This role is remote within the United States.

Turquoise Health is seeking a Payroll & Compliance Operations Manager to own and scale our payroll and compliance infrastructure as a fully remote, multi-state employer operating across over 30 states.

Reporting to the Director of Finance and partnering closely with the People team, this role is the operational backbone of how we pay and support our team. You will take full ownership of payroll, multi-state registrations, benefits payroll administration, leave pay coordination, and accounts payable, ensuring our systems are accurate, compliant, and built to scale.

We’re looking for a steady, experienced operator who values precision, accountability, and long-term ownership – someone who can build strong systems and run them exceptionally well.

What You’ll Own

Multi-State Payroll Operations

• Administer full-cycle, semi-monthly payroll for 160+ U.S. employees in Rippling.

• Ensure accurate processing of compensation changes, bonuses, commissions, retroactive adjustments, reimbursements, and deductions.

• Manage payroll tax filings and remittances across federal, state, and local jurisdictions.

• Own payroll account reconciliations and support month-end close.

• Serve as the internal subject matter expert on payroll compliance, as well as the primary point of contact for payroll inquiries from employees and internal stakeholders, ensuring responsive and high-quality support.

State Tax Registrations & Compliance

• Own all state tax and labor registrations (Departments of Revenue, Departments of Labor, unemployment insurance accounts, etc.).

• Proactively manage registration setup as the company hires in new states.

• Monitor and respond to state agency notices and audits.

• Maintain compliance across wage and hour laws, remote employment regulations, and state-specific payroll requirements.

• Partner cross-functionally to mitigate compliance risk.

Benefits & Leave Operations

• Implement and maintain payroll deductions for medical, dental, vision, 401(k), HSA/FSA, and other benefits.

• Configure and manage employer/employee contribution structures in Rippling.

• Reconcile benefit invoices against payroll deductions.

• Coordinate leave pay administration in partnership with the People team and Tilt (leave management platform), ensuring accurate integration of leave payments into payroll.

• Oversee payroll impacts of state-paid leave and disability programs.

• Support the implementation of open enrollment within payroll systems.

Accounts Payable & Expense Operations

• Own Accounts Payable operations, including vendor payments, tools, and one-off invoices.

• Review and approve employee expense reimbursements via Ramp.

• Manage stipend reimbursements (e.g., L&D, desk budget).

• Review and validate invoices from international EOR partners (e.g., Deel) to ensure accuracy and cost alignment.

Systems, Controls & Documentation

• Serve as system owner for payroll-related functionality in Rippling, Ramp, and Deel.

• Build and maintain scalable payroll documentation and internal controls.

• Improve and automate workflows between payroll, People systems, leave management (Tilt), and Finance.

• Ensure audit readiness and strong operational hygiene.

What You Bring

• 6+ years of experience managing U.S. payroll, with demonstrated experience managing multi-state payroll for a remote workforce.

• Demonstrated experience independently managing state tax registrations and compliance across multiple jurisdictions (required).

• Deep knowledge of federal, state, and local payroll tax laws and remote workforce compliance.

• Experience administering payroll in Rippling (strongly preferred).

• Experience coordinating payroll impacts of employee leave, disability insurance, and state-paid leave programs.

• Experience implementing and reconciling benefit contribution structures within payroll systems.

• Experience owning or supporting Accounts Payable functions.

• Strong reconciliation and analytical skills.

• Exceptional attention to detail and compliance rigor.

• Ability to operate independently and build structured processes in a scaling environment.

• High integrity and discretion in handling sensitive employee data.

• CPP certification is a plus.

Benefits

• Competitive pay with equity options

• Stellar health care plan options (Medical, Dental & Vision), with FSA, DCFSA, & HSA options

• Company-sponsored disability & life insurance

• Unlimited PTO

• 401(k) + 4% Matching

• Fully remote work + flexible working hours

• $750 work-from-home setup budget

• Paid quarterly in-person co-working weeks

• Quarterly $150 co-hanging stipend to meet up with coworkers

• Monthly $100 health and wellness benefit

• Generous paid family leave

About Turquoise Health

At Turquoise, we're making healthcare pricing simpler, more transparent, and lower cost for everyone. Have you or a family member ever gotten an MRI, a lab, or even a straightforward surgery without knowing the cost in advance? That's bonkers, right? We're working to fix that.

We're a Series B startup backed by top VCs a16z, Box Group, Bessemer Venture Partners, Tiger Global, Adams Street, and Yosemite. Most importantly, we're an accomplished group of folks (moonlighting as authors, bass players, improv instructors, chefs, linguists, and trivia buffs) with a passion for improving healthcare. We're eager to find ambitious and well-rounded teammates to join us on this mission.

We strongly encourage BIPOC, people with disabilities, and LGBTQIA+ folks to apply for any open roles of interest. Building a truly diverse team is a challenge that we do not shy away from. Healthcare affects all people differently, but it significantly affects those in underserved communities. With a robust, diverse team, we are stronger and better equipped to change the future of healthcare for all.

Job Location

Turquoise Health is a fully remote company based in the US. We work with team members and contractors in the US and around the world, but we operate on US business hours and work with clients entirely based in the US. For this role, we are seeking US-based candidates.

Disability Accommodation Email

Turquoise Health is committed to providing reasonable accommodations to applicants and employees with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. If you require assistance or an accommodation with the hiring process, please contact recruiting@turquoise.health