Alto Pharmacy
Specialty Pharmacy
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The US Payroll Manager is the senior operational leader for all US payroll activity, serving as the primary point of escalation and decision-making during US business hours. This role removes time-zone dependency on the Global Payroll Director by owning end-to-end delivery across 5 legal entities, leading a team of 3 specialists, and driving continuous improvement across processes, compliance, and systems.
Key Responsibilities:
Team Leadership & Development
Manage, coach and develop 3 Payroll Specialists; conduct regular 1:1s, set objectives, and lead performance reviews
Allocate entity and workload ownership across the team, balancing complexity and coverage risk
Build a positive team culture with clear accountability and defined career pathways
Serve as first-line escalation for all payroll queries, exceptions, and processing issues during US hours
Payroll Operations
Oversee end-to-end payroll processing cycles across all 5 US legal entities, ensuring accuracy and on-time delivery
Perform final review and sign-off on payroll runs before funding; act as hands-on processor for complex or high-risk entities
Manage off-cycle payroll runs, retroactive adjustments, and termination calculations
Own the payroll calendar and ensure all deadlines are met across entities
Compliance & Controls
Ensure compliance with federal, state, and local payroll tax regulations across all jurisdictions
Maintain SOX controls documentation and support internal and external audits
Manage year-end processes including W-2 production, reconciliations, and tax filings
Monitor legislative and regulatory changes affecting US payroll; implement required process updates
Vendor & Stakeholder Management
Own day-to-day relationships with payroll system vendor, tax filing agents, and benefit administrators
Partner with HR, Finance, Legal, and Benefits teams as the primary US payroll contact
Prepare and present payroll metrics, exception reports, and KPIs for the Global Payroll Director and senior stakeholders
Process Improvement & Projects
Identify and lead process improvement initiatives to enhance accuracy, efficiency, and controls
Support system upgrades, new entity set-ups, and M&A-related payroll integrations
Contribute to global payroll strategy and standardization projects led by the Global Payroll Director
Required Experience & Qualifications
7+ years of US payroll experience, including multi-state and multi-entity environments
2+ years in a supervisory or team lead role with direct people management responsibility
Deep knowledge of US federal and state payroll tax law, wage and hour regulations, and year-end compliance
Hands-on experience with enterprise payroll systems (Workday Payroll)
Experience operating within SOX-controlled environments
CPP (Certified Payroll Professional) and Workday Payroll certification necessary
Advanced excel skills and Power BI preferred
Skills and Competencies
Multi-state payroll tax expertise
Payroll system administration
SOX controls and audit readiness
Year-end reconciliation and W-2
Excel / data analysis proficiency
HRIS integration knowledge
Leadership and Behavioral
Decisive under time pressure
Clear communicator across levels
Builds team capability proactively
High ownership and accountability
Comfortable with global stakeholders
Continuous improvement mindset
Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.
Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.
Salary and Benefits
Salary Range: $103,500 - $129,500
Commission Eligible: No
Travel: Yes/No - Required up to 10% of the time
Location Requirement:
Fuze Health is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.
Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.
Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month. More
Benefits Information Here: https://west.acrisure.com/fuzehealth/benefits/
Application deadline: August 31st, 2026 (deadline may be extended as needed)
#LI-Remote
Equal Opportunity Employer
Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com.
Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.
Use of Automated Decision Tools
Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at talent@fuzehealth.com.
Privacy Notice
To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants.
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