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Salary
$100k – $120k per year
Location
Remote (United States)
Seniority
Senior · 5+ years exp
Overview
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Midi Health is a virtual care company headquartered in Menlo Park, California, and founded in 2021. The company provides telehealth visits with clinicians trained in perimenopause and menopause, covering hormone therapy, sleep, weight, bone health, and mental health for women in midlife. It bills through insurance in all fifty United States states and partners with health systems and employers that lack in-house menopause specialists.

Sr. Payroll Operations Analyst @ Midi Health

Remote (U.S.-Based) | Full-Time | Reports to: Payroll Director 

As our Senior Payroll Operations Analyst, you will own end-to-end pay run execution across all company entities, serving as the function's primary processor and systems administrator. This role is built for a practitioner who leads with data, operates with precision, and holds the line on accuracy and compliance at every stage of the pay cycle.

You will work cross-functionally with HR, Finance, People Operations, and Legal to operationalize processes that are built to scale, and serve as a trusted resource for employees seeking timely, accurate answers to pay-related questions. As the business grows, so does your ownership. This is a role designed to expand with the function and the team.

Key Responsibilities: 

Payroll Processing (40%)

  • Execute end-to-end biweekly payroll as the lead Preparer for all on-cycle and off-cycle runs

  • Prepare and validate payroll inputs: new hires, terminations, bonuses, retroactive adjustments, and one-time payments

  • Manage exceptions, manual overrides, and system computations with documented audit trails

  • Deliver completed audit packages to Reviewer per the Preparer > Reviewer > Approver control model

  • Review and validate pay results, preview reports, and exception outputs prior to submission

  • Maintain earnings and deductions configurations, ensuring setup accuracy across all pay groups

Tax & Withholding Administration (20%)

  • Validate paycheck-level taxation accuracy across multi-state jurisdictions

  • Monitor withholding account activity and flag discrepancies for remediation

  • Process garnishments, levies, and involuntary deductions within established timelines

  • Support quarterly and year-end tax reconciliation and filing validation

  • Research multi-state tax requirements, wage and hour regulations, and withholding rules as needed

  • Maintain compliance tracker for active tax jurisdictions and filing deadlines

Equity Administration (10%)

  • Process equity transactions in the payroll system and validate against the equity management system

  • Ensure accurate supplemental withholding on equity-based compensation events

  • Maintain equity-to-payroll audit logs and support year-end equity reconciliation

  • Partner with Stock Administration and Finance on equity event coordination

Systems Administration & Analytics (15%)

  • Monitor and validate payroll system settings, workflow automations, and configuration setups

  • Identify configuration errors, recommend improvements, and document resolution steps

  • Build ad hoc reports for internal and external requests from Finance, People, and Legal partners

  • Track accuracy and efficiency metrics against established KPIs

  • Support GL reconciliation and payroll-to-finance reporting deliverables

Data Integrity & Records Management (10%)

  • Maintain payroll master data including employee pay records, configuration logs, and period-over-period audit trails

  • Perform routine audits of pay elements, earnings/deductions setups, and tax profiles

  • Maintain organized drive folders and records in accordance with retention policy

  • Ensure SOPs, checklists, and playbooks remain current and audit-ready

Employee Support & Cross-Functional Collaboration (5%)

  • Serve as Tier I and Tier II escalation point for employee payroll inquiries

  • Provide accurate guidance on pay, taxes, deductions, equity events, and processes

  • Collaborate with HR, Finance, People Operations, and Legal on input submissions and policy questions

  • Represent payroll operations in cross-functional meetings and audit reviews

Qualifications: 

Required:

  • 5+ years of payroll operations experience with direct processing ownership in a multi-state environment

  • Advanced technical proficiency with HRIS and payroll systems

  • Strong analytical and data validation skills with demonstrated accuracy in high-volume environments

  • Working knowledge of wage and hour law, pay computation, and multi-state tax compliance

  • Advanced Excel or Google Sheets skills; exposure to macros or query tools a plus

  • Excellent attention to detail, confidentiality, and time management in a fast-paced environment

Preferred: 

  • Bachelor's degree preferred; FPC or CPP certification is a plus

  • Prior experience with Rippling or comparable enterprise payroll platform

  • Equity transaction processing experience and payroll tax administration for equity-based compensation

  • Experience working in healthcare, startups, or high-growth multi-entity environments

The salary range for this position is $100,000 - $120,000 base pay dependent on experience, location and other variable factors. 

At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs.

Please note that all official communication from Midi Health will come from an @joinmidi.com  email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [email protected].

Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history.

Please find our CCPA Privacy Notice for California Candidates  here.

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