Senior Payroll Analyst

Sword Health is on a mission to free two billion people from pain. 

With 67% of members achieving a pain-free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25,000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $300 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest  talent. Not only have we experienced unprecedented growth since our market debut in 2020,  but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $3 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact. 

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 900+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a pain-free world, powered by AI, enhanced by people — accessible to all.

Introduction:

As part of the Accounting Department, you will process payroll and oversee related financial controls over payroll for Sword Health in the United States. This includes for salaried employees paid twice a month and hourly employees paid biweekly.  This role requires a deep understanding of payroll functions and processes. Responsibilities include processing employee changes, generating reports, conducting audits to maintain system accuracy, booking payroll related journal entries and performing reconciliations. The ideal candidate should have strong payroll expertise, exceptional attention to detail, excellent organizational skills, and the ability to multitask effectively.

What you'll be doing:

• Administer and analyze full scope payroll processing including review of information to be entered, input of payroll transactions, auditing of earnings, taxes, and deductions and providing payroll reporting to Finance and other colleagues regarding payroll reporting.
• Leading federal, state and local tax compliance including performing routine tax reconciliations and processing filings; verifying all regulatory filings produced by vendors such as W-2s and 941s are accurate, and resolve any tax discrepancies or questions.
• Staying updated on tax regulations to ensure compliance including researching new/changing regulations as it relates to payroll and working with internal partners and payroll vendors to handle regulations in the systems
• Participating in the development and implementation of procedures/processes and reports related to payroll operations. Recommend enhancements to processes and programs to help automate and streamline tasks.
• Oversight of payroll for our affiliate companies including auditing and compliance
• Responding to reporting requests and audit materials as required
• Acting as point of contact for employees, business partners and affiliates for payroll related questions
• Work directly with various states on registering Sword’s different entities and resolving tax notices
• Implement business processes associated with HR information management
• Collaborate with fellow HR team members as well as finance to ensure accurate, timely and efficient processing of HR transactions
• Discover efficiencies impacting HR data management and implement required process improvements
• Partner with Information Technology, or consultants to identify and resolve any technical issues with the payroll system
• Oversee functional testing for all HR systems fixes, maintenance and upgrades
• Serves as the HR data expert

What you need to have:

• University degree in finance or economics
• 3+ years experience in Payroll function ideally running it yourself
• A structural and logical approach to solving problems
• Strong analytical skills and a hands on attitude
• Experience within a fast growing organization
• Great motivation and focus on delivery
• Desire to handle accounting and reconciliations related to payroll
• Experience dealing with states to resolve tax notices

Bonus Points or We'd Love to see:

• Startup experience is preferred, ideally with international aspects

US - Sword Benefits & Perks:

• Comprehensive health, dental and vision insurance*

• Life and AD&D Insurance*

• Financial advisory services*

• Supplemental Insurance Benefits (Accident, Hospital and Critical Illness)*

• Health Savings Account*

• Equity shares*

• Discretionary PTO plan*

• Parental leave*

• 401(k)

• Flexible working hours

• Remote-first company

• Paid company holidays

• Free digital therapist for you and your family

*Eligibility: Full-time employees regularly working 25+ hours per week

Note: Applicants must have a legal right to work in the United States, and immigration or work visa sponsorship will not be provided.

SWORD Health, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.