At Tend, how we pay and take care of our people is one of the most tangible ways we build trust. The Payroll & Benefits Manager owns the end-to-end payroll and benefits experience for a complex, multi-state healthcare workforce that includes clinical teams, corporate employees, and contractors. This role blends deep payroll and benefits expertise with operational excellence and cross-functional partnership to ensure every team member is paid accurately, covered correctly, and supported - while helping Tend scale responsibly as we grow.
This position is hybrid if Nashville-based (Tuesdays and Wednesday in office) or remote if based outside of Nashville. Candidates must be based in central or east coast time zones.
What You'll Do
Payroll Operations & Processing
- Own and execute bi-weekly payroll for a multi-state, multi-entity healthcare workforce across clinical studios and corporate teams.
- Ensure accurate processing for hourly, salaried, and contractor populations, including multiple pay cycles, rates, and premium structures.
- Manage complex pay components including shift differentials, clinical premiums, overtime, blended rates, state-specific rules, and retroactive adjustments.
- Oversee payroll inputs including time and attendance, PTO, leaves of absence, bonuses, commissions, and off-cycle payments.
- Process and reconcile 401(k) and other benefit-related payroll deductions, including employee contributions, employer matches, and loan repayments.
Benefits Administration
- Own day-to-day administration of Tend's health, dental, vision, life, disability, 401(k) programs, and other supplemental insurance programs across a multi-state population.
- Lead annual open enrollment: plan setup, employee communications, systems configuration, and vendor coordination.
- Manage employee life events (new hire enrollment, qualifying life events, terminations, COBRA) and serve as the escalation point for complex benefits questions.
- Own carrier and broker relationships, including invoice reconciliation, eligibility file accuracy, and issue resolution.
- Ensure benefits compliance with ACA, ERISA, HIPAA, and state-specific mandates, including required filings and notices.
- Support benefits budgeting, renewal strategy, and plan design recommendations.
Compliance, Tax & Regulatory Management
- Ensure compliance with federal, state, and local wage-and-hour laws, with particular attention to healthcare and state-specific requirements.
- Manage payroll tax setup, filings, deposits, reconciliations, and agency notices in partnership with payroll vendors.
- Own year-end processes including W-2s, 1099s, and all required state and federal reporting.
Audits, Controls & Financial Integrity
- Conduct payroll and benefits audits, reconciliations, and internal controls to ensure accuracy, compliance, and financial integrity.
- Partner with Finance on payroll accruals, benefits accruals, general ledger alignment, and labor reporting for clinical and corporate teams.
Systems, Tools & Process Improvement
- Serve as system owner for payroll, timekeeping, and benefits administration platforms, ensuring pay rules, premiums, eligibility rules, and state requirements are correctly configured.
- Lead continuous improvement of payroll and benefits processes, documentation, and controls to support scale and a strong team member experience.
Cross-Functional Partnership & Support
- Act as a trusted partner to People, Finance, Legal, and Studio leaders on complex payroll, benefits, and pay practice questions.
Who You Are
Tend Values
- Tend to Others: You deliver accurate, timely payroll and benefits outcomes that build trust with every team member and protect Tend's financial integrity.
- Embrace Our Differences: You respect the needs of a diverse, multi-state workforce and adapt payroll and benefits solutions to meet different roles, markets, and situations.
- Be Brave Enough to Lead: You raise risks, address errors, and push for better systems and controls - even when it's uncomfortable or complex.
- Savor the Ride: You bring calm, clarity, and positive energy to high-volume payroll cycles and open enrollment, helping others feel supported through change.
- Rooted in Growth: You seek feedback, learn from mistakes, and continuously improve how you operate and lead.
Role-Based Competencies
- Make It Right Every Time: You own payroll and benefits outcomes end-to-end and hold yourself and partners accountable for accuracy, compliance, and follow-through.
- Build Smart Systems: You design, document, and improve payroll and benefits processes that scale with Tend while reducing risk and manual effort.
- Make It Make Sense: You explain complex payroll, benefits, and compliance topics in a clear, empathetic way that builds confidence and trust across the organization.
What You Have
- 7+ years of progressive payroll experience, including ownership of multi-state, multi-unit payroll in healthcare or similarly complex environments.
- 3+ years of hands-on benefits administration experience, including open enrollment, life events, and carrier/vendor management.
- Deep experience supporting hourly, salaried, and contractor populations, including clinical teams with shift-based scheduling and premium pay.
- Strong working knowledge of payroll tax compliance, wage-and-hour laws, and healthcare-specific pay practices.
- Working knowledge of ACA, ERISA, HIPAA, and COBRA compliance requirements.
- Hands-on experience managing payroll and benefits audits, tax notices, garnishments, and regulatory inquiries.
- Experience administering 401(k) and other benefit-related payroll deductions in partnership with Total Rewards and Finance.
- Advanced experience with payroll, timekeeping, and benefits administration systems (UKG preferred; ADP, Workday, or similar platforms).
- Strong Excel and reporting skills for audits, reconciliations, and leadership reporting.
- A high bar for accuracy, strong organization, and the ability to operate calmly and effectively in fast-paced, high-volume environments.
- A collaborative, service-oriented mindset with the ability to build trust and influence across People, Finance, Legal, and Studio teams.
What We Offer:
We believe taking care of people starts with taking care of our own. Here's how we've got you covered at Tend:
- Health Comes First - We offer medical, dental, and vision insurance - plus a Dental Wellness Program to keep your smile as sharp as your skills.
- Plan for the Future - 401(k) plan, because your nest egg matters.
- Support, When You Need It - Life & AD&D insurance, health advocacy, legal support, and an Employee Assistance Program (EAP) - all designed to have your back when life gets real.
- Smart Spending Options - We've got Flexible Spending Accounts (FSAs), Health Savings Accounts (HSAs), and pre-tax transit/parking benefits to make your dollars go further.
- Time to Recharge - Enjoy generous Paid Time Off (PTO) and company holidays - because rest is productive.
- Bonus Eligible - Annual bonus based on company and individual performance
#-LIremote