audits)
• Understanding of multistate payroll tax concepts
• Ability to analyze payroll reports and identify discrepancies
• Comfortable learning new HRIS, payroll, and workflow tools
• Ability to evaluate processes for efficiency and automation opportunities

• Payroll experience in healthcare or another highly regulated industry
• Exposure to benefits administration and self‑bill reconciliation
• Payroll certification (FPC or CPP) is a plus

IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid…