HR Manager

Location

St. Louis, MO (Hybrid / Virtual Schedule)

Hands-on HR Leader (7+ years), Own End-to-End HR Function, Benefits, 401(K), Culture Driven

Our client is a privately owned, local, fast-growing women's health and chiropractic clinic. The business is mission-driven, clinically focused, and in a high-growth phase. This role is intentionally titled HR Manager, but functions as the Lead of HR, with clear growth potential as the company scales. The position offers significant autonomy, executive exposure, and the chance to fully own and shape the HR function.

The ideal candidate is currently in a hands-on role, engaging in strategic discussions with executives and supporting daily HR operations. This is a roll-up-the-sleeves position!

• Own the end-to-end HR function for a distributed workforce
• Lead employee relations, investigations, and sensitive people matters
• Oversee benefits, 401(k), policies, and compliance requirements
• Partner with leadership on performance management and terminations
• Support recruiting processes and onboarding workflows
• Build scalable HR processes and strengthen company culture
• Manage remote leaders overseas and across the United States

• Proven experience leading HR independently in a hands-on environment
• Strong judgment handling sensitive employee relations and compliance matters
• Experience supporting hourly or frontline work forces
• Drive human resource strategy
• Must be hands‑on with daily HR operations
• Experienced with implementing and negotiating benefits, payroll review, and OSHA compliance

• Background in wellness, healthcare, or physical therapy clinic environments
• Experience supporting multi-location or remote teams
• Ability to scale HR processes in a growing organization