Payroll and Benefits Manager

About 9amHealth 9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy benefit managers to deliver comprehensive, cost-effective medical care for individuals living with obesity, diabetes, hypertension, and dyslipidemia. Members receive access to specialized clinicians, including endocrinologists, obesity medicine specialists, and clinical pharmacists, at-home lab testing, prescription medications, and lifestyle support. 9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, SemperVirens, 7Wire Ventures, and The Cigna Group Ventures. Payroll and Benefits Manager Location: Remote Full-time About The Role We're looking for a Payroll and Benefits Manager to own the full employee lifecycle from a compensation and benefits operations standpoint. You'll be the go-to person ensuring our team is paid accurately and on time, that our benefits programs are competitive and well administered, and that we stay compliant as we grow and hire across multiple states. The right person is detail-oriented, comfortable with ambiguity, and knows how to build scalable processes in a fast-moving environment. You've done this before at a company that was growing quickly, and you know what it takes to keep operations running smoothly while also improving them. What You’ll do Own end-to-end payroll: Process multi-state payroll accurately and on schedule. Manage payroll changes, off-cycle runs, and year-end processes including W-2s and ACA reporting. Administer benefits programs: Manage day-to-day administration of health, dental, vision, 401(k), FSA/HSA, and other employee benefit programs. Serve as the primary point of contact for employee benefits questions. Lead open enrollment: Plan and execute annual open enrollment, including vendor coordination, employee communications, and system configuration. Evaluate current offerings and bring recommendations to leadership. Ensure compliance: Stay current on federal and state payroll and benefits regulations. Manage filings, audits, and reporting requirements across all jurisdictions where we have employees. Partner with Finance and People: Work closely with Finance on payroll reconciliation, headcount reporting, and budgeting. Support People on new hire onboarding, leave management, and offboarding. Manage vendors and systems: Own relationships with our payroll provider and benefits brokers. Evaluate tools and processes continuously and drive improvements as the company scales. Support international employees: Coordinate with our Austria-based team and external advisors on international payroll and benefits, ensuring consistency and compliance across geographies. What You’ll Need Minimum Qualifications 5+ years of payroll and benefits administration experience, with at least 2 years in a standalone or lead role. • Experience processing multi-state payroll for a US-based company with 150+ employees. • Deep knowledge of payroll regulations, tax compliance, and benefits law (ERISA, ACA, COBRA, FMLA, etc.). Hands-on experience with payroll platforms such as Rippling, Gusto, ADP, or Paylocity. Strong benefits administration experience, including medical, dental, vision, 401(k), and supplemental programs. High attention to detail and a track record of running clean, accurate payroll processes. • Comfortable working cross-functionally with Finance, Legal, and People teams. Strong communicator who can explain complex benefits information clearly to employees at all levels. Preferred Qualifications Experience at a high-growth startup or Series B/C company where you've had to build or significantly improve payroll and benefits infrastructure. Familiarity with international payroll coordination, particularly in Europe. CPP (Certified Payroll Professional) or CEBS (Certified Employee Benefit Specialist) certification. Experience with HRIS systems and comfort with data—you can pull reports, spot anomalies, and reconcile numbers independently. What you can expect at 9amHealth At 9amHealth, you'll join the exciting environment of a startup with the stability of highly experienced founders that have successfully built a business from scratch. We foster a collaborative learning mindset and a passion for improvement. You'll work with a brand-new product alongside a small, flexible team of people eager to shape technology, infrastructure, and culture. Our team members are spread across the globe, with physical sites in San Diego, California, and Vienna, Austria, but we value your culture regardless of where you work. We offer a comprehensive benefits package, including health, dental, and vision insurance, along with flexible PTO and work from home options. We provide a professional development budget and support continuing education, empowering our team to grow alongside the company. Team members have the opportunity to make a meaningful impact on chronic disease management and patient outcomes while contributing to a collaborative, mission driven culture focused on improving healthcare accessibility and affordability. Our commitment to diversity and inclusion Diabetes disproportionately impacts BIPOC (black, indigenous, and people of color) communities. We are committed to creating a workforce that reflects our patients and creating a positive healthcare experience for them. We welcome applications from people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, and foreign born residents.