Senior Payroll & Benefits Specialist Prenuvo HQ - US - People & Culture - Payroll

About Us

At Prenuvo, we are 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 unique integrated stack of optimized hardware, software, and increasingly AI, coupled with patient‑centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again”.

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.

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!

• 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…