HR Operations & Payroll Manager

About Baxter Management

Baxter Management is a small-town business with a big heart. What started as a single medical supply company in Hohenwald, TN has now grown into a multi-faceted management group with investments in primarily Durable Medical Equipment (DME) Companies, tech-based patient management, and even a local restaurant!

With no intentions on stopping, Baxter Management, and all family companies, has a vision of continued growth, employing even more hard-working Tennesseans and making a difference in the communities we serve.

Job purpose

The HR Operations & Payroll Manager is responsible for supporting multi-state payroll operations, HRIS administration, HR operational workflows, benefits administration, compliance tracking, and employee support across a rapidly growing multi-entity healthcare organization. This role serves as a key operational partner across HR, Payroll, Accounting, and leadership teams and is heavily involved in process improvement, system administration, workflow optimization, documentation, and operational coordination.

This position requires strong organizational skills, operational judgment, attention to detail, adaptability, and the ability to manage multiple operational priorities simultaneously in a fast-paced environment.

General Expectations

• Regular, reliable and predictable attendance

• Comply with all applicable company policies, procedures, and patient protocols.

• Comply with all current government regulations and professional standards respecting patient care.

Duties and responsibilities

Payroll Operations

• Process and support multi-state biweekly payroll across multiple entities and payroll profiles

• Review payroll data for accuracy, deductions, garnishments, commissions, per diems, and payroll adjustments

• Assist employees and managers with payroll-related questions and issue resolution

• Support payroll audits, reconciliation efforts, and payroll reporting

• Coordinate payroll changes including compensation updates, deductions, and earnings adjustments

• Assist managers in verifying timesheets, overtime, PTO, and deductions before processing

• Oversee W-2 distribution and year-end reconciliation.

• Managing payroll files accordingly.

• Managing company tax accounts, setups, and reporting.

• Ensure timely filing of payroll taxes and other related reports

• Stay updated on tax law changes affecting payroll

• Manage employee benefit enrollments, changes, and deductions.

• Work with benefit providers as needed to resolve discrepancies.

• Responsible for managing any mail or documents received that are payroll related.

• Reconciling payroll related fees and ATS (Paycom) fees monthly.

• Collaborate with CFO and accounting/finance team on budgeting and payroll forecasting, as needed/requested.

• Partner with department heads on staffing needs and compensation strategies

• Train supervisors on timekeeping and payroll policies

• Ensure confidentiality and secure handling of all employee information

• Any additional payroll related duties that evolve.

HRIS / Paycom Administration

• Administer and maintain Paycom HRIS system across multiple modules

• Configure workflows, forms, approvals, competencies, surveys, onboarding, and reporting

• Troubleshoot system issues and partner with Paycom support as needed

• Support process automation and workflow optimization initiatives

• Maintain organizational structure, job codes, employee records, and system configurations

HR Operations & Employee Support

• Support onboarding, employee changes, separations, and HR operational processes

• Assist with employee communications and HR-related support requests

• Support ATS workflows, recruiting administration, and onboarding coordination

• Coordinate employee documentation and compliance-related workflows

• Maintain HR operational consistency across multiple entities and locations

Benefits & Compliance Administration

• Support benefits administration including enrollments, deductions, eligibility tracking, and employee education

• Coordinate 401(k) administrative processes and reporting support

• Assist with ACA reporting coordination and compliance tracking

• Manage certification tracking and employee compliance workflows

• Oversee SAM/OIG exclusion monitoring and healthcare-related compliance tracking

• Coordinate new employee and annual TB, flu, Hepatitis B, and related compliance tracking workflows

Process Improvement & Operational Infrastructure

• Assist in developing and maintaining SOPs, workflow documentation, training materials, and process resources

• Identify opportunities for operational improvement and process standardization

• Assist with implementation of scalable operational systems and workflows

• Support cross-functional coordination between HR, Payroll, Accounting, Operations, and leadership

• Help maintain operational continuity and organizational structure in a fast-paced growth environment

• Special projects and other duties as assigned by management.