👨‍👩‍👧‍👦 About Us

Our mission is to redefine care for the most vulnerable. The healthcare system is failing the underserved. It's a struggle to find care, to afford care, and to receive quality care.

We are a company currently in stealth mode that is transforming the healthcare experience for low-income families through purpose-built, thoughtful technology.

We are well-funded by world-class investors including Sequoia Capital and Khosla Ventures. We are led by a founder who grew up on Medicaid (public insurance) and personally knows the desperation of not being able to afford medically-necessary care. We have seen great demand since launch and fired-up to continue expanding our mission.

Here, we believe that anything can be achieved through pure will, determination, and grit. We value builders with a similar mindset.

💻 The Role

We’re looking for a Senior Manager, Global Payroll to lead our payroll operations and build scalable, efficient processes that support our growing global team. This role is key to ensuring that every team member—whether they're in a clinic, offshore, or at headquarters—gets paid accurately and on time, no matter where they are in the world. You’ll drive payroll excellence, stay ahead of compliance, and help shape systems that grow with us. If you’re a hands-on leader with a passion for payroll and process improvement, this is your opportunity to make a real difference.

In this role you will:

• Own global payroll operations. Lead payroll for our diverse, international workforce, ensuring accurate, timely payments across clinical, offshore, and corporate teams.
• Drive compliance. Stay ahead of global payroll regulations and tax laws, ensuring we’re always in line with legal requirements.
• Streamline and scale. Continuously improve processes and systems to handle our growing workforce efficiently and accurately.
• Collaborate across teams. Work closely with HR, Finance, and IT to align payroll with our broader business goals and ensure smooth operations.
• Lead a high-performing team. Mentor and develop your payroll team, fostering a culture of accountability and continuous learning.
• Be the go-to expert. Solve complex payroll issues and communicate policies clearly to employees and leadership.

Our Value Prop to You

• Compensation, company equity, and benefits. Our builders are a critical part of our team, and we strive to reflect this through ownership and pay. The base salary range for this role is $85,000 to $110,000 + bonus and will be dependent on the candidate’s experience and qualifications.
• Create life-changing impact for millions. The work you do will have an immediate and significant impact on millions of lives. Low-income families are often turned away from care and treated with little respect in healthcare. You’re fired up to flip this narrative!
• Environment for growth and learning. You will have the opportunity to build the next category-defining company with a tight-knit team, drive great impact, and gain exposure to all functions of the company. Here, you can flex multiple realms of your skills and creativity.
• An energizing, compassionate team. Our team cares deeply about each other. We strive to elevate and uplift each other in our day-to-day work to do the best for our families. We don't believe in bureaucratic nonsense. We’re serious about our goals and move fast to deliver.
• Supporting your wellbeing. We provide benefits to allow you to do your best work:
  • Competitive medical, vision, dental, 401K, and life insurance plans.
  • Stipend to upgrade your work-from-home setup.
  • Unlimited paid-time-off (PTO), 10 paid holidays, and paid parental leave. We want you to rest as hard as you work.
  • Paid company off-sites, meetups, and team bonding events. You’ll get to see everyone outside of their Zoom box.

🏗 The Requirements

We index more on your experience and hustle than on anything else:

• Bachelor’s degree in Finance, Accounting, Business Administration, or a related field.
• 8+ years of global payroll experience, including at least 3 years in a managerial role.
  • Bonus points if you worked in healthcare
  • Bonus points if you have been at a hypergrowth startup
• Extensive knowledge of payroll systems, processes, and global compliance requirements.
• Experience managing payroll for diverse employee groups, including offshore teams.
• Proven expertise in system implementation and process optimization.
• Strong analytical skills and attention to detail.
• Exceptional leadership, communication, and problem-solving abilities.
• Certification in payroll management (e.g., CPP, GPM) is a plus.

🔍 Who We're Looking For

This role would be a fit for you if you have the following:

• Pride in being the jack-of-all trades.
  • Everyone has heard of the ‘a jack of all trades is a master of none’ quote. However, what most people missed is the second half of the quote ‘a jack of all trades is a master of none, but oftentimes better than a master of one’. You know this, and it’s your superpower.
  • You don’t view what you do as simply executing. Rather, to you, a process-oriented mindset pushes you to create impact for the world at scale.
  • You’re optimistic that outdated but important industries can be transformed. You aspire to help people access healthcare as a basic fundamental need.
• Operational execution and leadership.
  • Strategy is 30%, and execution is the other 70% that gets you to the finish line. Your uncanny advantage is your strong strategic thinking coupled with your speed for execution. For teams you work with, you are known for bringing operational velocity - which is speed with a clear direction.
  • You can tackle the Gordian knot. You approach challenges with fresh eyes and from multiple perspectives.
  • You can create scalable processes to grow your team. You have built team workflows and implemented process improvements to fight entropy.
• Team-player and beginner's mindset.
  • You thrive in a team and are curious about how operational decisions impact other teams such as clinical, technology, product, etc and vice versa.
  • You are excited to be exposed to and have a say in multiple company functions.
  • You have a low ego and are willing to learn. You are willing to admit to mistakes and have an open mindset to new avenues of problem-solving.
• Compassion for families.
  • You are absolutely relentless about putting our families first. You truly view this as an opportunity to help the most vulnerable.
  • You view user empathy as a part of your core skill set. You can make decisions with our families in mind.
• Force of nature.
  • You take extreme ownership. There are no tasks or problems that are beneath you - even the most unsexy or complex.
  • You are able to drive critical goals under ambiguity and constraints.
  • You’ve done something most people haven’t. Whether you’ve started a company, won a hackathon, qualified for the Olympics, and/or overcame difficult adversities, it is evident that you’ve demonstrated initiative throughout your career and life.

There are very few moments in life where you can change the world at scale and out of those few moments, there are even fewer moments where it is the right combination of passion, impact, and personal growth. This is an opportunity we would encourage you to consider wholeheartedly. Come build with us!