HR Executive - India

About 100ms 100ms is building AI agents that automate complex patient access workflows in U.S. healthcare — starting with benefits verification, prior authorisation, and referral intake in specialty pharmacy. We help care teams reduce delays and administrative burden so that patients can start treatment faster. Our automation platform combines deep healthcare knowledge with LLM-based agents and robust ops infrastructure. The Role As our HR Executive in India, you'll play a key role in managing and scaling our people operations. This is a hands-on role where you'll handle everything from recruitment and onboarding to HR systems, compliance, and employee experience — while also thinking about how to make things better. We value people who take ownership, identify gaps, and drive solutions. You'll thrive here if you're someone who spots opportunities to make things better and runs with them. Responsibilities Manage end-to-end HR operations — onboarding, offboarding, attendance, leave management, employee records, and documentation Handle full-cycle recruitment — sourcing, scheduling, coordination with hiring managers, and offer rollout Own HRIS administration and drive system adoption across the team Coordinate monthly payroll processing and ensure accuracy Coordinate with external finance/compliance vendors to ensure statutory requirements (PF, ESI, PT, Gratuity) are completed accurately and on time — you own the tracking and follow-up Support employee queries and day-to-day HR needs Build and improve HR processes to support a growing team Coordinate with external vendors — payroll providers, background verification, legal counsel Work closely with the US-based leadership team during overlap hours Contribute to company-wide people initiatives including performance appraisal cycles, compensation reviews, policy design, and engagement programs What We're Looking For 3-5 years of HR experience, preferably in a startup or high-growth environment Experience building or improving HR processes in a growing team Hands-on experience with HRIS tools (Keka experience is a plus) Good knowledge of Indian labor laws and statutory compliance Strong communication skills — clear, concise, and solutions-oriented Self-driven with the ability to prioritize and manage workload independently Nice to Have Experience in healthcare or health-tech companies Familiarity with ATS tools like Lever Experience supporting teams across multiple functions Exposure to multi-entity or cross-border operations What We Offer Opportunity to shape people operations at a fast-growing healthcare AI company Work directly with senior leadership Autonomy and ownership in your role Competitive compensation + ESOPs