At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care.
Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years.
Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
As our Senior Manager of Payroll, you will be the end-to-end owner of U.S. payroll operations across a complex, high-growth environment — processing weekly, biweekly, and semi-monthly payroll cycles with precision and care. You'll manage one direct report and play a pivotal role in building the infrastructure and processes that will scale with us as we grow. This is a high-impact, high-visibility role at the intersection of People, Finance, and Operations — and a unique opportunity to shape how payroll is done.
If you are someone who thrives on ownership, loves solving complex operational problems, and wants to help build something from the ground up, this role is for you.
End-to-End Payroll Operations
Own and execute all U.S. payroll runs — weekly, biweekly, and semi-monthly — with a zero-tolerance standard for errors or delays
Manage and mentor one direct report, fostering a culture of accountability, growth, and operational excellence
Serve as the internal subject-matter expert on all things payroll, responding to employee inquiries with speed and accuracy
Maintain rigorous payroll records and documentation to support audits, compliance reviews, and internal reporting
Compliance & Regulatory Oversight
Ensure full compliance with all applicable federal, state, and local payroll laws and regulations across all jurisdictions where Commure operates
Maintain deep, current knowledge of California labor laws — including wage and hour rules, overtime requirements, pay stub compliance, and final pay obligations
Proactively monitor regulatory changes and implement policy or process updates to maintain compliance ahead of effective dates
Partner with Legal and HR to manage complex leave scenarios, garnishments, equity-related payroll events, and other non-routine payroll matters
People & Payroll Partnership
Build a best-in-class People <> Payroll integration by partnering closely with the People team to streamline workflows around onboarding, offboarding, leaves of absence, compensation changes, and benefits deductions
Drive process standardization to reduce manual touchpoints and increase the accuracy of payroll inputs originating from People systems
Champion a seamless employee payroll experience, ensuring clarity, timeliness, and trust in every paycheck
Payroll Accounting & Finance Partnership
Collaborate with the Accounting team to ensure timely and accurate payroll journal entries, account reconciliations, and period-end close activities
Support payroll-related audit requests and ensure the integrity of payroll data flowing into the general ledger
Partner with FP&A on headcount-related forecasting, accruals, and variance analysis tied to compensation and benefits
HRIS & Systems Leadership
Lead or co-lead the evaluation, selection, and implementation of a new global HRIS and payroll management platform, serving as the primary payroll voice in vendor assessments and implementation workstreams
Define and document requirements for payroll system integrations, data flows, and reporting structures that can scale with a multinational workforce
Continuously identify and implement process improvements and automation to increase efficiency, reduce manual effort, and improve data accuracy across payroll operations
Experience
7+ years of progressive payroll experience, with meaningful tenure in a high-growth, mid-stage startup or similarly fast-paced environment
Demonstrated experience managing multi-state and multi-national payroll operations, with hands-on ownership across the full payroll lifecycle
Prior experience managing or mentoring direct reports in a payroll or HR operations context
Track record of navigating complex environments and building scalable payroll infrastructure from the ground up
Technical Knowledge
Deep, practical knowledge of California labor laws — including wage and hour regulations, final pay rules, pay stub requirements, and leave administration
Strong working knowledge of federal and multi-state payroll compliance requirements, tax withholding, and reporting obligations (W-2s, 1099s, etc.)
High proficiency in Rippling is preferred
Familiarity with payroll accounting principles, journal entries, and reconciliation processes in ERP environments (NetSuite experience a plus)
Systems & Implementation
Experience leading or meaningfully contributing to an HRIS or payroll platform implementation is a significant advantage
Comfortable evaluating, scoping, and partnering on the rollout of new systems in a fast-moving, resource-constrained environment
Hands-on experience with payroll integrations and data mapping across HRIS, ERP, and benefits platforms
Soft Skills & Mindset
True "builder" mentality — you don't wait for perfect conditions; you create structure, build the playbook, and improve as you go
Extreme ownership: you take responsibility for outcomes, follow through on commitments, and raise issues proactively before they become problems
Exceptional attention to detail paired with the ability to see the bigger picture and prioritize ruthlessly
Strong communicator with the ability to translate complex payroll and compliance topics for non-payroll stakeholders across People, Finance, and Leadership
Comfortable operating in a fast-paced, scaling environment where priorities evolve and adaptability is essential
Cultural Expectations
At Commure, success comes from:
Acting with urgency and accountability — delivering results quickly without compromising accuracy or compliance
Partnering across functions to proactively identify and resolve high-impact challenges
Building solutions that are both effective today and scalable for t
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