This is the HR “make it work” role for a clinical workforce: payroll, benefits, onboarding, compliance, and day-to-day support that keeps virtual care operations moving. If you’re the kind of HR pro who loves clean systems, hates payroll mistakes, and can handle HIPAA-level confidentiality without blinking, Fabric wants you.
About Fabric Health
Fabric Health powers boundless care by solving healthcare’s biggest challenge: clinical capacity. They unify the care journey from intake to treatment using intelligent automation, removing administrative burdens so care delivery can be 2–10x more efficient. Trusted by major health systems and backed by top-tier investors, Fabric moves fast with a mission-first focus on patients and clinicians.
Schedule
Remote, full-time role (NYC • Remote listed) supporting Clinical and Clinical Operations teams. This position is hands-on and compliance-heavy, with steady payroll cycles, multi-state considerations, and a high volume of clinician lifecycle tasks.
What You’ll Do
⦁ Process semi-monthly payroll accurately and on time using Rippling
⦁ Manage benefits administration including enrollments, changes, and acting as the primary liaison to benefits and 401(k) providers
⦁ Own the clinical employee lifecycle: offers, agreements, employment contracts, term documentation, onboarding, and offboarding
⦁ Partner with IT to ensure clinicians have the right system access and complete compliance training before Day One
⦁ Maintain HRIS data integrity and manage employee file maintenance with tight documentation standards
⦁ Support clinical recruitment operations by assisting hiring managers with postings, candidate comms, and timely offer execution
⦁ Track required training documentation and ensure HR processes meet HIPAA and state/federal labor law requirements
⦁ Serve as first point of contact for employee questions on HR policies, payroll, and benefits with prompt, empathetic support
⦁ Coordinate and track internal training programs, especially mandatory compliance and clinical operations training
What You Need
⦁ 5+ years of HR Generalist or Payroll/Benefits Coordinator experience with a strong admin focus
⦁ Hands-on ownership of end-to-end payroll and benefits administration in Rippling (required per posting)
⦁ Experience managing employee lifecycle processes in a remote organization
⦁ Track record implementing HR best practices in a healthcare, remote, and/or multi-state environment
⦁ Solid understanding of U.S. labor laws, employment regulations, and HIPAA compliance
⦁ Proficiency with HRIS systems and applicant tracking tools
⦁ Strong organization, communication, and attention to detail; you don’t let small errors become big fires
Benefits
⦁ Pay range: $70,000–$95,000 per year (based on market, skills, and experience)
⦁ Comprehensive benefits package may include medical, dental, and vision
⦁ Unlimited PTO and 401(k) plan
⦁ Eligibility for additional compensation such as stock options and bonuses (role-dependent)
⦁ Mission-driven work supporting clinicians and scaling virtual care operations
This role is not “people ops vibes.” It’s precision HR: payroll, compliance, and clinician support at scale. If you want high ownership and you’re built for detail, it’s a strong fit.
Happy Hunting,
~Two Chicks…