HR & People Operations Manager - America

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.

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.

• 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.

• 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,…