Staff Acccountant , Payroll

Process accounts payable end-to-end, including reviewing and coding invoices for accuracy

Process payroll each cycle and ensure accuracy across pay runs, partnering with Rippling on tax and compliance filings

Manage the company credit card program and employee reimbursements in Ramp

Support administration of benefit plans as we transition off our PEO

Assist with month-end close and other accounting close activities

Support cash management and other day-to-day accounting operations

Partner with People Ops on payroll-related questions and processes

Help ensure a smooth transition as we bring payroll and benefits fully in-house

Bachelor’s degree in Accounting, or 5+ years of accounts payable and payroll experience across different environments

3–5+ years of experience processing accounts payable and payroll

Experience with Rippling strongly preferred (comparable platforms such as Workday considered)

Experience with Ramp preferred (comparable platforms such as Brex or Bill.com considered)

Solid understanding of AP coding and core accounting fundamentals

Comfortable working in a fast-paced, evolving environment; startup experience a plus

Direct experience with Rippling

Direct experience with Ramp

Experience helping a company transition off a PEO

Startup experience

Experience supporting month-end close processes

We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description.

If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you .

Candidates must be authorized to work in the United States without current or future employer sponsorship.

Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.

Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know.

Employment is contingent upon successful completion of applicable background checks, where permitted by law.

Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.