Payroll Tax Specialist
PACS Group • Remote • Full Time
Posted on Wed, Aug 12, 2026
COMPANY OVERVIEW
PACS Group, Inc. is a holding company investing in post-acute healthcare facilities, professionals, and ancillary services. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States. Its independent subsidiaries operate 325 post-acute care facilities with 47,000 employees across 17 states serving over 31,000 patients daily. PACS business support division, PACS Services, provides technology and administrative support services — accounting, finance, human resources, compliance, payroll, AR/AP, legal, risk management, information technology, corporate communication, and other business advice and support — to their healthcare facilities, reducing administrative burdens so their leadership and care teams can focus on the care, well-being, and quality of life of their patients and residents. PACS is one of Utah’s Best Companies to work for. It has also been recognized as one of Utah’s Fastest Growing Companies for multiple years.
JOB SUMMARY
The Payroll Tax Specialist is responsible for supporting accurate, compliant, and timely payroll tax administration across PACS’s multi-state portfolio of healthcare facilities. This role researches and resolves federal, state, and local payroll tax notices; coordinates with tax agencies, ADP SmartCompliance, internal payroll teams, and facility contacts; and maintains accurate tracking, documentation, and audit-ready records. The Payroll Tax Specialist also supports tax account registrations for newly acquired entities, assists with payroll tax reconciliations, tax rate changes, and compliance inquiries, and helps strengthen payroll tax processes, controls, and reporting through continuous improvement and attention to detail.
Responsibilities
Research and resolve federal, state and local payroll tax notices across PACS’s multi-state portfolio of healthcare facilities
Analyze penalty & interest assessments to determine responsibility and identify abatement eligibility
Review and validate ADP SmartCompliance response packages for accuracy and completeness before closing notices in tracking log
Communicate effectively with federal, state and local tax agencies via phone, email and agency portals to resolve notices and disputes
Provide support to internal payroll teams and facility level contacts regarding notice-related inquiries
Monitor and manage FreshService ticket queues related to tax notices to ensure SLAs are met and issues are routed appropriately
Maintain the agency notice tracking log and ensure all notice activity is documented accurately for audit reporting purposes
Register for state & local withholding/unemployment tax IDs for newly acquired companies
Facilitate the creation of state specific POA forms to grant ADP legal authorization to act on acquired entity’s behalf
Ensure adherence to department and company SOPs and support the maintenance of process documentation
Manage unemployment tax rate changes
Collaborate with team members to identify efficiencies and improve notice resolution workflow
Stay updated on payroll tax legislation, agency rule changes and filing requirements to help prevent future notices
Support the preparation and maintenance of payroll tax policies, procedures and internal reference materials
Assist with internal and external audit support and compliance inquiries as needed
Qualifications
3+ years of payroll tax experience in a multi-state environment
Hands-on experience with payroll, specifically tax processing and adjustments
Working knowledge of tax systems for notice tracking and resolution
Solid understanding of federal, state and local payroll tax compliance requirements
Strong organizational skills with the ability to manage multiple deadlines and notice queues simultaneously
Clear written communication skills for agency correspondence and internal documentation
Ability to work independently and escalate issues with good judgement
Proficiency in Microsoft Excel for reconciliation, tracking and reporting
Comfort navigating federal and state agency portals
Prior experience setting up tax jurisdictions for newly acquired entities
Familiarity with SUI/FUTA reconciliation and unemployment tax management
Preferred
Experience with Workday and ADP SmartCompliance
Multi-entity and multi-state payroll
Healthcare industry payroll
Work Location
This role is based at PACS Headquarters in downtown Salt Lake City, UT. Relocation assistance is available for qualified candidates who reside outside the greater Salt Lake City area.
Travel
Travel is expected across regions to build relationships and support implementation. Anticipated travel: 5% depending on business needs.
Join PACS: Elevate Healthcare with Us!
PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.
If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!
Join Our Team and Thrive!
At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.
Our Comprehensive Benefits Include
Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.
Join us at PACS and take advantage of a workplace that truly values you!
We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.
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