# Fractional HR Manager (Remote) > Malama Health · San Francisco, United States (Remote) · Contract · Posted 2026-07-31 **Workplace:** remote ## Description **Overview** Malama leverages the best of technology and people to deliver exceptional care - we build novel biometric tracking and patient engagement tools that allow skilled Care Managers to provide high-touch care navigation and coordination for pregnant and postpartum mothers that improves health outcomes for mom and baby. We've raised $9.2M in funding to date and are on target to hit profitability early this year. Our mission is to improve pregnancy-related outcomes beginning with conditions that disproportionately affect historically underserved groups. Malama Health is looking for a hands-on, detail-oriented HR professional to own our HR operations across a multi-entity structure (a Delaware C Corp MSO and two affiliated medical practice entities). You'll be the go-to person for payroll accuracy, benefits administration, compliance, and systems — with real ownership over building repeatable processes. This is a great fit for a senior HR professional who can operate independently and think proactively about what the function needs next — while being willing to roll up their sleeves and get into the weeds of payroll systems, state compliance, and multi-entity setups. We need someone who can both set direction, execute the details, and wants to grow with an early-stage healthcare company. ## Requirements **Role Responsibilities** Payroll & Systems Administration - Serve as admin across our HR/payroll platform (Rippling) for all entities, including managing access and evaluating add-on services against our needs - Set up and correct payroll deductions to ensure accurate tax treatment - Manage payroll processing in partnership with vendors Benefits Administration - Administer employee health benefits (via SimplyInsured or similar), including eligibility, enrollment, and stipend alternatives - Ensure payroll and benefits systems are properly connected and deductions are configured correctly across entities with different contribution structures Compliance & Multi-State Employment - Manage state registrations (SUI, EDD, and similar) as the company hires in new states - Own resolution of compliance issues and claims (e.g., disability claims, unemployment filings), coordinating with legal counsel and vendors as needed - Maintain accurate, up-to-date records of logins, filings, and documentation - Partner with outside legal counsel and accounting/tax firms on employment compliance matters Time & Attendance / Wage & Hour - Educate managers and employees on hourly reporting requirements (including for salaried non-exempt staff) and meal/rest break compliance - Work with internal stakeholders to systematize hour-reporting deadlines and reduce off-cycle payroll runs - Support and help drive adoption of expense reimbursement policies and processes HR Operations & Employee Experience - Maintain employee files, offer letters, and contracts (W-2 and 1099) - Serve as a point of contact for a dedicated HR inbox, particularly for state agency communications - Participate in day-to-day team communications (Slack) to stay looped in on People-related needs - Help run and coordinate payroll cycles alongside finance/ops stakeholders **Requirements** Required - 5+ years of HR/People Operations experience, ideally including payroll administration and multi-state compliance - Comfortable working independently, prioritizing across a broad and sometimes ambiguous project list, and driving issues to resolution - Strong communicator who can work cross-functionally with founders, finance, and outside counsel - Detail-oriented with a bias toward building clean, repeatable processes Preferred - Experience with Rippling or similar HRIS/payroll platforms - Familiarity with an MSO/PC structure - Mission-aligned and/or healthcare background ## Benefits **Benefits** - $80-120/hour, commensurate with experience - Fractional engagement, 10-20 hours/week with potential to turn into full-time role - Remote (US), with flexible scheduling - Supportive, mission-driven team culture **Applications reviewed on a rolling basis - apply early!** Equal opportunity Malama is an equal opportunity employer. We strongly encourage applications from candidates of all backgrounds, including those with lived experience relevant to our mission of improving pregnancy-related outcomes for historically underserved communities. ## Apply [Apply at Malama Health](https://apply.workable.com/malama-health/j/6BC08A4224/apply) --- Powered by [Workable](https://www.workable.com)