Director of Rewards

Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.

We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ratings and accreditations. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report, we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.

Signature HealthCARE is looking for a Director of Total Rewards working onsite at our Corporate Office in Louisville, KY

Healthcare preferred!

As a member of a small leadership team, this role requires a working executive who can seamlessly balance strategic vision with day-to-day execution. This is not a purely advisory position; the ideal candidate thrives in a hands‑on environment and leads by example.

Our Total Rewards position is a senior Human Resources executive responsible for the strategic leadership, design, implementation, governance, and continuous improvement of all compensation, benefits, and total rewards programs across the organization. In a skilled nursing and post-acute care environment, this role ensures Total Rewards programs support workforce stability, regulatory compliance, fiscal stewardship, and the attraction and retention of clinical and non-clinical talent essential to delivering high-quality resident care.

The role partners closely with executive leadership, operations, finance, legal, and external vendors to align Total Rewards strategy with organizational goals, labor market dynamics, and the complex regulatory landscape of healthcare.

• Provides leadership and drives the strategic implementation, planning, design, regulatory compliance, and risk mitigation of all compensation and benefits programs.
• Develops and maintains a comprehensive Total Rewards philosophy aligned with organizational values, workforce needs, and best practices.
• Establishes Total Rewards goals and implements specific programs to accomplish the organization’s compensation and benefits objectives while ensuring cost-effective implementation.
• Partners with Executive Leadership and Human Resources leaders to develop workforce strategies that support attraction, retention, engagement, succession planning, and long-term organizational growth.
• Advises executive leadership on Total Rewards strategy, workforce trends, labor market pressures, and financial impact in a skilled nursing and healthcare labor environment.

• Oversees the design and administration of base pay structures, incentive programs, shift differentials, premium pay, and retention programs.
• Ensures internal equity, pay transparency, and external competitiveness through job architecture, market benchmarking, and pay equity analysis.
• Partners with Finance to manage Total Rewards budgets, forecasting, and labor cost controls critical to SNF operations.

• Provides executive leadership and strategic oversight for all health and welfare benefits, retirement programs, leave administration, and employee well‑being initiatives, with a strong focus on affordability, cost containment, and long-term sustainability.
• Leads the development and execution of benefits strategies designed to manage trend, mitigate premium increases, and balance competitive offerings with fiscal responsibility in a highly regulated healthcare environment.
• Oversees relationships…