Payroll Specialist

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy.

Job Title: Payroll Specialist

Location: Hybrid | Bethesda, MD

POSITION OVERVIEW:

We are seeking an experienced Payroll Specialist to join our payroll team, reporting directly to the Payroll Manager. This hybrid role is based out of our main office in Bethesda, MD. The ideal candidate brings hands-on expertise in high-volume payroll processing, multi-state compliance, and end-to-end payroll operations within a fast-paced, high-growth environment.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Process bi-weekly payroll for 1,800+ employees across multiple states, ensuring accuracy, compliance, and on-time delivery for each pay cycle
• Manage payroll tax obligations including preparation and reconciliation of quarterly 941s, state tax filings, and year-end W-2/W-3 processing and distribution
• Administer complex payroll items including garnishments, child support orders, wage levies, and benefit deductions (401k, HSA, FSA, health premiums)
• Audit and reconcile large payroll runs prior to submission, identifying and resolving discrepancies, overpayments, and data integrity issues across a high-volume employee population
• Respond to employee payroll questions and escalate complex issues as needed
• Partner with Human Resources to ensure accurate employee data and seamless processes
• Support payroll audits, including gathering and organizing required documentation
• Identify and recommend process improvements to payroll procedures
• Review and process employee travel and expense reimbursements, ensuring submissions adhere to company policy, supporting documentation requirements, and timely disbursement
• Support special projects and other duties as assigned

Qualifications

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field (or equivalent experience)
• 3–5 years of payroll experience in a high-volume, multi-state environment required
• Certified Payroll Professional (CPP) certification preferred
• Experience with Paylocity strongly preferred
• Strong knowledge of federal, state, and local payroll regulations and compliance requirements
• Demonstrated experience with payroll tax filings, garnishments, and year-end processing
• Proven ability to handle sensitive and confidential information with discretion
• Strong organizational skills with the ability to manage multiple priorities and meet deadlines

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Demonstrated advanced Microsoft Excel and other technology tools skills 
• Strong interpersonal skills and attention to detail
• Ability to communicate effectively both verbally and in written form
• Strong understanding of basic financial, statistical and accounting concepts
• Strong analytical and problem-solving skills with attention to accuracy
• Ability to multi-task in a fast-paced, high growth environment
• Able to work collaboratively with other functional departments and provide key strategic thinking.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit.
• The employee must occasionally lift and/or move up to 10 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Schedule:

• Must be flexible on schedule and hours.
• Some Travel may be required.

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.