Sr. HR Generalist

At MD Integrations, we partner with digital health brands to power clinical care at scale. We specialize in men's and women’s health, dermatology, endocrinology, and weight management, offering telehealth solutions that help patients receive expert, personalized care—all from the comfort of their home. Join our team and be part of the movement to make specialty care more accessible and impactful.

About the role

The Senior HR Generalist partners with managers and directors to provide consultative support across talent management, workforce planning, legal and compliance, and employee relations. You will help employees navigate employment topics from benefits and pay to leaves of absence. This role is critical to executing our people strategy, building trusted relationships, and coaching people leaders to success. You’ll also support the buildout of initiatives like performance and compensation frameworks, employee engagement programs, and learning and development strategies as the company grows.

Responsibilities

• Coach and advise managers and directors—from first-time leaders to seasoned pros—through employee relations and organizational challenges to find practical, win-win outcomes.
• Serve as the go-to resource for employees' everyday HR needs, including onboarding, offboarding, compensation/benefits questions, and leaves of absence.
• Recruit top talent across the business in close partnership with hiring managers, from job design through the candidate experience. Immediate focus is on engineering and clinical operations roles, expanding to Marketing, Sales, and Customer Success over time.
• Own ongoing compliance for federal, state, and local employment law, leveraging Rippling ASO resources for multi-state requirements and policy updates.
• Support and lead change management initiatives that champion a people-first culture, including thoughtful planning, communication, and implementation.
• Partner with the SVP, People to roll out and maintain new HR programs, including performance management and compensation frameworks.
• Manage routine HCM administration, including data hygiene, employee records, time & attendance, and basic to intermediate reporting.
• Assess department talent needs and gaps to ensure teams have the right people, level, and roles to meet objectives, using job design and talent attraction strategies.
• Build scalable HR processes and documentation as we grow: identify improvements, implement them, and create how-to guides for easy use and distribution.
• Support payroll as backup to Accounting, partner on the annual compensation review process, and ensure employee changes (promotions, raises, role changes) are accurately reflected in the HCM.

Qualifications

• Minimum 3 years’ experience in a mid-level HR Generalist, HR Business Partner, or Talent role with demonstrated ownership of meaningful scope.
• Strong HR domain knowledge and business acumen, including familiarity with federal, state, and local labor laws (FMLA, ADA, etc.); HIPAA familiarity a plus.
• Proven experience (and genuine enthusiasm for) recruiting professional-level roles; experience in Engineering and Clinical Ops (RN, MA, etc.) recruitment preferred.
• Strong background in talent management, job design, job descriptions, and recruitment; compensation expertise is a plus.
• Proven experience leading people through growth-oriented organizational change, balancing evolving business needs with an employee-first, remote culture.
• Thrives in a fast-growing, fully remote environment. Able to flex and reprioritize quickly across competing demands and tight timelines without losing momentum.
• Experience leveraging data and People analytics to generate insights and support business decisions is a plus.
• Ability to work a flexible schedule as workload demands (generally Monday–Friday).
• Proficiency with core tools: Rippling (HCM, ASO, Benefits broker), GSuite (Docs, Sheets, Meet, Drive), Slack, Asana (PM), AI tools for business.

Skills

• Entrepreneurial and ambitious, with a strong sense of initiative, ownership, and accountability.
• Comfortable working with cross-functional teams across multiple time zones.
• Customer-focused, responsive, and timely.
• Exceptional interpersonal skills, including active listening and sensitivity to individual needs.
• Effective communication with people of diverse backgrounds and levels, inside and outside the organization.
• Passionate about innovative HR solutions and process improvement in a fast-paced environment.

Benefits

• 75% subsidized health insurance, dental insurance, and vision insurance.
• Paid time off.
• 401(k) retirement savings plan with company match.
• Professional development opportunities.
• Fully remote work with flexible arrangements.
• Collaborative and supportive work environment.

Pay

Targeted range for this position is $75,000 - $95,000 per year, depending on experience.