Senior Payroll Specialist

Nuvem Rx helps community health providers deliver on their mission by simplifying the complexity of pharmacy operations, with a suite of scalable solutions that integrate software, intelligence, and expert support to illuminate savings, expand access, and elevate patient care.

At Nuvem Rx, we hold a high bar because our work directly impacts patient care. We look for people who embody our core values:

• Mission Always: Every choice is a chance to serve our customers and improve healthcare
• Be a Pioneer: Take initiative, solve problems, and build what does not yet exist
• Do the Right Thing the Right Way: Lead with integrity, compliance, and thoughtful execution
• Stronger Together: Own your role, collaborate deeply, and elevate the team

We are also a fast-growing company, which means you bring strong ownership, comfort with ambiguity, resilience, and a bias toward action.

The Senior Payroll Specialist is a key member of the Finance team responsible for overseeing full-cycle payroll operations and ensuring compliance across federal, state, and local regulations. This role partners closely with HR, Finance, and external stakeholders to support payroll accounting, audits, and client passthrough invoicing. Success in this role means delivering accurate, timely payroll while strengthening processes and scaling infrastructure to support company growth.

Payroll Operations & Compliance

• Manage and process full-cycle weekly and bi-weekly payroll
• Ensure compliance with federal, state, and local payroll regulations
• Manage payroll tax notices, registrations, and agency communications, resolving discrepancies as needed
• Maintain payroll systems (Paylocity) and ensure data accuracy and integrity

Accounting, Reporting & Cross-Functional Execution

• Prepare and post payroll journal entries; reconcile payroll accounts
• Partner with Finance to support month-end and year-end close processes
• Lead and support payroll-related audits; maintain audit-ready documentation
• Process and reconcile client passthrough staffing invoices
• Partner with HR on system enhancements and workflow improvements
• Develop and improve internal payroll processes and controls to drive efficiency and scalability
• Collaborate cross-functionally with HR, Finance, and external partners to ensure seamless payroll operations

• Strong experience managing full-cycle payroll in a complex or growing environment
• Deep knowledge of payroll taxes, compliance requirements, and wage/hour laws
• Demonstrated ability to own payroll operations with accuracy and accountability
• Experience with payroll accounting, including journal entries and reconciliations
• Strong attention to detail with the ability to meet tight deadlines
• Ability to manage multiple priorities in a fast-paced, evolving environment
• Comfort working cross-functionally with HR, Finance, and external stakeholders

Preferred Experience

• Experience with payroll systems such as Paylocity, ADP, or Workday
• Experience supporting payroll audits and compliance reviews
• Strong Excel skills and experience with financial reconciliations
• Experience in a high-growth or scaling organization

• You take ownership of payroll operations end-to-end and ensure nothing falls through the cracks
• You are detail-oriented and execution-focused, consistently delivering accurate and timely results
• You proactively collaborate with HR and Finance to solve problems and improve workflows
• You are comfortable navigating ambiguity and adapting processes as the business evolves
• You identify opportunities to improve systems and controls and take action to drive better outcomes
• Hybrid work environment
• Competitive compensation
• Flexible PTO
• 401(k) with match
• Life and disability coverage
• Employee Assistance Program
• Mission-driven team

The expected base salary for this role is $80,000–$90,000. This range may vary based on factors such as experience, skills, location, and internal equity.

Nuvem Rx complies with applicable pay transparency laws. The compensation range listed reflects the expected base salary at the time of posting, and actual compensation may vary.

Nuvem Rx is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.

Nuvem Rx is committed to providing reasonable accommodations to qualified individuals with disabilities. If you need assistance or an accommodation during the application or interview process, please contact us at