Fractional HR Manager (Remote)

Overview Malama leverages the best of technology and people to deliver exceptional care - we build novel biometric tracking and patient engagement tools that allow skilled Care Managers to provide high-touch care navigation and coordination for pregnant and postpartum mothers that improves health outcomes for mom and baby. We've raised $9.2M in funding to date and are on target to hit profitability early this year. Our mission is to improve pregnancy-related outcomes beginning with conditions that disproportionately affect historically underserved groups. Malama Health is looking for a hands-on, detail-oriented HR professional to own our HR operations across a multi-entity structure (a Delaware C Corp MSO and two affiliated medical practice entities). You'll be the go-to person for payroll accuracy, benefits administration, compliance, and systems — with real ownership over building repeatable processes. This is a great fit for a senior HR professional who can operate independently and think proactively about what the function needs next — while being willing to roll up their sleeves and get into the weeds of payroll systems, state compliance, and multi-entity setups. We need someone who can both set direction, execute the details, and wants to grow with an early-stage healthcare company. Requirements Role Responsibilities Payroll & Systems Administration Serve as admin across our HR/payroll platform (Rippling) for all entities, including managing access and evaluating add-on services against our needsSet up and correct payroll deductions to ensure accurate tax treatmentManage payroll processing in partnership with vendors Benefits Administration Administer employee health benefits (via SimplyInsured or similar), including eligibility, enrollment, and stipend alternativesEnsure payroll and benefits systems are properly connected and deductions are configured correctly across entities with different contribution structures Compliance & Multi-State Employment Manage state registrations (SUI, EDD, and similar) as the company hires in new statesOwn resolution of compliance issues and claims (e.g., disability claims, unemployment filings), coordinating with legal counsel and vendors as neededMaintain accurate, up-to-date records of logins, filings, and documentationPartner with outside legal counsel and accounting/tax firms on employment compliance matters Time & Attendance / Wage & Hour Educate managers and employees on hourly reporting requirements (including for salaried non-exempt staff) and meal/rest break complianceWork with internal stakeholders to systematize hour-reporting deadlines and reduce off-cycle payroll runsSupport and help drive adoption of expense reimbursement policies and processes HR Operations & Employee Experience Maintain employee files, offer letters, and contracts (W-2 and 1099)Serve as a point of contact for a dedicated HR inbox, particularly for state agency communicationsParticipate in day-to-day team communications (Slack) to stay looped in on People-related needsHelp run and coordinate payroll cycles alongside finance/ops stakeholders Required 5+ years of HR/People Operations experience, ideally including payroll administration and multi-state complianceComfortable working independently, prioritizing across a broad and sometimes ambiguous project list, and driving issues to resolutionStrong communicator who can work cross-functionally with founders, finance, and outside counselDetail-oriented with a bias toward building clean, repeatable processes Preferred Experience with Rippling or similar HRIS/payroll platformsFamiliarity with an MSO/PC structureMission-aligned and/or healthcare background Benefits Benefits $80-120/hour, commensurate with experienceFractional engagement, 10-20 hours/week with potential to turn into full-time roleRemote (US), with flexible schedulingSupportive, mission-driven team culture Applications reviewed on a rolling basis - apply early! Equal opportunity Malama is an equal opportunity employer. We strongly encourage applications from candidates of all backgrounds, including those with lived experience relevant to our mission of improving pregnancy-related outcomes for historically underserved communities.