Prenuvo

Own and optimize multi-channel marketing strategies including offline and digital media, measurement, and team leadership. | Over 12 years in performance media and CRM/SEO, with proven ownership of LTV:CAC, experience in offline media buying, measurement expertise, and leadership skills. | About Us At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again". We’re looking for a Director, Performance Marketing (Growth) to own and scale our paid media and lifecycle marketing programs across the full funnel from acquisition to conversion to retention. This is a high-impact role responsible for building and executing multi-channel strategies across TV, OTT, OOH, Print, Digital, Email, SMS, Push, and SEO. You'll play a critical role in optimizing our LTV:CAC, driving sustainable growth, and reshaping how people access proactive healthcare. This role will be responsible for managing an in-house team and agencies. If you’re passionate about data-driven growth, creative experimentation, and making a measurable difference in people’s lives, we’d love to meet you. Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives! What You'll Do Lifecycle marketing (lead gen, conversion, retention) Own CRM strategy across email, SMS, push, and in-app: acquisition captures, onboarding, nurture, upsell, cross-sell, reactivation, and win-back. Design segmentation, personalization, send cadence, and content frameworks tied to user state and predicted value. Stand up referral, loyalty, and lead magnet programs; integrate with paid to retarget and suppress efficiently. Partner with eComm/Prod to optimize capture surfaces, PDPs/LPs, and checkout to improve CVR and reduce churn. Offline media buying Lead planning and buying for TV/CTV, OOH, print, audio/radio, and direct mail, aligned with digital. Build geo-first test plans (geo splits, phased market rollouts) to read lift and scale. Negotiate rates, placements, and value-adds; set creative rotation and flighting. Implement unified frequency and reach management across offline and online. Digital performance media Oversee Search, Social, Programmatic, Affiliates, and Marketplaces with robust creative and landing page testing. Deploy audience frameworks: prospecting, retargeting, and suppression using first-party data and clean rooms. Measurement and experimentation Heavily influence the measurement roadmap: MMM, MTA, geo-experiments, platform lift studies, and holdouts. Build an incrementality program with always-on tests; codify decision rules for scaling/pausing. Define the source of truth for LTV, attribution windows, and forecasting. Partner with Marketing Analytics and Finance on models and reporting. Publish weekly scorecards and monthly QBRs with insights, not just metrics. SEO and organic discovery Lead SEO strategy (technical, content, authority) to grow qualified traffic and conversion in partnership with eComm and Editorial. Prioritize backlogs using impact sizing tied to revenue. Creative and messaging Drive a performance creative engine: briefs, rapid iteration, modular assets for offline and digital. Establish test matrices for hooks, offers, formats, and CTAs by audience and channel. Team and operations Hire, develop, and mentor channel owners, CRM managers, and analysts. Run tight operating rituals: weekly performance reviews, test readouts, and roadmap prioritization. Ensure compliance with privacy, consent, and deliverability standards. What You’ll Bring 12+ years in performance media and CRM/SEO with hands-on leadership across online and offline channels. Proven ownership of LTV:CAC, payback, and incrementality at scale. Deep experience planning and buying TV/CTV, OOH, and print, including geo-testing and lift reads. Lifecycle marketing expertise across email, SMS, push, and in-app with segmentation and personalization at scale. Strong measurement background: MMM design and vendor management, MTA, geo-experiments, platform lift, holdouts, and causal inference basics. Fluency with analytics and tooling: GA4 or equivalent, CDP (e.g., Segment/mParticle), attribution (e.g., AppsFlyer/Adjust), BI (e.g., Looker/Tableau), testing platforms, CRM (e.g., Braze/Iterable/SFMC). Advanced Excel/Google Sheets; SQL familiarity preferred. Clear communicator with executive-ready narratives and concise recommendations. Excellent project management and prioritization. BA required; MBA a plus. Key Performance Indicators (KPIs) LTV:CAC Ratio & Payback Period: Measure efficiency and time-to-return on customer acquisition. Incremental Revenue & Channel/Geo Lift: Track revenue gains and performance uplift by marketing channel or geographic region. Customer Acquisition Cost (CAC), ROAS, and MER: Assess paid media efficiency through return on ad spend and media efficiency ratio. Lead Capture, Activation, Retention & Reactivation Rates: Monitor lifecycle performance from acquisition through re-engagement. Organic Sessions, Keyword Rankings & SEO Conversion Rate (CVR): Evaluate effectiveness of organic search strategies and downstream conversion. Creative Testing Velocity & Win Rate: Track how frequently creative is tested and the percentage of winning variations. Our Values First: we are Pioneers Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding. Second: we are Platform-Builders We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission. Above all: we are Patients We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work. What We Offer An avenue to make a positive impact on people's lives and their health We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it We now offer the Prenuvo’s Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we’ve got you covered—making your commute easier and more affordable! Retirement made easy! We offer a 401(k) plan to our US employees to help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today! We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family The base salary for this role ranges from $210,000-$270,000 in local currency, depending upon experience and geographical location. We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules. Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.

Support P&C Business Partners in performance management, talent development, employee relations, and organizational change across the US and Canada. | Over 5 years of HR experience, strong knowledge of employment laws in the US and Canada, supporting senior HR leaders, and analytical skills for reporting and insights. | About Us At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again". We’re looking for a Senior P&C Generalist to provide dedicated support to our Senior P&C Business Partners. This role will help ensure seamless delivery of people programs and processes across both our Commercial (Sales, Growth, Marketing) and Prenuvo Clinics functions. You’ll report directly to one Senior P&C Business Partner, with a dotted line to the other Sr. P&C BPs, acting as an enabler behind the scenes. You will act as an operational extension of the P&C BP. Preference will be given to candidates located in the United States within the Central (CDT) or Eastern (EST) time zones to support effective team collaboration. Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives! What You'll Do Partner closely with Senior P&C Business Partners to support managers in performance management, talent development, and succession planning. Provide support to Senior P&C Business Partners in guiding managers on hiring practices, ensuring equity and consistency. Assist with workforce planning activities, including headcount tracking and resource allocation. Support and engage in employee relations case management by gathering documentation and ensuring compliance across the USA and Canada. Collaborate with P&C Operations, Talent Acquisition, and other P&C teams to deliver smooth onboarding, offboarding, and employee lifecycle processes. Champion Prenuvo’s mission and values by reinforcing culture and engagement initiatives led by the Senior P&C Business Partners. Help drive change management and communication efforts during organizational transitions and initiatives. Utilize Business Partner reporting data to provide insights and summaries to support decision-making Proactively flag trends, risks, or employee concerns to the P&C BP Partner closely with P&C Operations as a first-line collaborator for common P&C questions or day-to-day requests. What You’ll Bring 5+ years of progressive HR/P&C experience, ideally in health‑tech, life sciences, or commercial organizations. Strong knowledge of employment legislation and compliance across the USA and Canada. Experience supporting P&C Business Partners or senior P&C leaders in complex, multi‑function environments. Analytical ability to optimize reports, aggregate data, and provide suggestions Ability to balance tactical P&C operations with strategic initiatives. Excellent organizational skills that drive your communication, collaboration, and how you present insights Comfort working in a fast‑paced, high‑growth environment. Our Values First: we are Pioneers Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding. Second: we are Platform-Builders We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission. Above all: we are Patients We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work. What We Offer An avenue to make a positive impact on people's lives and their health We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it We now offer the Prenuvo’s Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we’ve got you covered—making your commute easier and more affordable! Retirement made easy! We offer a 401(k) plan to our US employees to help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today! We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family The base salary for this role ranges from $90,000-$110,000 in local currency, depending upon experience We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules. Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.

Partner with leadership to align HR strategies with business goals, manage workforce planning, and ensure legal compliance across jurisdictions. | Extensive HR experience, strategic partnership skills, knowledge of employment laws in US and Canada, and experience working with senior leadership in a fast-paced environment. | About Us At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again". Prenuvo is seeking a Sr. People & Culture Business Partner, reporting directly to the SVP, People & Culture, dedicated to providing both tactical and strategic HR support across our Commercial organization, which represents Sales, Growth, and Marketing teams. This role is critical in driving organizational alignment, supporting Commercial operators, and partnering closely with the Chief Commercial Officer, his leadership team, and the broader People & Culture (P&C) team. This is a fully remote role with preference for candidates in the US with deep knowledge of Canadian Labor Laws (BC/ON/AB). Candidates must be legally authorized to work and based in either the USA or British Columbia, Canada. Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives! What You'll Do Strategic Partnering & Advisory Serve as a trusted advisor to the Chief Commercial Officer (CCO) and Commerce leadership, providing counsel on workforce planning, organizational design, and talent strategy. Translate business priorities into people strategies that drive commercial performance, customer experience, and organizational growth. Workforce Planning & Organizational Design Lead workforce planning, ensuring alignment of staffing models with commercial demand and growth projections. Partner with FP&A and Operations to forecast headcount, optimize resource allocation, and support long‑term scalability. Employee Relations & Compliance Oversee complex employee relations matters across multiple jurisdictions (USA, Canada), ensuring consistent, legally compliant, and culturally sensitive resolutions. Proactively identify risk areas and implement mitigation strategies to safeguard organizational integrity. Performance & Talent Management Support leaders/managers in sound and compliant performance management practices, in alignment with the organization’s performance management framework, linking commercial outcomes and organizational goals to individual accountability. Partner with leaders to identify high‑potential talent, create succession plans, and drive career development pathways across diverse employee groups. Partner with the CCO and other relevant stakeholders to ensure that senior commercial leaders have a clearly articulated and well‑balanced portfolio of initiatives aligned with their role and Commerce strategy, and that they are supported in developing the leadership skills necessary to succeed. Partner with managers and senior leaders to ensure that all Commerce employees understand the work for which they are accountable and how this relates to group goals, individual goals, and the annual performance management review process. Compensation & Rewards Collaborate with P&C and Finance teams to ensure equitable, competitive, and transparent pay practices across Commerce. Provide managers with tools and context to make informed, consistent compensation decisions tied to performance and market benchmarks. Leadership Development & Manager Effectiveness Drive manager capability through training, coaching, and ongoing support, recognizing that managers are critical to engagement and productivity. Champion leadership development programs that strengthen commercial leaders’ ability to lead diverse, multidisciplinary teams. Change Management & Culture Building Lead P&C initiatives that reinforce Prenuvo’s mission, embedding cultural values into Commerce operations. Support organizational transitions (e.g., contractor to full‑time workforce shifts) with clear communication, stakeholder alignment, and employee engagement strategies. Cross‑Functional Collaboration Partner closely with P&C Operations, Talent Acquisition, and other P&C Business Partners to deliver seamless, end‑to‑end people solutions. Act as the connective tissue between Commerce and corporate functions, ensuring alignment, transparency, and execution excellence. What You’ll Bring Proven HR leadership experience in health‑tech, life sciences, or commercial organizations. Strong track record of managing complex partnerships across large, diverse functions. Deep knowledge of employment legislation and compliance across multiple jurisdictions (USA, Canada). Demonstrated ability to partner with executive leadership, particularly Chief Commercial Officers or equivalent commercial leaders. Expertise in balancing tactical HR operations with strategic workforce planning. Exceptional communication, collaboration, and stakeholder management skills. Our Values First: we are Pioneers Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding. Second: we are Platform-Builders We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission. Above all: we are Patients We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work. What We Offer An avenue to make a positive impact on people's lives and their health We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it We now offer the Prenuvo’s Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we’ve got you covered—making your commute easier and more affordable! Retirement made easy! We offer a 401(k) plan to our US employees to help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today! We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family The base salary for this role ranges from $155,000-$170,000 USD, depending upon experience We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules. Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.

Support P&C Business Partners in employee relations, workforce planning, onboarding, and organizational change initiatives. | 5+ years of HR experience, knowledge of employment laws in the USA and Canada, supporting senior P&C leaders, and analytical skills for reporting. | About Us At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against "we caught it too late again". We're looking for a Senior P&C Generalist to provide dedicated support to our Senior P&C Business Partners. This role will help ensure seamless delivery of people programs and processes across both our Commercial (Sales, Growth, Marketing) and Prenuvo Clinics functions. You'll report directly to one Senior P&C Business Partner, with a dotted line to the other Sr. P&C BPs, acting as an enabler behind the scenes. You will act as an operational extension of the P&C BP. Preference will be given to candidates located in the United States within the Central (CDT) or Eastern (EST) time zones to support effective team collaboration. Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people's lives! What You'll Do • Partner closely with Senior P&C Business Partners to support managers in performance management, talent development, and succession planning. • Provide support to Senior P&C Business Partners in guiding managers on hiring practices, ensuring equity and consistency. • Assist with workforce planning activities, including headcount tracking and resource allocation. • Support and engage in employee relations case management by gathering documentation and ensuring compliance across the USA and Canada. • Collaborate with P&C Operations, Talent Acquisition, and other P&C teams to deliver smooth onboarding, offboarding, and employee lifecycle processes. • Champion Prenuvo's mission and values by reinforcing culture and engagement initiatives led by the Senior P&C Business Partners. • Help drive change management and communication efforts during organizational transitions and initiatives. • Utilize Business Partner reporting data to provide insights and summaries to support decision-making • Proactively flag trends, risks, or employee concerns to the P&C BP • Partner closely with P&C Operations as a first-line collaborator for common P&C questions or day-to-day requests. What You'll Bring • 5+ years of progressive HR/P&C experience, ideally in health‑tech, life sciences, or commercial organizations. • Strong knowledge of employment legislation and compliance across the USA and Canada. • Experience supporting P&C Business Partners or senior P&C leaders in complex, multi‑function environments. • Analytical ability to optimize reports, aggregate data, and provide suggestions • Ability to balance tactical P&C operations with strategic initiatives. • Excellent organizational skills that drive your communication, collaboration, and how you present insights • Comfort working in a fast‑paced, high‑growth environment. Our Values First: we are Pioneers • Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding. Second: we are Platform-Builders • We're always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what's ahead – in a mindset of ownership and duty to our mission. Above all: we are Patients • We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients' lives, and we won't stop till everyone can benefit from our work. What We Offer • An avenue to make a positive impact on people's lives and their health • We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member • Growth opportunities are at the heart of our people journey, we're doing big things with bright minds - there is no single path to success, it can be shaped along the way • Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize • Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it • We now offer the Prenuvo's Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we've got you covered—making your commute easier and more affordable! • Retirement made easy! We offer a 401(k) plan to our US employees to help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today! • We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family • The base salary for this role ranges from $90,000-$110,000 in local currency, depending upon experience We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules. Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.

Manage full-cycle payroll and benefits for U.S. and Canadian employees, ensuring compliance and accuracy. | 5-6+ years of payroll and benefits experience across U.S. and Canadian jurisdictions, with proficiency in HRIS/payroll systems and benefits management. | About Us At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again". The Senior Payroll & Benefits Specialist will manage full-cycle payroll, core benefits administration, leave pay calculations, and related compliance for employees across the U.S. and Canada. You will own regular payroll processing for a growing, multi-state and multi-province salaried and hourly workforce, and administer health, welfare, wellness, and retirement programs. Experience with Rippling or similar HRIS/payroll platforms is an asset but not required. This mid-level role is designed for someone with 5–6+ years of experience who is highly detail-oriented, independently driven, and comfortable taking ownership during key coverage periods, including vacation backup for leadership. You will be a key operational partner to Payroll, People, Finance, and our U.S. and Canada benefits brokers, helping deliver an exceptional employee experience. This is a remote role with preference for candidates in the U.S. Pacific Time Zones Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives! What You'll Do Payroll execution Process bi-weekly and semi-monthly payrolls for a multi-state U.S. and multi-province Canadian workforce, including both salaried and hourly employees. Calculate and process leave-related pay (e.g., U.S. statutory/state leaves, employer top-ups, Canadian EI-related leaves, and company top-ups), ensuring correct earnings codes, offsets, and taxation for both countries. Provide backup support for contractor payroll processing during coverage periods, ensuring accurate and compliant payments when the primary owner is out. Review and validate payroll inputs such as hours worked, overtime, bonuses, commissions, retroactive pay, off-cycle payments, and leave pay adjustments. Ensure accurate calculation and application of benefit and retirement deductions each payroll cycle. Prepare and process Records of Employment (ROEs) for Canadian employees in accordance with Service Canada requirements. Maintain strong internal controls and support continuous improvement of payroll processes and documentation. Taxation and compliance Manage new state and provincial payroll tax registrations and ensure proper configuration in payroll systems. Monitor and apply multi-state and Canadian provincial payroll tax rules, including taxation of benefits, leave payments, and fringe compensation. Liaise with U.S. state agencies, the IRS, and the CRA for registrations, filings, updates, notices, and issue resolution. Support workers’ compensation setup and classification, ensuring correct wage reporting and alignment with payroll and benefits data. Assist with compliance activities related to retirement plans (e.g., 401(k) or equivalent), including contribution limits, corrections, and year-end processes. Benefits administration (U.S. and Canada) Administer day-to-day benefits operations for U.S. and Canada employees, including medical, dental, vision, life, disability, and wellness programs. Manage end-to-end benefits enrollment processes for new hires, qualified life events, and terminations, ensuring accurate and timely updates in HRIS, payroll, and carrier/broker systems. Maintain and apply benefits eligibility rules and waiting periods across multiple plans and jurisdictions, including distinctions by employment status, hours, and location. Coordinate with benefits brokers and carriers in the U.S. and Canada on enrollments, file issues, escalations, and plan operations. Benefits auditing, reporting, and ACA Perform regular audits of benefits deductions, carrier invoices, and enrollment data to identify and resolve discrepancies between HRIS, payroll, carriers, and brokers. Support ACA administration, including tracking hours for measurement/stability periods, monitoring eligibility, and ensuring accurate coding for offers of coverage and reporting. Assist with the preparation of required benefits and payroll reports, including audit support, non-discrimination testing, and government filings. Partner with Finance to reconcile payroll, benefits, and retirement plan data and maintain audit-ready documentation. Employee, broker, and wellness support Respond to employee payroll and benefits inquiries in a clear, timely, and service-oriented manner, explaining pay calculations, leave pay, deductions, eligibility, and plan details. Support contractor-related questions during coverage periods, escalating complex issues as needed. Build and maintain strong working relationships with the U.S. and Canada benefits brokers and vendors, supporting day-to-day issue resolution and small process improvements. Support wellness program administration, including eligibility management, communications, incentives, and coordination with internal teams and external partners. Collaborate closely with People and HR Operations to ensure employee records are accurate and changes are consistently reflected in payroll, benefits, and leave pay calculations. What You’ll Bring 5–6+ years of hands-on, end-to-end payroll experience covering both U.S. and Canadian employees (salaried and hourly). Direct experience administering benefits across the full lifecycle (enrollment, changes, terminations, leaves) in the U.S., with exposure to Canadian benefits strongly preferred. Demonstrated experience calculating and processing leave-related pay for U.S. and Canadian employees, including coordination with state programs, insurers, and Canadian EI/top-up designs. Strong working knowledge of multi-jurisdiction payroll and benefits regulations, including FLSA, ACA, and key Canadian programs such as EI and CPP/QPP. Experience supporting a mid-to-large employee population (approximately 1,000+ employees) in a high-growth or multi-location environment. Practical experience with retirement plans (e.g., 401(k) or equivalent), including eligibility, enrollments, deferral changes, and annual contribution limits. Demonstrated ability to reconcile benefits invoices, audit deductions, and partner with vendors/brokers to resolve discrepancies. Proficiency with modern cloud-based HRIS/payroll platforms; experience with Rippling is a strong asset but not required. Strong Excel skills for reporting and reconciliations. Excellent attention to detail, strong analytical skills, and a service-oriented mindset with the ability to handle sensitive information confidentially. Payroll or benefits-related certifications (e.g., U.S. or Canadian payroll certification, CEBS, or similar) are an asset. Our Values First: we are Pioneers Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding. Second: we are Platform-Builders We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission. Above all: we are Patients We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work. What We Offer An avenue to make a positive impact on people's lives and their health We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it We now offer the Prenuvo’s Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we’ve got you covered—making your commute easier and more affordable! Retirement made easy! We offer a 401(k) plan to our US employees to help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today! We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family The base salary for this role ranges from $90,000-$118,000 in local currency, depending upon experience We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules. Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.