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Our client, a large multi-specialty physician group affiliated with world-class medical schools in New York City, is hiring a Director of Payroll. This position required onsite presence in Manhattan (4 days per week onsite, plus 1 day remote). This vital leadership role offers the opportunity to shape and elevate payroll operations within one of the largest municipal health care delivery systems in the nation, supporting a complex, unionized environment across multiple hospitals, clinics, and correctional health services. The ideal candidate will drive strategic transformation, ensure compliance, and foster strong relationships with clinical and administrative stakeholders, all while maintaining operational excellence. Join a mission-driven organization committed to providing equitable, high-quality care to all New Yorkers. Lead a dedicated payroll team, oversee system optimization, and implement best practices that support the organizations gro...