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AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.
AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.
The Vice President, Payroll & Workforce Operations is responsible for leading enterprise payroll operations, workforce administration, payroll systems, compliance, and operational transformation across a highly decentralized, multi-entity organization. This leader will oversee the strategy, governance, standardization, and execution of payroll and workforce operations across approximately 2,700 employees and 250 joint ventures/entities while supporting an active integration and acquisition environment. The role will build scalable operating models, strengthen controls and compliance, drive process standardization, and lead payroll integration efforts associated with 10–12 acquisitions or integrations annually. The VP will partner closely with Finance, HR, Accounting, Tax, Legal, IT, and Integration Management teams to modernize payroll operations and establish a scalable enterprise workforce operations framework.
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Lead all aspects of enterprise payroll operations across multiple legal entities, joint ventures, and business structures.
Ensure timely, accurate, and compliant payroll processing across all jurisdictions and entities.
Establish enterprise payroll governance, standards, policies, and operating procedures.
Reduce operational complexity through process harmonization and standardization initiatives.
Develop scalable service delivery models to support continued organizational growth and acquisitions.
Oversee workforce operational processes including:
payroll administration
workforce data management
timekeeping coordination
payroll-related employee services
operational support processes
Develop service-level standards and performance metrics for workforce operations.
Improve employee experience and operational responsiveness through process redesign and automation.
Lead payroll and workforce operations integration efforts for acquisitions, joint ventures, and newly onboarded entities.
Develop standardized integration playbooks, conversion methodologies, and transition frameworks.
Partner with corporate development, finance, HR, and integration teams during diligence and post-close activities.
Assess operational risks and integration requirements during acquisition processes.
Ensure newly integrated entities align with enterprise payroll controls and operating standards.
Partner with HRIS, IT, Finance, and external vendors to optimize payroll technology and workflows.
Lead payroll system rationalization, automation, and process modernization initiatives.
Identify opportunities to consolidate platforms, reduce manual processes, and improve data integrity.
Build scalable operational infrastructure capable of supporting future growth and acquisitions.
Establish reporting, analytics, and operational dashboards to improve visibility and decision-making.
Ensure compliance with all federal, state, and local payroll regulations and reporting requirements.
Strengthen internal controls, audit readiness, and payroll governance processes.
Partner with Internal Audit, Accounting, Tax, and Legal on compliance matters and remediation activities.
Monitor payroll operational risks and implement mitigation strategies.
Establish enterprise standards for documentation, approvals, and payroll controls.
Build and lead a high-performing payroll and workforce operations organization.
Develop organizational capabilities to support scale, standardization, and operational excellence.
Foster a culture of accountability, continuous improvement, and customer service.
Mentor leaders and establish succession planning within payroll and workforce operations functions.
12+ years of progressive payroll, workforce operations, shared services, or HR operations leadership experience.
Significant experience leading payroll operations within complex, multi-entity organizations.
Experience supporting acquisitions, integrations, or high-growth environments.
Demonstrated success leading operational transformation and process standardization initiatives.
Experience partnering cross-functionally with Finance, HR, Accounting, Tax, Legal, and IT leadership.
Strong understanding of payroll compliance, controls, and risk management.
Experience in decentralized, joint venture, private equity-backed, healthcare, professional services, franchise, construction, or multi-site operating environments.
Experience leading payroll system implementations or consolidations.
Shared services or enterprise operations leadership experience.
UKG experience required.
CPP certification preferred.
Bachelor’s degree required; advanced degree preferred.
Enterprise mindset
Operational transformation leadership
Change management
Process standardization
Cross-functional influence
Executive communication
Integration leadership
Systems thinking
Risk management
Scalability orientation
Employment at AMSURG: Living Our Values Every Day At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.
Care Deeply for those around us.
Cultivate Integrity to build trust.
Champion Excellence for continuous improvement
Celebrate Teamwork every step to the way.
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.
Nationwide operator and manager of ambulatory surgery centers.
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Senior · 12+ years experience
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