Payroll and Benefits Manager

Team Mobile Health Care

Nashville, TN (on-site) Full-time, exempt

Compensation $75,000–$95,000 depending on experience. 

About the company

At Team Mobile Health Care be a part of a growing premier provider of mobile healthcare and emergency medical services. Our commitment to the community extends beyond the road; we provide expert behavioral health transport services to help shape the future of EMS in Tennessee and Georgia with a team that puts people first. At Team Mobile, we operate under a simple but powerful philosophy: Our team is your team.  Our crews care for patients around the clock, every day of the year. We are investing in the systems and people needed for our next stage of growth.

About the Role

The Payroll and Benefits Manager owns payroll and benefits administration at Team Mobile Health Care. You will run accurate, compliant biweekly payroll for roughly 400 hourly and salaried employees across several states, and manage the company’s benefit plans. You will work closely with our recruiter so that every new hire is set up correctly from their first day, and with Finance so that payroll and benefits costs are recorded accurately. This is a hands-on role for someone who takes pride in getting every paycheck right.

Key responsibilities

Payroll

• Own end-to-end biweekly payroll for approximately 400 employees per cycle, including timekeeping review, overtime, shift differentials, PTO and final pay.

• Manage multi-state payroll tax withholding, registrations and filings.

• Reconcile time data from operational and scheduling systems into payroll and resolve discrepancies before each run.

• Process garnishments, retro pay and off-cycle payments; partner with Finance on payroll journal entries and month-end close.

Benefits

• Administer health, dental, vision, life and disability plans, plus the company 401(k).

• Manage new-hire eligibility and enrollment, qualifying life events and terminations of coverage.

• Coordinate open enrollment and work with carriers and the benefits broker on day-to-day issues and annual renewals.

• Reconcile carrier invoices to payroll deductions and enrollment records each month.  

• Support compliance with ACA reporting, COBRA, FMLA and plan documentation requirements.

New hires and employee changes

• Partner with the recruiter so that each new hire’s pay rate, position, tax setup, direct deposit and benefit eligibility are entered correctly before their first payroll.

• Confirm that I-9s and other new-hire paperwork required for payroll are complete and on file.

• Process pay changes, transfers and terminations promptly, including final pay and COBRA notices.

Compliance, systems and reporting

• Apply FLSA rules accurately, including overtime for 24-hour shift schedules.

• Maintain payroll and benefits configuration and data integrity in the HRIS/payroll platform and its timekeeping integrations.

• Deliver payroll, overtime, labor cost and benefits reporting to the Director of Human Resources and Finance.

• Keep payroll and benefits records audit-ready for lenders, auditors and other outside reviewers.

Required qualifications

• 5+ years of payroll experience, including at least 2 years administering employee benefits.

• Hands-on ownership of full-cycle payroll for 300+ employees, including hourly staff.

• Multi-state payroll tax experience.

• Strong working knowledge of FLSA overtime rules for shift-based or 24/7 workforces.

• Benefits administration experience, including open enrollment, ACA reporting and COBRA.

• Proficiency with a modern HRIS/payroll platform and Excel.

• Strong attention to detail and the discretion to handle confidential employee information.

Preferred qualifications

• Experience with Paylocity.

• Experience in healthcare or another 24/7 operational workforce.

• Experience integrating timekeeping or scheduling systems with payroll.

• CPP or FPC certification; SHRM-CP or PHR a plus.

Compensation and benefits

• Base salary of $75,000–$95,000, depending on experience.

• Medical, dental and vision insurance.

• 401(k) retirement plan.

• Paid time off and company holidays.