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Healthcare Payroll Jobs (NOW HIRING)

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Payroll Manager

Mobile, AL · On-site

$90K - $100K/yr

Payroll Manager Mobile, AL | Direct Hire Lead payroll operations for a major healthcare system with 7,000 employees and a $20 million biweekly payroll. This is a hands-on leadership role for an ...

Liberty Health

PAYROLL MANAGER

Wilmington, NC · On-site

There's no place like Liberty Health Come explore career opportunities with Liberty Health , a dynamic leader in the healthcare industry. Join us! We are currently seeking an experienced: PAYROLL ...

Madison Approach

Assistant Payroll Manager

Hawthorne, NY · On-site

$40 - $43/hr

Our client is a large healthcare network seeking a payroll leader to provide operational oversight and manage end-to-end payroll operations across a multi-entity healthcare system. This role drives ...

Liberty Health

PAYROLL MANAGER

Wilmington, NC

There's no place like Liberty Health Come explore career opportunities with Liberty Health , a dynamic leader in the healthcare industry. Join us! We are currently seeking an experienced: PAYROLL ...

Christian Care Communities

Payroll Specialist

Middletown, KY · On-site

$23 - $31.50/hr

... a healthcare payroll setting Why Work With Us? Competitive Benefits: * Paid Time Off (PTO) for full- and part-time team members * Access your earnings before payday with Same Day Pay (PayActiv)

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Healthcare Payroll information

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How much do healthcare payroll jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for healthcare payroll in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $30.77 per hour, depending on experience, location, and employer.

What are some unique challenges faced by professionals working in healthcare payroll, and how can they be managed?

Healthcare payroll professionals often navigate complex pay structures, including shift differentials, overtime, multiple job codes, and compliance with union contracts. Additionally, they must keep up with frequent regulatory changes affecting payroll and benefits. Staying organized, communicating regularly with HR and department managers, and leveraging specialized payroll software can help manage these challenges effectively. Continual professional development and close attention to detail are also key to ensuring accurate and timely payroll processing in this dynamic environment.

What is healthcare payroll?

Healthcare payroll refers to the process of managing and processing the wages, salaries, bonuses, and deductions for employees working in the healthcare industry. This includes ensuring compliance with specific labor laws, managing complex shift differentials, and handling benefits unique to healthcare workers such as overtime, hazard pay, and union dues. Healthcare payroll professionals also ensure timely and accurate payments and maintain records required for audits and tax reporting. Their role is crucial in supporting the smooth operation of hospitals, clinics, and other healthcare organizations.

What is the difference between Healthcare Payroll vs Healthcare Billing?

AspectHealthcare PayrollHealthcare Billing
Primary FocusProcessing employee wages, benefits, and payroll taxesBilling patients and insurance companies for services rendered
Required SkillsPayroll software, compliance, data entryCoding, insurance claims, patient communication
Work EnvironmentHR or finance departments within healthcare facilitiesMedical offices, billing companies, hospitals
CertificationsPayroll certifications, basic accountingMedical billing certifications, coding credentials

Healthcare Payroll involves managing employee compensation and related taxes, focusing on internal HR processes. Healthcare Billing centers on invoicing patients and insurers for medical services. While both roles support healthcare operations, they serve different functions within the industry.

What are the key skills and qualifications needed to thrive as a Healthcare Payroll Specialist, and why are they important?

To thrive as a Healthcare Payroll Specialist, you need strong knowledge of payroll processing, healthcare-specific regulations, and financial recordkeeping, typically supported by experience in payroll or accounting and familiarity with healthcare compliance standards. Proficiency with payroll software such as ADP, Kronos, or Paychex, as well as understanding of timekeeping and HRIS systems, is usually required. Attention to detail, confidentiality, and effective communication are vital soft skills for managing sensitive employee data and resolving payroll issues. These skills and qualifications are crucial for ensuring accurate, timely payroll, compliance with healthcare laws, and maintaining employee trust.
More about Healthcare Payroll jobs
What cities are hiring for Healthcare Payroll jobs? Cities with the most Healthcare Payroll job openings:
What states have the most Healthcare Payroll jobs? States with the most job openings for Healthcare Payroll jobs include:
What job categories do people searching Healthcare Payroll jobs look for? The top searched job categories for Healthcare Payroll jobs are:
Healthcare Payroll jobs near you
Infographic showing various Healthcare Payroll job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Hybrid job distribution, with an average salary of $56,982 per year, or $27.4 per hour.
Payroll Specialist - Health Care HR (Hybrid w/in IA)

Payroll Specialist - Health Care HR (Hybrid w/in IA)

University of Iowa

Iowa City, IA • On-site

$23 - $31.25/hr

Full-time

Posted 22 days ago

University Of Iowa rating

6.9

Company rating: 6.9 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

455th of 612 rated colleges and universities

Job description

Enhance the operations of UI Health Care Human Resources by providing advice and guidance to staff members and departmental representatives regarding payroll policies and procedures. Primary services include, but are not limited to, supporting payroll functions for UI Health Care.
*This position is eligible to participate in hybrid work, but will need to be onsite for orientation. Hybrid work must be performed at a location within the state of Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.
Responsibilities:
  • Provide guidance and basic instructions to staff members and manager/supervisors regarding payroll policies and procedures, ELMS, AFSCME and SEIU contract rules related to payroll. Direct others to appropriate resources for further information in own specialty or other areas.
  • Interpret and promote compliance with less complex payroll policies/procedures. Monitor for compliance. May provide information to department representatives and University Payroll.
  • Audit standard reports (monthly, biweekly and holiday) to ensure completeness and accuracy of payroll data.
  • Process payroll corrections for monthly and biweekly payroll.
  • Assist and provide backup in closing biweekly pay periods in ELMS.
  • Assist employees and managers/supervisors in the proper use of vacation, sick leave, family leave, etc.
  • Maintain knowledge of human resources policies and procedures, particularly around the areas of payroll issues, including those covered by the University Operations Manual, Board of Regents Merit System, AFSCME and SEIU union contracts.
  • Create positive interactions with staff to enhance employee relations. Apply all collective bargaining agreements in administering all aspects of payroll policies and procedures.

General HR Duties:
  • May assist UI Health Care Payroll Manager in gathering and communicating information with departmental representatives.
  • May assist UI Health Care Payroll Manager in developing or monitoring new human resources services or programs.
  • Provide phone coverage and answer questions as directed.
  • Performs other duties as assigned.

Pay Level: 3A
Professional and Scientific Pay Structures | University Human Resources - The University of Iowa
Required Qualifications:
  • A Bachelor's degree in Human Resources Management or Business Administration or related field, or an equivalent combination of education and experience.
  • 1-3 years human resources experience.
  • 1-3 years of experience with payroll functions.
  • Excellent written and verbal communication skills.
  • Must be proficient in computer software applications.
  • Demonstrated experience and ability with providing excellent and timely customer service.
  • Ability to work in a fast paced, high transaction volume environment.

Desired Qualifications:
  • PHR or SPHR Certification.
  • Working knowledge of state and federal regulations affecting human resources.
  • Experience within a healthcare environment.

Application Process:
In order to be considered, applicants must upload a resume and cover letter (under required attachments). Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and education verification. Please contact michael-lynch-2@uiowa.edu with any questions.

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