Own multi-state HR compliance and entity management across 25+ states, including state registrations, foreign qualifications, and ongoing compliance monitoring
Partner with leadership on headcount planning, organizational design, and infrastructure development to support our scaling corporate and clinical workforces (W-2 and 1099)
Design and implement compensation strategy, leveling guides, performance frameworks, and total rewards programs across corporate and clinical workforces (FTE and PTE)
Manage payroll operations including reviewing bi-weekly payrolls, troubleshooting issues, processing corrections, managing complex off-cycle scenarios (leaves, terminations), and ensuring accuracy across all pay cycles
Oversee all HR systems, tools, and vendor relationships including Rippling, Lever, Checkr, 401k, and others
Manage benefits administration including enrollment, COBRA setup, carrier coordination, and benefits broker management
Oversee recruiting and onboarding processes for corporate teams, building scalable systems for hiring and new hire integration
Manage employee relations, performance issues, and workplace challenges with empathy and sound judgment; build culture and engagement initiatives including surveys and retention strategies
Own people ops budget and headcount planning; build analytics dashboards and partner with CEO, finance, legal, and clinical leadership on people strategy

7+ years in people operations with 3+ years in leadership roles
2-3 years at a high growth Series A/B company
Digital health experience managing large PTE/FTE and contracted clinical teams
Familiarity with MSO/PC models and blended workforce compliance
Hands-on experience managing complex payroll operations, benefits administration, and multi-vendor HR ecosystems
Experience designing compensation and benefits across corporate and clinical workforces
Proven ability leading HR & compliance, handling employee relations, and building systems and tools from the ground up

Director of People Operations

Key skills