• Prepare, process, monitor, and reconcile payroll for W-2 employees and 1099 contractors across multiple payroll systems (Paychex and Paycom). • Ensure accurate calculation of hours, shifts, call pay, stipends, differentials, bonuses, and other compensation elements specific to anesthesia services. • Validate payroll inputs against approved schedules, timekeeping data, contracts, and employee/provider agreements. • Manage payroll for multiple sites with varying pay rules, facility requirements, and provider compensation structures. • Identify, research, and resolve payroll discrepancies promptly, escalating issues to management when needed. • Process off-cycle payrolls, corrections, and adjustments as required. • Serve as the primary payroll point of contact for administrative staff and employed CRNAs and Physicians regarding payroll questions, deductions, and payments. • Communicate clearly and professionally with employees regarding pay timing, discrepancies, and required documentation. • Partner closely with scheduling, operations, finance, and leadership to ensure payroll aligns with staffing plans and facility coverage. • Support new employee onboarding by ensuring payroll setup, tax forms, payment preferences, and system access are completed accurately and timely. • Maintain compliance with federal, state, and local wage and hour regulations, including multi-state payroll requirements. • Ensure compliance with internal controls, company policies, and the Company’s Healthcare Compliance Program. • Assist with audits, payroll reporting, and internal reviews as requested. • Generate payroll reports and summaries for leadership, including variance analysis and payroll trend insights. • Maintain accurate payroll records, documentation, and system files with a high level of confidentiality. • Identify opportunities to streamline payroll workflows, reduce errors, and improve efficiency. • Support system updates, testing, and payroll-related projects with minimal oversight. • Collaborate with management on special projects related to payroll, compensation, or operational improvements.