About Fabric Health

About the Role

What You'll Do

• Payroll Operations & Tax Compliance (US & Global)
  • Dual-Entity Management: Execute end-to-end payroll for the MSO and PC entities. Maintain strict operational and legal separation between clinical and corporate payrolls while consolidating reporting for Finance.
  • Global Tax Nexus: Own multi-state and multi-national tax compliance. Manage jurisdictional registrations, statutory filings, and year-end reporting (W-2, P60, etc.) across all active regions.
  • Treasury & Internal Controls: Partner with Finance on payroll funding, cash flow forecasting, and General Ledger (GL) mapping. Lead all payroll-related audits, 401(k) testing, and Workers’ Comp filings.
• Total Rewards & Global Benefits Design
  • Plan Architecture: Design and administer a scalable US benefits portfolio (Medical, Dental, Vision, 401k/HSA) tailored to both MSO staff and PC providers.
  • International Standardization: Manage statutory and supplemental benefit schemes globally, ensuring local market competitiveness while maintaining a unified global total rewards philosophy.
  • Equity Administration: Oversee the operational lifecycle of global equity grants, focusing on tax withholding, reporting, and compliance across various jurisdictions.
• M&A Strategy & Operational Integration
  • Due Diligence: Lead the operational audit of target companies during pre-acquisition. Identify liabilities in payroll taxes, benefit plan compliance, 401(k) health, and worker classification.
  • Integration Engineering: Design and execute the "Post-Merger Integration" (PMI) playbook to migrate acquired workforces into Fabric’s global systems. Ensure 100% accuracy in compensation and benefit transition from Day 1.
  • Entity Onboarding: Establish the framework for rapidly standing up new international entities or EOR (Employer of Record) partnerships as the business expands.
• People Systems & Operational Scalability
  • HRIS Architecture: Serve as the "Product Owner" for the global HRIS/Payroll tech stack. Configure systems for multi-entity reporting and GDPR/data privacy compliance.
  • Process Automation: Build standardized, automated workflows for onboarding, leave administration (FMLA/Global Mat-Pat), and offboarding to eliminate manual data entry and minimize error rates.
  • Compliance Oversight: Maintain 100% adherence to ERISA, ACA, HIPAA, and local labor standards globally.

Why You Might Be a Good Fit

• You are a "Compliance-First" operator who finds professional satisfaction in building bulletproof internal controls and perfectly accurate systems.
• You have a deep understanding of the intersection between HR data and Finance, specifically how payroll affects the General Ledger and tax liability.
• You are a tech-forward leader who would rather automate a process than hire more people to manage manual data entry.
• You enjoy the ambiguity and complexity of M&A and the challenges of integrating diverse teams into a unified structure.

This Might Not Be The Right Fit If...

• You prefer a role focused solely on US domestic payroll that does not include the complexities of international tax nexus and global statutory benefits.
• You are uncomfortable with the technical "Product Owner" aspect of managing an HRIS/Payroll tech stack.
• You prefer to work in a silo; this role requires constant, high-level collaboration with Finance, Legal, and Clinical leadership.

Job Requirements

• Experience: 10+ years in Payroll and Benefits leadership, with at least 5 years managing multiple global entities and international payroll vendors.
• M&A Track Record: Proven experience leading the People Ops/Payroll workstream for at least 3+ significant acquisitions (from diligence through integration).
• Technical Mastery: Expert-level proficiency in modern, global-first HRIS and Payroll platforms. Strong understanding of how payroll data integrates with accounting and GL systems.
• Operational Precision: A "compliance-first" operator with deep knowledge of US domestic tax law, ERISA, and international statutory requirements.
• Entity Expertise: Experience navigating the operational nuances of MSO/PC structures or similar parent/subsidiary models in a regulated environment.

The national pay range for this role is $100,000.00 – $140,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, stock options and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.

At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.

Recruitment Fraud Alert: Protect Yourself

• Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
• Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
• Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
• Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
• Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
• Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.