Payroll Accountant

Job Summary

Orthopaedic Solutions Management (OSM) is seeking a Payroll Accountant to support payroll operations for a large, multi-state workforce of approximately 3,000 employees. This role is responsible for ensuring accurate, compliant, and timely payroll processing while serving as a key resource for payroll analysis, reconciliations, reporting, and process improvement initiatives.

About the Role

The Payroll Accountant plays a critical role in maintaining payroll integrity across a complex healthcare organization, partnering closely with Human Resources, Finance, Operations, and department leaders to resolve payroll issues, improve processes, and ensure compliance with federal, state, and local regulations.

Key Responsibilities

• Own and execute full-cycle payroll processing for a multi-state employee population of approximately 3,000 employees.
• Ensure payroll is processed accurately, timely, and in compliance with all federal, state, and local regulations.
• Review, audit, and reconcile payroll data to identify and resolve discrepancies prior to payroll processing.
• Investigate and resolve complex payroll issues, including taxation, earnings adjustments, deductions, retroactive payments, and off-cycle payrolls.
• Maintain payroll records and supporting documentation in accordance with company policies and regulatory requirements.
• Lead year-end payroll activities, including W-2 processing, payroll tax reconciliations, and audit preparation.
• Respond to payroll-related inquiries while maintaining confidentiality and professionalism.
• Perform payroll audits, reconciliations, balancing activities, and payroll-related accounting functions to ensure payroll accuracy and data integrity.
• Analyze payroll trends, variances, labor data, and workforce metrics to support business decisions.
• Prepare and validate payroll-related reporting for internal stakeholders and regulatory agencies.
• Support compensation analysis, pay range development, workforce reporting, and other payroll-related analytics as assigned.
• Partner with Finance and Accounting teams to support payroll-related reconciliations, budgeting, and reporting requirements.
• Aid in EEO, BLS, labor, compensation, and workforce reporting requirements as needed.
• Support payroll system maintenance, testing, upgrades, and ongoing optimization efforts.
• Participate in HRIS and payroll system implementations, data validation, parallel testing, and issue resolution activities.
• Document payroll procedures, standard operating processes, and system-related workflows.
• Collaborate with managers and department leaders to improve payroll accuracy and reduce processing errors.

Additional Responsibilities

• Serve as a subject matter resource for payroll processes, reporting, and compliance matters.
• Contribute to a culture of accountability, continuous improvement, and operational excellence.

Required Education & Experience

• Associate's degree in Accounting, Finance, Business Administration, or a related field.
• Minimum of three (3) years of payroll, accounting, finance, payroll analysis, or related experience.
• Experience supporting payroll operations in a multi-state environment.
• Advanced Microsoft Excel skills, including formulas, pivot tables, data analysis, and reporting.
• Working knowledge of payroll tax regulations, wage and hour laws, and payroll compliance requirements.

Preferred Qualifications & Skills

• Bachelor's degree in Accounting, Finance, Business Administration, Human Resources, or a related field.
• Experience supporting payroll for large employee populations.
• Experience within healthcare, physician practice management, healthcare services, MSO, or multi-location organizations.
• Experience with UKG Pro (UltiPro) or similar enterprise payroll systems.
• Experience supporting payroll system implementations, conversions, upgrades, or HRIS transitions.
• Strong analytical, accounting, and problem-solving abilities.
• High attention to detail and commitment to data accuracy.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Ability to work effectively in a fast-paced, evolving environment.
• Comfortable collaborating across Human Resources, Finance, Operations, and leadership teams.
• Ability to balance technical payroll expertise with strong customer service and communication skills.
• Demonstrated ability to identify process improvement opportunities and implement practical solutions.

Prefered Qualifications & Skills

• Experience with UKG Pro (UltiPro) or similar enterprise payroll systems.
• Experience supporting payroll system implementations, conversions, upgrades, or HRIS transitions.
• Strong analytical, accounting, and problem-solving abilities.
• High attention to detail and commitment to data accuracy.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Ability to work effectively in a fast-paced, evolving environment.
• Comfortable collaborating across Human Resources, Finance, Operations, and leadership teams.
• Ability to balance technical payroll expertise with strong customer service and communication skills.
• Demonstrated ability to identify process improvement opportunities and implement practical solutions.

KEYWORDS

Payroll Accountant, Payroll Specialist, Senior Payroll Specialist, Payroll Analyst, Senior Payroll Analyst, Payroll Administrator, Payroll Lead, Payroll Operations, Payroll Processing, Multi-State Payroll, Payroll Compliance, Payroll Tax, Payroll Reconciliation, Payroll Audits, Payroll Reporting, Payroll Analytics, Compensation Analysis, Workforce Analytics, Payroll Systems, UKG Pro, UltiPro, UKG Payroll, HRIS, HRIS Implementation, Payroll Implementation, Payroll Conversion, Payroll Testing, Parallel Testing, Accounting, Finance, Workforce Management, Payroll Tax Compliance, Wage and Hour Compliance, Healthcare Payroll, MSO Payroll, Physician Practice Payroll, Large Employer Payroll, Data Analysis, Microsoft Excel, Pivot Tables, VLOOKUP, XLOOKUP, Payroll Operations Management.