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Neko Health · New York

People Enablement Lead, Payroll and HR Systems-US

Verified Sep 18, 2026

HealthTech

Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.

In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

Role Purpose
We're hiring a People Enablement Lead, Payroll and HR Systems to partner on creating the operational backbone that will support our US expansion. You'll run payroll, help us expand to new states, keep our systems accurate, and maintain the documentation that helps employees and partners get answers fast. This is a high-ownership role on a small team — the work is detail-oriented and process-driven, with real visibility into how we build People infrastructure as we grow from ~100 to 300+ employees.

What you'll do in the first 6-12 Months
Run bi-weekly US payroll end-to-end via ADP Workforce Now, across a multi-state footprint

Manage Workday transactions: new hire onboarding, employee data changes, offboarding, and ongoing record accuracy

Own knowledge base documentation in SharePoint (and later Atomicwork): employee-facing guides, internal process docs, and partner resources for HRBPs and Recruiting

Support state payroll registrations as we expand into new jurisdictions

Flag process gaps and help build the systems and guides that close them

Minimum Requirements
6-8 years in payroll and HR generalist operations roles

Hands-on experience running multi-state payroll (NYC and California required); ADP Workforce Now experience preferred

AI fluency is key, we want someone who can manage and design the payroll process that will sustain the growth we need

Workday proficiency at the transaction level (data entry, employee records)

Strong attention to detail and comfort owning recurring, high-stakes processes

Clear written communication — you'll be writing docs that employees rely on

Based in NYC, able to work in-office two days per week

People Enablement Lead, Payroll and HR Systems-US Neko Health

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Frequently asked questions

How to apply for People Enablement Lead, Payroll and HR Systems-US at Neko Health?

You can apply for the People Enablement Lead, Payroll and HR Systems-US role at Neko Health by visiting their careers page. Click the "Apply" button above to go directly to the application.

Where is the People Enablement Lead, Payroll and HR Systems-US position located?

This role is based in New York.