Payroll Manager

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

Abridge is seeking a Payroll Manager to help manage and scale our payroll operations to meet the tremendous growth of the company. The Payroll Manager will be responsible for all aspects of payroll — administered through Rippling — ensuring accurate and timely processing. The ideal candidate brings strong multi-state payroll expertise, deep compliance experience, solid accounting knowledge, and a proactive approach to process improvement, helping to maintain efficient financial operations and ensuring compliance with relevant regulations.

This is a hybrid role 3 days/week in San Francisco.

Process & Manage Payroll (Rippling)

• Administer full-cycle payroll for all employees, ensuring accuracy and compliance with federal, state, and local regulations.

• Collaborate with People Ops to manage the payroll components of employee benefits programs such as health, dental, vision insurance, retirement plans, and other company-sponsored benefits.

• Serve as a primary point of contact for payroll inquiries.

• Prepare and maintain accurate records for internal and external audits and assist with compliance audits as needed.

• Maintain and update payroll records, generating reports for auditing and compliance.

• Implement EOR services for ex-US payroll flexibility as a precursor to the global payroll process.

• Perform backup duties in portions of the Stock Administration.

Systems & Process Improvement

• Serve as the payroll system administrator for Rippling, ensuring data integrity between HRIS, payroll, and accounting integrations.

• Lead payroll-related process improvements and automation initiatives to enhance accuracy and efficiency.

• Create dashboards and reports for Finance and People Ops leadership to support analytics and decision-making.

• Implement scalable processes as the company expands, including international/EOR readiness.

• Work cross functionally with teams to collate and analyze commissions and bonus tracking.

Payroll Accounting & Reconciliation

• Prepare and review payroll journal entries for Finance to post in the general ledger, ensuring proper coding and alignment with the company structure.

• Perform preliminary reconciliations between payroll outputs and general ledger accounts, verifying payroll-related liabilities such as wages, taxes, and benefit contributions.

• Provide accurate data for month-end and quarter-end accruals (e.g., wages, bonuses, commissions, PTO).

• Coordinate with Accounting to investigate and resolve payroll variances or discrepancies.

• Support Finance during audits by providing required payroll documentation and reports.

Education & Experience

• Bachelor’s degree in Accounting, Finance, or a related field.

• Exposure to equity compensation and/or non-US payrolls.

• 5-7 years of combined payroll and accounting experience, preferably with Rippling (or similar payroll platforms).

• CPP or FPC certification. (nice to have)

Technical & Regulatory Knowledge

• Proficiency in accounting software (e.g., NetSuite) and Payroll software (e.g. Rippling).

• Excel/Google Sheets.

• Working knowledge of federal and multi-state payroll tax requirements.

• Strong understanding of GAAP and payroll tax regulations.

Soft Skills & Competencies

• High level of attention to detail, with the ability to identify errors and resolve issues quickly.

• Strong organizational skills, capable of juggling multiple responsibilities and meeting deadlines.

• A proactive, problem-solving mindset, dedicated to continuous improvement.

At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

• Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees

• Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.

• Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.

• Paid Parental Leave: Generous paid parental leave for all full-time employees.

• Family Forming Benefits: Resources and financial support to help you build your family.

• 401(k) Matching: Contribution matching to help invest in your future.

• Personal Device Allowance: Tax free funds for personal device usage.

• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.

• Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.

• Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.

• Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.

• Compensation and Equity: Competitive compensation and equity grants for full time employees.

• ... and much more!

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.