HR Manager

Overview

Steer Health is seeking a proactive and detail-oriented HR Manager (U.S.) to lead Talent Acquisition and manage core HR Operations for our U.S. team. This role is ideal for someone who thrives in a fast-paced startup environment, understands U.S. HR compliance, and enjoys building scalable HR processes. You will work closely with leadership and cross-functional teams to support recruitment, onboarding, benefits, compliance, and continuous employee experience initiatives.

• Talent Acquisition (TA):
  Manage end-to-end U.S. recruitment across technical, healthcare, and business roles
• Partner with hiring managers to define job descriptions, interview criteria, and hiring processes
• Source and engage candidates via Linked In, job boards, referrals, and passive outreach
• Coordinate and conduct interviews and candidate assessments
• Maintain a smooth and high-quality candidate experience from initial contact to offer
• Manage and optimize the ATS to ensure accurate reporting and compliance with U.S. hiring standards
• HR Operations (U.S.):
  Lead U.S. onboarding and offboarding using Justworks, including: I-9 verification and compliance, E-Verify processes, Background checks and documentation, Benefits setup and enrollment
• Maintain accurate U.S. employee records, contracts, and HR files in alignment with federal and state regulations
• Coordinate bi-weekly payroll in Justworks (compensation changes, deductions, time-off updates)
• Manage U.S. benefits administration (medical, dental, vision, disability, life) including open enrollment and employee support
• Draft offer letters, employment documents, HR policies, SOPs, and compliance guidelines
• Provide day-to-day HR support related to benefits, policies, employee relations, and issue resolution
• Support employee engagement activities, surveys, culture programs, and internal communications
• Ensure compliance with U.S. labor laws (FLSA, FMLA, ADA, EEOC, state-specific requirements)
• Maintain audit-ready compliance documentation and HR reports
• Performance & Compliance:
  Support performance review cycles, goal-setting, and development frameworks
• Maintain HR dashboards, people analytics, and workforce metrics
• Recommend continuous improvements to HR policies, processes, and compliance documentation

• Must-Have: 2-5 years of Human Resources experience, specifically in U.S. HR Operations and U.S. Talent Acquisition
• Hands-on experience with Justworks (onboarding, payroll coordination, I-9, E-Verify, and benefits administration)
• Strong understanding of U.S. HR fundamentals: onboarding, documentation, labor compliance, benefits, payroll coordination, and employee relations
• Proven experience managing full-cycle U.S. recruitment
• Excellent communication, interpersonal, and stakeholder management skills
• Proficiency with HR tools and ATS platforms (Justworks, Bamboo
  
  HR, Lever, Greenhouse, etc.)
• High attention to detail, confidentiality, and a strong problem-solving approach
• Experience working in a healthcare startup, healthtech environment, or SaaS-based company

• Knowledge of multi-state employment regulations
• Ability to scale HR processes independently and work in a high-growth environment

• Opportunity to shape and scale HR operations for a mission-driven U.S. healthcare technology company
• Collaborative, fast-moving environment with high ownership
• Meaningful work supporting innovation and transformation in healthcare