Payroll, Benefits & Leave Operations Specialist
Orsini Healthcare, Elk Grove Village, IL, United States
Careers with real impact.
Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable - so no patient is left behind. Make your next role matter.
ABOUT ORSINI
Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third‑party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™
OUR MISSION
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.
CORE VALUES
At the heart of our company culture, the Orsini LIVE IT Core Values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
COMPENSATION & LOCATION
The compensation starts at $70,000. This a hybrid position based out of our Elk Grove Village, Illinois location requires 2-3 days in office. Travel to other locations may occur, although minimal.
POSITION SUMMARY
The Payroll, Benefits & Leave Operations Specialist owns the execution, accuracy, and day‑to‑day operational management of payroll, benefits, and leave of absence administration, ensuring employees are paid accurately and on time while maintaining strong financial controls and compliance. This role operates as a shared services function supporting both People Operations and Finance, with a primary focus on transactional excellence, vendor coordination, data integrity, and risk reduction. Operating in a multi‑state, regulated environment, this role partners closely with Finance, HR leadership, ADP, benefits brokers, and third‑party administrators to manage payroll, benefits, and leave processes end‑to‑end. In addition, this role serves as a primary operational point of contact for employee pay, benefits, and leave inquiries and provides designated onsite operational coverage during scheduled absences, ensuring continuity without disrupting HR leadership or program ownership. This role is intentionally execution‑focused and designed to scale as payroll and benefits operations mature, with the potential to transition to Finance ownership in the future. Policy decisions, employee relations, and program design remain with HR leadership.
ESSENTIAL JOB DUTIES
Payroll Operations & Financial Controls (35–40%)
Own end‑to‑end payroll processing for all employee populations, including regular, off‑cycle, retroactive, and final payrolls
Ensure payroll is processed accurately, timely, and in compliance with federal, state, and local regulations
Own payroll tax registrations, filings, remittances, and agency correspondence in partnership with ADP
Manage wage garnishments, deductions, and payroll adjustments
Perform payroll reconciliations, variance analysis, and audits to ensure data integrity and financial accuracy
Serve as the primary operational contact with ADP for payroll configuration, issue resolution, and system updates
Support internal and external payroll audits and provide documentation and reporting as required
Benefits Administration & Vendor Management (20–25%)
Own day‑to‑day administration of employee benefits programs, including eligibility, enrollments, life events, and terminations
Execute operational aspects of open enrollment, including timelines, system setup, vendor coordination, and post‑enrollment audits
Maintain accurate benefits deductions and perform regular carrier and billing reconciliations
Serve as the primary operational contact with benefits brokers, carriers, COBRA administrators, and related vendors
Coordinate benefits data feeds and resolve discrepancies between HRIS, payroll, and vendor systems
Respond to employee inquiries related to benefits coverage, deductions, and enrollment logistics
Leave of Absence Administration & Compliance (10–15%)
Own the operational administration of employee leaves of absence, including FMLA, state leave programs, short‑term disability, and company‑provided leaves
Serve as the primary operational point of contact for leave of absence vendors and third‑party administrators, including intake coordination, documentation tracking, and status updates
Ensure accurate and timely payroll and benefits adjustments related to leave events, including pay coordination, deductions, and return‑to‑work processing
Maintain accurate leave records, tracking key dates, notices, and required documentation to support compliance
Respond to employee questions related to leave processes and payroll or benefits impacts, escalating eligibility determinations or policy interpretation to HR leadership as needed
Partner with HR leadership to support audits, reporting, and compliance reviews related to leave administration
Payroll, Benefits & Leave Service Delivery (10–15%)
Serve as the first point of contact for employee inquiries related to payroll, pay accuracy, benefits administration, and leave processes
Own intake, triage, and resolution of transactional payroll, benefits, and leave requests, escalating policy or exception decisions to HR leadership
Provide clear, timely communication to employees regarding payroll timing, corrections, benefits deductions, and leave‑related impacts
Maintain documentation, job aids, and FAQs related to payroll, benefits, and leave procedures
Onsite Operational Coverage & Continuity (10–15%)
Serve as designated onsite operational backup during front desk coverage gaps, including breaks and PTO coverage
Support visitor check‑in, badge coordination, and HR‑related onsite logistics
Manage payroll‑, benefits‑, and leave‑related mail, notices, and secure deliveries
Coordinate with Facilities, IT, and Security to ensure continuity of people‑related onsite operations
Support Day 1 onsite logistics for new hires related to payroll and benefits setup
Operational Reporting & Process Support (5–10%)
Maintain payroll, benefits, and leave operational calendars, deadlines, and compliance checkpoints
Prepare and maintain standard payroll, benefits, and leave reports for HR and Finance stakeholders
Maintain HRIS data accuracy for payroll, benefits, and leave‑related employee records, including effective dating and status changes
Partner with HR and Finance leadership on process improvements, automation, and risk mitigation initiatives
Support documentation and maintenance of payroll, benefits, and leave SOPs
Other duties and responsibilities as required.
Disclaimer: The information written in this job description indicates the general nature and level of work to be performed. This job description is not designed to contain or be interpreted as totally comprehensive of every job duty, responsibility, or qualification required by an employee assigned to this job. While employed in this position, an employee may be required to perform other assignments not listed in this job description.
Required Experience, Knowledge & Training
Bachelor’s degree in Business Administration, Accounting, Human Resources, or related field (or equivalent experience)
5–8+ years of experience in payroll, benefits, and/or HR or Finance operations roles
Demonstrated experience managing payroll, benefits, and leave administration in a multi‑state environment
Strong understanding of payroll regulations, wage and hour laws, and benefits and leave administration requirements
Hands‑on experience with HRIS and payroll systems; ADP Workforce Now strongly preferred
Experience coordinating with third‑party administrators, brokers, and external vendors
High attention to detail with strong reconciliation, audit, and documentation skills
Comfort working in a highly transactional, deadline‑driven environment
Strong customer service orientation with the ability to communicate clearly and professionally with employees
Ability to partner effectively with HR and Finance stakeholders
Work Environment & Travel Requirements
Onsite role with opportunity to work hybrid 2–3 days per week
Minimal travel requirements, less than 5%
EMPLOYEE BENEFITS
Medical Coverage, Dental, and Vision Coverage
401(k) with employer match
Accident and Critical Illness coverage
Company‑paid life insurance options
Generous PTO, paid holidays, and floating holidays
Tuition reimbursement program.
Equal Employment Opportunity
Orsini Rare Disease Pharmacy Solutions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or present or past disability (unless the nature and extent of the disability precludes performance of the essential functions of the job with or without a reasonable accommodation) in accordance with local, state and federal laws.
Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case‑by‑case basis in accordance with applicable law.
E-Verify Participation Notice
We participate in the federal E‑Verify program to confirm the identity and employment eligibility of all newly hired employees.
All offers of employment are contingent upon the successful completion of Form I‑9 and verification through the E‑Verify system.
For more information about E‑Verify, please review the official notices below:
E-Verify Participation Poster (English & Spanish) : https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf
Right to Work Poster (English & Spanish) : https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster.pdf
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Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable - so no patient is left behind. Make your next role matter.
ABOUT ORSINI
Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third‑party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™
OUR MISSION
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.
CORE VALUES
At the heart of our company culture, the Orsini LIVE IT Core Values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
COMPENSATION & LOCATION
The compensation starts at $70,000. This a hybrid position based out of our Elk Grove Village, Illinois location requires 2-3 days in office. Travel to other locations may occur, although minimal.
POSITION SUMMARY
The Payroll, Benefits & Leave Operations Specialist owns the execution, accuracy, and day‑to‑day operational management of payroll, benefits, and leave of absence administration, ensuring employees are paid accurately and on time while maintaining strong financial controls and compliance. This role operates as a shared services function supporting both People Operations and Finance, with a primary focus on transactional excellence, vendor coordination, data integrity, and risk reduction. Operating in a multi‑state, regulated environment, this role partners closely with Finance, HR leadership, ADP, benefits brokers, and third‑party administrators to manage payroll, benefits, and leave processes end‑to‑end. In addition, this role serves as a primary operational point of contact for employee pay, benefits, and leave inquiries and provides designated onsite operational coverage during scheduled absences, ensuring continuity without disrupting HR leadership or program ownership. This role is intentionally execution‑focused and designed to scale as payroll and benefits operations mature, with the potential to transition to Finance ownership in the future. Policy decisions, employee relations, and program design remain with HR leadership.
ESSENTIAL JOB DUTIES
Payroll Operations & Financial Controls (35–40%)
Own end‑to‑end payroll processing for all employee populations, including regular, off‑cycle, retroactive, and final payrolls
Ensure payroll is processed accurately, timely, and in compliance with federal, state, and local regulations
Own payroll tax registrations, filings, remittances, and agency correspondence in partnership with ADP
Manage wage garnishments, deductions, and payroll adjustments
Perform payroll reconciliations, variance analysis, and audits to ensure data integrity and financial accuracy
Serve as the primary operational contact with ADP for payroll configuration, issue resolution, and system updates
Support internal and external payroll audits and provide documentation and reporting as required
Benefits Administration & Vendor Management (20–25%)
Own day‑to‑day administration of employee benefits programs, including eligibility, enrollments, life events, and terminations
Execute operational aspects of open enrollment, including timelines, system setup, vendor coordination, and post‑enrollment audits
Maintain accurate benefits deductions and perform regular carrier and billing reconciliations
Serve as the primary operational contact with benefits brokers, carriers, COBRA administrators, and related vendors
Coordinate benefits data feeds and resolve discrepancies between HRIS, payroll, and vendor systems
Respond to employee inquiries related to benefits coverage, deductions, and enrollment logistics
Leave of Absence Administration & Compliance (10–15%)
Own the operational administration of employee leaves of absence, including FMLA, state leave programs, short‑term disability, and company‑provided leaves
Serve as the primary operational point of contact for leave of absence vendors and third‑party administrators, including intake coordination, documentation tracking, and status updates
Ensure accurate and timely payroll and benefits adjustments related to leave events, including pay coordination, deductions, and return‑to‑work processing
Maintain accurate leave records, tracking key dates, notices, and required documentation to support compliance
Respond to employee questions related to leave processes and payroll or benefits impacts, escalating eligibility determinations or policy interpretation to HR leadership as needed
Partner with HR leadership to support audits, reporting, and compliance reviews related to leave administration
Payroll, Benefits & Leave Service Delivery (10–15%)
Serve as the first point of contact for employee inquiries related to payroll, pay accuracy, benefits administration, and leave processes
Own intake, triage, and resolution of transactional payroll, benefits, and leave requests, escalating policy or exception decisions to HR leadership
Provide clear, timely communication to employees regarding payroll timing, corrections, benefits deductions, and leave‑related impacts
Maintain documentation, job aids, and FAQs related to payroll, benefits, and leave procedures
Onsite Operational Coverage & Continuity (10–15%)
Serve as designated onsite operational backup during front desk coverage gaps, including breaks and PTO coverage
Support visitor check‑in, badge coordination, and HR‑related onsite logistics
Manage payroll‑, benefits‑, and leave‑related mail, notices, and secure deliveries
Coordinate with Facilities, IT, and Security to ensure continuity of people‑related onsite operations
Support Day 1 onsite logistics for new hires related to payroll and benefits setup
Operational Reporting & Process Support (5–10%)
Maintain payroll, benefits, and leave operational calendars, deadlines, and compliance checkpoints
Prepare and maintain standard payroll, benefits, and leave reports for HR and Finance stakeholders
Maintain HRIS data accuracy for payroll, benefits, and leave‑related employee records, including effective dating and status changes
Partner with HR and Finance leadership on process improvements, automation, and risk mitigation initiatives
Support documentation and maintenance of payroll, benefits, and leave SOPs
Other duties and responsibilities as required.
Disclaimer: The information written in this job description indicates the general nature and level of work to be performed. This job description is not designed to contain or be interpreted as totally comprehensive of every job duty, responsibility, or qualification required by an employee assigned to this job. While employed in this position, an employee may be required to perform other assignments not listed in this job description.
Required Experience, Knowledge & Training
Bachelor’s degree in Business Administration, Accounting, Human Resources, or related field (or equivalent experience)
5–8+ years of experience in payroll, benefits, and/or HR or Finance operations roles
Demonstrated experience managing payroll, benefits, and leave administration in a multi‑state environment
Strong understanding of payroll regulations, wage and hour laws, and benefits and leave administration requirements
Hands‑on experience with HRIS and payroll systems; ADP Workforce Now strongly preferred
Experience coordinating with third‑party administrators, brokers, and external vendors
High attention to detail with strong reconciliation, audit, and documentation skills
Comfort working in a highly transactional, deadline‑driven environment
Strong customer service orientation with the ability to communicate clearly and professionally with employees
Ability to partner effectively with HR and Finance stakeholders
Work Environment & Travel Requirements
Onsite role with opportunity to work hybrid 2–3 days per week
Minimal travel requirements, less than 5%
EMPLOYEE BENEFITS
Medical Coverage, Dental, and Vision Coverage
401(k) with employer match
Accident and Critical Illness coverage
Company‑paid life insurance options
Generous PTO, paid holidays, and floating holidays
Tuition reimbursement program.
Equal Employment Opportunity
Orsini Rare Disease Pharmacy Solutions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or present or past disability (unless the nature and extent of the disability precludes performance of the essential functions of the job with or without a reasonable accommodation) in accordance with local, state and federal laws.
Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case‑by‑case basis in accordance with applicable law.
E-Verify Participation Notice
We participate in the federal E‑Verify program to confirm the identity and employment eligibility of all newly hired employees.
All offers of employment are contingent upon the successful completion of Form I‑9 and verification through the E‑Verify system.
For more information about E‑Verify, please review the official notices below:
E-Verify Participation Poster (English & Spanish) : https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf
Right to Work Poster (English & Spanish) : https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster.pdf
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