About Us
AtPrenuvo 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.
Were seeking an experienced Payroll Specialist to manage full-cycle payroll and compliance for both employees and contractors across the U.S. and Canada. Youll be responsible for executing regular payroll cycles for over 1000 employees and coordinating monthly contractor payments for 300 individuals.
This mid-level role is best suited for someone with 56 years of experience or greater who is highly detail-oriented independently driven and comfortable taking ownership especially during key coverage periods such as vacation backup for leadership.
This role is an excellent fit for a seasoned payroll professional who brings precision independence and a proactive mindset to a fast-paced environment. While not a senior position it offers meaningful responsibility and the chance to be a core operational partner especially when leadership coverage is play a critical role in ensuring payroll continuity compliance and an excellent employee and contractor experience.
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 peoples lives!
What Youll Do
Payroll Execution
- Process bi-weekly and semi-monthly payrolls for a growing multi-state and multi-province workforce (U.S. and Canada).
- Administer monthly contractor payroll for a diverse network of 300 independent professionals.
- Validate payroll inputs including hours worked bonuses commissions retroactive pay and off-cycle transactions.
- Ensure accuracy and timeliness while maintaining compliance with jurisdictional regulations.
Taxation & Compliance
- Manage state tax registrations for new locations and ensure proper setup in payroll systems.
- Liaise with U.S. state tax agencies IRS and CRA (Canada Revenue Agency) to handle filings updates and issue resolution.
- Apply in-depth knowledge of multi-state taxation and Canadian provincial requirements.
- Oversee workers compensation setup and classification ensuring correct wage reporting.
- Support compliance processes related to 401(k) contributions and year-end limits.
Audit & Reporting
- Prepare documentation for annual payroll audits 401(k) audits and financial reviews.
- Manage year-end filings including W-2s (U.S.) T4s and ROEs (Canada).
- Partner with Finance to reconcile payroll reports and maintain audit-ready records.
Employee & Contractor Support
- Address payroll-related inquiries from employees and contractors promptly and professionally.
- Collaborate with People and Benefits teams to ensure employee records are up to date and benefit deductions are accurately applied.
What Youll Bring
- 56 years of end-to-end payroll experience with a proven track record in both U.S. and Canadian payroll.
- Experience supporting 1000 employees and managing monthly contractor payrolls for 300 individuals.
- Strong understanding of multi-jurisdiction payroll laws including FLSA ACA EI CPP and provincial labor regulations.
- Hands-on experience with Rippling or similar cloud-based payroll and HRIS systems.
- Proficiency in Excel (VLOOKUP pivot tables reconciliations).
- Experience in 401(k) and benefits-related deductions vendor coordination and audit support.
- Strong interpersonal skills and ability to operate independently with a high level of confidentiality.
- CPP (U.S. or Canadian Certified Payroll Professional) is a strong asset.
Nice to Have
- Startup or high-growth company experience.
- Familiarity with global mobility or international payroll structures.
- Exposure to payroll-related workers comp classification audits and vendor management.
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
- Were always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of whats 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 wont stop till everyone can benefit from our work.
What We Offer
- An avenue to make a positive impact on peoples 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 were 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
- We now offer the Prenuvos Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride drive or park weve got you coveredmaking your commute easier and more affordable!
- Retirement made easy! We offer a 401(k) plan to our US employees to help you save for the future with company contributions to support your financial goals. Plan for tomorrow while you grow with us today!
- 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 $90000-$118000 USD depending upon experience
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 . If you are contacted by a recruiter please ensure their email address ends with @. 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
Required Experience:
Unclear Seniority