• Own multi-state HR compliance and entity management across 25+ states, including state registrations, foreign qualifications, and ongoing compliance monitoring • Partner with leadership on headcount planning, organizational design, and infrastructure development to support our scaling corporate and clinical workforces (W-2 and 1099) • Design and implement compensation strategy, leveling guides, performance frameworks, and total rewards programs across corporate and clinical workforces (FTE and PTE) • Manage payroll operations including reviewing bi-weekly payrolls, troubleshooting issues, processing corrections, managing complex off-cycle scenarios (leaves, terminations), and ensuring accuracy across all pay cycles • Oversee all HR systems, tools, and vendor relationships including Rippling, Lever, Checkr, 401k, and others • Manage benefits administration including enrollment, COBRA setup, carrier coordination, and benefits broker management • Oversee recruiting and onboarding processes for corporate teams, building scalable systems for hiring and new hire integration • Manage employee relations, performance issues, and workplace challenges with empathy and sound judgment; build culture and engagement initiatives including surveys and retention strategies • Own people ops budget and headcount planning; build analytics dashboards and partner with CEO, finance, legal, and clinical leadership on people strategy