Payroll Tax Specialist

PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States, operating 325 post-acute care facilities with 47,000 employees across 17 states serving over 31,000 patients daily. PACS Services, the business support division, provides technology and administrative support—including accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, IT, and corporate communications—to reduce administrative burdens for healthcare facilities.

About the role

The Payroll Tax Specialist supports accurate, compliant, and timely payroll tax administration across PACS’s multi-state portfolio of healthcare facilities. This role researches and resolves federal, state, and local payroll tax notices; coordinates with tax agencies, ADP SmartCompliance, internal payroll teams, and facility contacts; and maintains accurate tracking, documentation, and audit-ready records. The specialist also supports tax account registrations for newly acquired entities, assists with payroll tax reconciliations, tax rate changes, and compliance inquiries, and helps strengthen payroll tax processes through continuous improvement.

Responsibilities

• Research and resolve federal, state, and local payroll tax notices across PACS’s multi-state portfolio of healthcare facilities
• Analyze penalty and interest assessments to determine responsibility and identify abatement eligibility
• Review and validate ADP SmartCompliance response packages for accuracy and completeness before closing notices in tracking log
• Communicate effectively with federal, state, and local tax agencies via phone, email, and agency portals to resolve notices and disputes
• Provide support to internal payroll teams and facility-level contacts regarding notice-related inquiries
• Monitor and manage FreshService ticket queues related to tax notices to ensure SLAs are met and issues are routed appropriately
• Maintain the agency notice tracking log and ensure all notice activity is documented accurately for audit reporting purposes
• Register for state and local withholding/unemployment tax IDs for newly acquired companies
• Facilitate the creation of state-specific POA forms to grant ADP legal authorization to act on acquired entity’s behalf
• Ensure adherence to department and company SOPs and support the maintenance of process documentation
• Manage unemployment tax rate changes
• Collaborate with team members to identify efficiencies and improve notice resolution workflow
• Stay updated on payroll tax legislation, agency rule changes, and filing requirements to help prevent future notices
• Support the preparation and maintenance of payroll tax policies, procedures, and internal reference materials
• Assist with internal and external audit support and compliance inquiries as needed

Requirements

• 3+ years of payroll tax experience in a multi-state environment
• Hands-on experience with payroll, specifically tax processing and adjustments
• Working knowledge of tax systems for notice tracking and resolution
• Solid understanding of federal, state, and local payroll tax compliance requirements
• Strong organizational skills with the ability to manage multiple deadlines and notice queues simultaneously
• Clear written communication skills for agency correspondence and internal documentation
• Ability to work independently and escalate issues with good judgement
• Proficiency in Microsoft Excel for reconciliation, tracking, and reporting
• Comfort navigating federal and state agency portals
• Prior experience setting up tax jurisdictions for newly acquired entities
• Familiarity with SUI/FUTA reconciliation and unemployment tax management

Preferred Qualifications

• Experience with Workday and ADP SmartCompliance
• Multi-entity and multi-state payroll experience
• Healthcare industry payroll experience

Work Location

This role is based at PACS Headquarters in downtown Salt Lake City, UT. Relocation assistance is available for qualified candidates who reside outside the greater Salt Lake City area.

Travel

Travel is expected across regions to build relationships and support implementation. Anticipated travel: 5% depending on business needs.

Benefits

• Health Coverage: Medical, dental, and vision plans
• PTO and Vacation: Generous paid time off and holidays
• Financial Wellness: Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
• Retirement Planning: 401(k) plan with company contributions
• Support When You Need It: Employee Assistance Plan (EAP) for confidential support