Alpaca Health Inc. logo

Payroll Operations Specialist

Job Overview

Location

United States (Remote)

Job Type

Full-time

Category

HR & Recruiting

Date Posted

August 11, 2026

Full Job Description

đź“‹ Description

  • • This role is a customer-facing and operations role that owns the outcome of payroll for dozens of independent clinics in multiple states.
  • • The Payroll Operations Specialist will run payroll operations across multiple states, every cycle, every correction, every state registration, and every confused employee asking why their check looks different this week.
  • • The role also involves owning the payroll platform itself, which is powered by Salsa, configuring it, catching problems before customers do, and telling the engineering team exactly what needs to change.
  • • This is a high-ambition role that requires the ability to work harder and move faster than most people, with a focus on building systems that make payroll operations scale.
  • • The ideal candidate is a systems thinker who can turn chaos into repeatable processes, manage a large volume of parallel priorities without dropping details, and thrive in environments with little structure and high accountability.
  • • The role offers direct exposure to company-building at an early stage, real ownership of critical initiatives from day one, and the opportunity to materially impact families and clinicians.
  • • The Payroll Operations Specialist will be responsible for running payroll for dozens of clinics, being the owner of the payroll platform, handling multi-state compliance, and supporting clinic owners directly.
  • • The role also involves building the systems that make payroll operations scale, including documenting every workflow, exception, and edge case, building checklists, templates, and calendars that keep cycles predictable, and using AI and automation to remove the repetitive parts of the job.
  • • The ideal candidate is AI-native, has experience with tools like Claude Code, Cursor, or similar, and can manage a large volume of parallel priorities without dropping details.
  • • The role offers a strong compensation package, including a competitive salary, meaningful equity, health benefits, flexible PTO, and dinner when working late.

🎯 Requirements

  • • 5+ years of experience in payroll operations or a related field
  • • Strong understanding of payroll regulations and compliance
  • • Experience with payroll software and systems, including Salsa
  • • Excellent communication and problem-solving skills
  • • Ability to work in a fast-paced environment and prioritize multiple tasks
  • • Experience with AI and automation tools, such as Claude Code or Cursor

🏖️ Benefits

  • • Competitive salary
  • • Meaningful equity
  • • Health benefits
  • • Flexible PTO
  • • Dinner when working late

Skills & Technologies

Remote

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Alpaca Health Inc.
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About Alpaca Health Inc.

Alpaca Health is a health technology company focused on improving the healthcare experience for both patients and providers. Their platform aims to streamline administrative tasks, enhance patient engagement, and provide data-driven insights to healthcare organizations. By leveraging technology, Alpaca Health seeks to reduce burnout among clinicians and empower patients with better access to their health information and care. The company operates within the digital health and health IT sectors, contributing to the ongoing transformation of healthcare delivery through innovative software solutions.

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