Payroll Specialist

About Us

At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again".

We’re seeking an experienced Payroll Specialist to manage full-cycle payroll and compliance for both employees and contractors across the U.S. and Canada. You’ll be responsible for executing regular payroll cycles for over 1,000 employees and coordinating monthly contractor payments for 300+ individuals.

This mid-level role is best suited for someone with 5–6 years of experience or greater who is highly detail-oriented, independently driven, and comfortable taking ownership especially during key coverage periods, such as vacation backup for leadership.

This role is an excellent fit for a seasoned payroll professional who brings precision, independence, and a proactive mindset to a fast-paced environment. While not a senior position, it offers meaningful responsibility and the chance to be a core operational partner, especially when leadership coverage is required. You’ll play a critical role in ensuring payroll continuity, compliance, and an excellent employee and contractor experience.

Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives!

What You'll Do

Payroll Execution

• Process bi-weekly and semi-monthly payrolls for a growing, multi-state and multi-province workforce (U.S. and Canada).
• Administer monthly contractor payroll for a diverse network of 300+ independent professionals.
• Validate payroll inputs including hours worked, bonuses, commissions, retroactive pay, and off-cycle transactions.
• Ensure accuracy and timeliness while maintaining compliance with jurisdictional regulations.

Taxation & Compliance

• Manage state tax registrations for new locations and ensure proper setup in payroll systems.
• Liaise with U.S. state tax agencies, IRS, and CRA (Canada Revenue Agency) to handle filings, updates, and issue resolution.
• Apply in-depth knowledge of multi-state taxation and Canadian provincial requirements.
• Oversee workers’ compensation setup and classification, ensuring correct wage reporting.
• Support compliance processes related to 401(k) contributions, and year-end limits.

Audit & Reporting

• Prepare documentation for annual payroll audits, 401(k) audits, and financial reviews.
• Manage year-end filings including W-2s (U.S.), T4s and ROEs (Canada).
• Partner with Finance to reconcile payroll reports and maintain audit-ready records.

Employee & Contractor Support

• Address payroll-related inquiries from employees and contractors promptly and professionally.
• Collaborate with People and Benefits teams to ensure employee records are up to date and benefit deductions are accurately applied.

What You’ll Bring

• 5–6+ years of end-to-end payroll experience with a proven track record in both U.S. and Canadian payroll.
• Experience supporting 1,000+ employees and managing monthly contractor payrolls for 300+ individuals.
• Strong understanding of multi-jurisdiction payroll laws, including FLSA, ACA, EI, CPP, and provincial labor regulations.
• Hands-on experience with Rippling or similar cloud-based payroll and HRIS systems.
• Proficiency in Excel (VLOOKUP, pivot tables, reconciliations).
• Experience in 401(k) and benefits-related deductions, vendor coordination, and audit support.
• Strong interpersonal skills and ability to operate independently with a high level of confidentiality.
• CPP (U.S. or Canadian Certified Payroll Professional) is a strong asset.

Nice to Have

• Startup or high-growth company experience.
• Familiarity with global mobility or international payroll structures.
• Exposure to payroll-related workers’ comp classification audits and vendor management.

Our Values 

First: we are Pioneers

• Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding.

Second: we are Platform-Builders

• We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission.

Above all: we are Patients

• We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work.

What We Offer

• An avenue to make a positive impact on people's lives and their health
• We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member 
• Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way
• Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize 
• Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it
• We now offer the Prenuvo’s Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we’ve got you covered—making your commute easier and more affordable! 
• Retirement made easy! We offer a 401(k) plan to our US employees to  help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today!
• We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family
• The base salary for this role ranges from $90,000-$118,000 USD, depending upon experience

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules.

Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.