Shield Health · 1 week ago
Bookkeeping & Payroll Manager
Nashville, TN
Part-time
Onsite
Mid LevelShield Health is a fast-growing healthcare startup reimagining chronic care management for patients nationwide. They are seeking a Bookkeeping & Payroll Manager to own the day-to-day bookkeeping and payroll operations, ensuring clean books and accurate payroll while working closely with company leadership.
Hospital & Health Care
Responsibilities
Maintain clean, accurate financial records in QuickBooks
Own day-to-day bookkeeping and general ledger maintenance
Perform reconciliations and ensure books are consistently up to date
Partner with external accountants as needed
Bring consistency and structure to bookkeeping workflows
Own end-to-end payroll execution using Gusto
Manage multi-state payroll accurately and on time
Handle payroll adjustments, bonuses, and corrections
Serve as the primary point of contact for nurse payroll questions
Ensure payroll and bookkeeping records stay aligned
Work closely with the CEO and leadership team to fully own payroll and bookkeeping, reducing leadership involvement and building reliable, scalable financial operations
Partner with Operations and Recruiting on payroll-related needs
Qualification
Required
Proven experience in bookkeeping or accounting
Experience running payroll (multi-state preferred)
Strong attention to detail and ownership mindset
Comfortable working independently in a fast-paced, startup environment
Clear communicator with strong organizational skills
Preferred
CPA or formal accounting certification
Experience in healthcare or services-based businesses
Familiarity with remote or distributed teams
Benefits
Direct ownership and autonomy
Minimal bureaucracy
Flexible part-time structure with growth potential
Opportunity to build and improve systems from the ground up
Competitive compensation for the right candidate
Close collaboration with company leadership and direct visibility into how the business scales
A startup environment where good ideas are implemented quickly and ownership is earned
Variety in day-to-day work with real opportunities to improve how the business operates
Company
Shield Health
Shield Health expands physician influence, improves patient health, and enhances physician practice profits by remotely managing Medicare patients and their chronic conditions.
Founded in 2022
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase