Payroll Equity Manager

At Carrum, we live and breathe the mission of transforming the healthcare system to create an unmatched experience for patients.

If you are passionate about changing healthcare and want to finally get rid of surprise bills, poor quality, and high prices, while thriving in an entrepreneurial, cutting‑edge environment, we would love to connect with you.

In 2014 Carrum reinvented the Centers of Excellence (COE) category in digital health.

Today, 90% of the US population lives within 50 miles of a Carrum COE and our providers rank in the top 10% nationally.

Our team’s execution has been recognized by the venture community and we’ve raised more than $96M in aggregate from investors like OMERS, Tiger Global Management and Wildcat Ventures.

Our impact has been externally proven in a 2021 RAND Corporation study and featured as a Harvard Business School (HBS) case study.

Salary range for this role is $95,000 - $115,000 depending on geography and level of experience, plus equity and an annual bonus.

• You’re excited about this opportunity because you will…
• Own and independently execute running Semi‑Monthly payrolls for exempt employees and Bi‑Weekly payrolls for non‑exempt/hourly employees.
• Ensure accurate, compliant and timely payroll execution, including processing all employee changes (compensation, deductions, garnishments, 401K changes, tax elections).
• Manage complex hourly calculations, including overtime, shift differentials, meal/rest break penalties, and other contractual adjustments across multiple states.
• Partner with Accounting to support month‑end close, including reviewing payroll journal entries, accruals, and reconciliation of payroll GL accounts and bank activity.
• Continuously improve payroll operations by building scalable workflows and leveraging AI/automation, documenting processes, and strengthening internal controls.
• Serve as the internal system admin for Rippling. Optimize its capabilities across workflows, system integrations (time tracking), and custom payroll and compensation reports.
• Oversee payroll tax compliance across multiple states, managing new state registrations, local tax jurisdictions, and staying ahead of changing labor laws.
• Perform meticulous monthly reconciliations of all health, dental, vision, and ancillary benefit invoices against Rippling enrollment data and payroll deductions.
• Partner with our insurance brokers and carriers to immediately resolve billing discrepancies, ensuring correct payments and employee deductions.
• Manage the timely submission of 401(k) contributions and loans via Rippling’s integrations, ensuring full compliance with non‑discrimination testing and annual audits.
• Serve as the primary administrator for the company’s equity incentive plan via Carta.

Handle the end‑to‑end lifecycle of stock options (NSOs, ISOs) and RSUs, including processing new board‑approved grants, equity exercises, cancellations, and vestings.

• Ensure accurate tax withholding and reporting for equity transactions (disqualifying dispositions, stock exercises) and coordinate with the accounting team for quarterly equity‑based compensation journal entries.
• Collaborate with People, Finance, Legal, and external vendors to resolve payroll issues, improve efficiency, and maintain data integrity
• Effectively communicates to employees with compassion and empathy.
• We’re excited about you because…
• You bring a rich background of 5+ years of dedicated payroll experience, with at least 1–2 years directly managing equity administration. We hope to see from you:
• Deep, hands‑on experience running payroll in Rippling is strictly required.
• Carta equity management experience is highly preferred.
• Deep knowledge of wage and hour laws, payroll processing cycles (Semi‑Monthly & Bi‑Weekly), and time‑tracking systems for a diverse hourly workforce.
• You don’t just see numbers; you look for anomalies and audit your own work before anyone else sees it.
• You thrive in a high‑growth, fast‑paced environment. You are comfortable building processes where they don’t yet exist and scaling them as we grow.
• Entrepreneurial and resourceful — we need people who can independently find creative ways to make a big impact quickly.
• Experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast‑paced, dynamic environment.
• Passion for collaborating cross‑functionally with sales, operations, client success, data, and product teams to ideate, complete projects, and drive impactful results.
• Why you’ll love working with us…
• We’re a hard‑working, humble, and compassionate group motivated to solve the hard problems in healthcare today.

You’ll work with talented, experienced co‑workers from companies like Booz & Company, Livongo, 98point6, Google, and Optum.

We believe in using data to inform decisions, technology to make our jobs easier, and creative thinking to pave the future.

• We are working with some of the most recognized and esteemed names in the country.

Top hospitals like Johns Hopkins, Mayo Clinic, Stanford Health Care, Scripps Health, and Rush Health have joined our platform.

Employers who use our benefit include US Foods, United Airlines, and large public sector organizations like the self‑insured schools of California, and the State of Maine.

• We empower team members to be autonomous and provide a collaborative environment where you get support and healthy feedback.

You can bring your authentic self to work every day and are encouraged to help others do the same.

• We carve out time to let go of work to celebrate our successes and have fun.

We’re a remote‑first company with employees all over the United States and two office locations in San Francisco and Chicago.

We support our employees during the work day and beyond with flexible working hours, generous time off, paid parental leave, and opportunities to connect with coworkers both virtually and in‑person.

• We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company.

Carrum has an active employee‑led Diversity, Equity, Inclusion, and Justice (DEIJ) committee and several employee resource groups (ERGs).

Our ERGS help employees build stronger connections through social, educational, and community activities.

• You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways.

Other benefits

• Stock option plan
• Flexible schedules and remote work
• Chicago and San Francisco offices available
• Self‑managed vacation days, within reason
• Paid parental leave
• Health, vision, and dental insurance
• 401K retirement plan
• About Carrum

We’re a health tech company that brings value‑based care to the masses.

We help employers deliver a memorable patient experience, immediately lower healthcare costs, and drive better outcomes and achieve this through the power of technology and human‑centered design.

Since launching in 2014, we’ve partnered with Fortune 500 employers and top hospitals across the nation.

We’ve been recognized by Harvard Business School and featured in Tech Crunch, The Los Angeles Times, Washington Post, and Modern Healthcare.

We believe we’re only scratching the surface of our opportunity and we’re looking for incredible people like you to help us realize our full impact.

Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience.

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