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 are seeking a Payroll Specialist to support payroll, benefits, and retirement operations for our U.S. and Canadian employees. Working closely with the Senior Payroll Specialist and benefits team, you will manage assigned payroll activities, resolve routine discrepancies, and escalate complex issues for guidance.

This role does not provide visa sponsorship. Applicants must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa (current or future).

This position requires working Pacific Time business hours year-round, observing PST/PDT, regardless of your location.

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 assigned biweekly and semimonthly payrolls for salaried and hourly employees across multiple U.S. states, Canadian provinces, and legal entities.
• Validate timecards, overtime, bonuses, commissions, employee changes, and deductions; calculate retroactive adjustments, off-cycle payments, and final pay.
• Reconcile payroll registers and prepare funding requests and supporting records for review and approval.
• Prepare Canadian Records of Employment and assist with year-end reporting, including W-2 and T4 reviews.
• Provide backup coverage for other payroll team members payroll as needed.

Compliance and employee support

• Review assigned payroll notices, track deadlines, and gather information for timely responses.
• Follow established payroll requirements and internal controls, escalating complex tax, wage, and compliance questions.
• Maintain accurate records and procedures, and recommend improvements when recurring issues arise.
• Respond clearly and promptly to employee questions about pay, deductions, and leave payments.

Benefits administration and leave pay

• Calculate salary continuation and employer top-ups coordinated with U.S. state leave programs, disability benefits, and Canadian Employment Insurance.
• Confirm approved leave dates, benefit amounts, payment offsets, and return-to-work changes with the benefits team.
• Support U.S. and Canadian benefits administration through eligibility reviews, enrollment updates, and deduction maintenance.
• Reconcile benefits deductions and carrier invoices, coordinating resolution with the benefits team and providers.

Retirement plan funding and audit support

• Prepare 401(k) contribution files, reconcile employee deductions and applicable employer contributions, and coordinate funding with Finance and the plan provider.
• Verify deposits and promptly escalate missing, rejected, or incorrect contributions.
• Compile participant data, payroll records, and reconciliations for the annual 401(k) plan audit.
• Assist with contribution limit reviews, corrections, and annual testing under leadership guidance.

What You’ll Bring

• Typically 3–5 years of hands-on payroll experience, including multistate U.S. and multiprovince Canadian payroll for salaried and hourly employees.
• Knowledge of U.S. state paid family and medical leave and disability programs, with direct experience calculating related payments and coordinating employer top-ups.
• Knowledge of Canadian employee benefits, including health, dental, life, and disability coverage, eligibility requirements, and payroll deductions.
• Experience with 401(k) including: contribution files, funding coordination, deposit verification, and reconciliation, annual 401(k) plan audit through record preparation and information requests.
• Working knowledge of payroll fundamentals, including overtime, taxable earnings, statutory deductions, and year-end reporting.
• Strong Excel skills, including lookups, pivot tables, and data reconciliation.
• Excellent attention to detail, organization, and judgment, with the ability to meet deadlines and recognize when additional review is needed.
• Clear communication skills and discretion when handling confidential information.
• Experience with Rippling payroll, time and attendance, and reporting is preferred.
• Experience supporting multiple entities or clinic locations is preferred.
• Familiarity with Canadian Records of Employment and retirement plan deductions is an asset.
• A payroll certification, such as FPC, CPP, or the Canadian Payroll Compliance Professional designation is an asset.
• Pride in excelling at your craft, excellent attention to detail, a drive to be a problem solver and adaptability.

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
• Prenuvo offers a 401(k) retirement savings plan to eligible employees, allowing team members to make pre-tax contributions toward their retirement. While Prenuvo facilitates access to the plan, the company does not currently offer matching contributions.
• 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 $68,500-$80,500 in local currency, depending upon experience and geographic location

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.