Senior Payroll & Benefits Specialist

Overview

About Us:

Prenuvo is on a mission to flip the paradigm from reactive  sick-care  to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our integrated stack of optimized hardware, software, and increasingly AI, together with the patient-centric experience across domestic and global clinics, supports the goal of transforming healthcare outcomes.

The Senior Payroll & Benefits Specialist will manage full-cycle payroll, core benefits administration, leave pay calculations, and related compliance for employees across the U.S. and Canada. You will own regular payroll processing for a growing, multi-state and multi-province salaried and hourly workforce, and administer health, welfare, wellness, and retirement programs. Experience with Rippling or similar HRIS/payroll platforms is an asset but not required.

This mid-level role is designed for someone with 5–6+ years of experience who is highly detail-oriented, independently driven, and comfortable taking ownership during key coverage periods, including vacation backup for leadership. You will be a key operational partner to Payroll, People, Finance, and our U.S. and Canada benefits brokers, helping deliver an exceptional employee experience.

This is a remote role with preference for candidates in the U.S. Pacific Time Zones
. Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people s lives!

• Payroll execution:
  Process bi-weekly and semi-monthly payrolls for a multi-state U.S. and multi-province Canadian workforce, including both salaried and hourly employees.
• Calculate and process leave-related pay (e.g., U.S. statutory/state leaves, employer top-ups, Canadian EI-related leaves, and company top-ups), ensuring correct earnings codes, offsets, and taxation for both countries.
• Provide backup support for contractor payroll processing during coverage periods, ensuring accurate and compliant payments when the primary owner is out.
• Review and validate payroll inputs such as hours worked, overtime, bonuses, commissions, retroactive pay, off-cycle payments, and leave pay adjustments.
• Ensure accurate calculation and application of benefit and retirement deductions each payroll cycle.
• Prepare and process Records of Employment (ROEs) for Canadian employees in accordance with Service Canada requirements.
• Maintain strong internal controls and support continuous improvement of payroll processes and documentation.

• Manage new state and provincial payroll tax registrations and ensure proper configuration in payroll systems.
• Monitor and apply multi-state and Canadian provincial payroll tax rules, including taxation of benefits, leave payments, and fringe compensation.
• Liaise with U.S. state agencies, the IRS, and the CRA for registrations, filings, updates, notices, and issue resolution.
• Support workers  compensation setup and classification, ensuring correct wage reporting and alignment with payroll and benefits data.
• Assist with compliance activities related to retirement plans (e.g., 401(k) or equivalent), including contribution limits, corrections, and year-end processes.

• Administer day-to-day benefits operations for U.S. and Canada employees, including medical, dental, vision, life, disability, and wellness programs.
• Manage end-to-end benefits enrollment processes for new hires, qualified life events, and terminations, ensuring accurate and timely updates in HRIS, payroll, and carrier/broker systems.
• Maintain and apply benefits eligibility rules and waiting periods across multiple plans and jurisdictions, including distinctions by employment status, hours, and location.
• Coordinate with benefits brokers and carriers in the U.S. and Canada on enrollments, file issues, escalations, and plan operations.

• Perform regular audits of benefits deductions, carrier invoices, and enrollment data to identify and resolve discrepancies between HRIS, payroll, carriers, and brokers.
• Support ACA administration, including tracking hours for measurement/stability periods, monitoring eligibility, and ensuring accurate coding for offers of coverage and reporting.
• Assist with the preparation of required benefits and payroll reports, including audit support, non-discrimination testing, and government filings.
• Partner with Finance to reconcile payroll, benefits, and retirement plan data and maintain audit-ready documentation.

• Respond to employee payroll and benefits inquiries in a clear, timely, and service-oriented manner, explaining pay calculations, leave pay, deductions, eligibility, and plan details.
• Support contractor-related questions during coverage periods, escalating complex issues as needed.
• Build and maintain strong working relationships…