Human Resources Generalist

Position Summary

MedStreamline is seeking a fully remote Human Resources Generalist to support core HR operations across a multi-state workforce. This role focuses on recruiting, onboarding execution, payroll processing, HRIS administration, compliance documentation, employee support, and more.

Reporting to the Director of HR and collaborating closely with the HR Coordinator, the HR Generalist helps ensure HR processes are accurate, compliant, and scalable in a remote, fast-growing, healthcare technology environment.

Applicants are encouraged to include a brief cover letter sharing what excites you about HR work in a fast-growing, multi-state organization and how you help build calm, compliant, and well run HR operations in a dynamic environment. Don’t forget to do some background research on MedStreamline!

We’re hiring this role directly and are excited to connect with candidates who want to join our team. No outside recruiting firms will be used to fill this position.

Key Responsibilities

Recruiting & Onboarding

• Manage full-cycle recruiting for corporate roles, including IT, Logistics, Medical Billing, Sales, and Account Management. Other departments/roles as needed.
• Post open positions, source candidates, conduct initial screening, and coordinate interviews
• Ensure applicant tracking systems and sheets are updated and accurate
• Prepare offer letters and complete pre-employment requirements
• Execute onboarding for new employees, including I-9 verification and new hire reporting
• Assign required documents and training modules during onboarding
• Conduct corporate new hire orientation; provide backup support for clinical recruiting and orientations as needed

Payroll Processing

• Process bi-weekly payroll for all employees (currently Paychex)
• Maintain payroll accuracy, employee profiles, and audit-ready records
• Coordinate payroll changes related to new hires, terminations, benefits, and reimbursements
• Set up new state tax IDs within Paychex
• Partner with the Director of HR and Paychex payroll support as needed
• Maintain payroll reports and support year-end payroll activities

Compliance & Documentation

• Collect, maintain, and audit required employee documentation
• Ensure employee files are complete, accurate, and audit-ready
• Track expirations and follow up on missing or updated documentation
• Support internal compliance reviews and corrective action documentation
• Maintain data integrity within the HRIS

HR Operations & Employee Support

• Maintain HRIS employee data, workflows, and organizational updates
• Support benefits enrollment and year-round benefits administration
• Respond to HR inbox and Messaging board inquiries related to employees
• Prepare standard HR reports, including headcount, turnover, and recruiting metrics
• Support performance review cycles, policy updates, and HR communications
• Maintain confidentiality and handle sensitive employee information appropriately

Backup Support & Collaboration

• Provide backup support to the HR Coordinator during CMA recruiting surges
• Assist with credentialing coordination when needed through documentation collection and submission
• Collaborate with hiring managers, IT, Logistics, Scheduling, and other departments to support onboarding and access needs
• Assist with Open Enrollment, employee communications, and company-wide HR initiatives
• Participate in HR process improvement efforts and special projects as assigned
• Other duties as assigned.

Tools You’ll Use Daily

• Google Workspace (Drive, Docs, Sheets, Forms)
• Paychex (HR & Payroll)
• Google Meet for daily virtual interviews and meetings
• Slack messaging application (switching to MS Teams in the future)
• Indeed job boards
• Other Applicant Tracking Systems (ATS) as requested

Success in This Role Looks Like

• Consistently meeting recruiting deadlines and delivering high-quality candidate pipelines.
• Maintaining accurate, up-to-date HR records with minimal to no errors.
• Demonstrating adaptability by shifting smoothly between multiple tasks.
• Approaches challenges with a growth mindset and the determination to get things done.
• Building positive relationships with candidates, employees, and hiring managers.
• Bi-weekly payroll is processed accurately and on schedule, with minimal corrections and strong attention to compliance across multiple states.
• Work effectively with the HR Coordinator to maintain continuity during high-volume periods, including recruiting surges and projects.
• Working closely with the HR Director, taking direction effectively while demonstrating autonomy in managing assigned tasks.

Work Environment & Schedule

• Fully remote position. You’ll need a reliable internet connection and a dedicated workspace.
• Set schedule: Full-time, 8:30 a.m. – 5:30 p.m. Eastern Time, Monday through Friday. Candidates must live in Eastern or Central Time Zones.
• Fast-paced, collaborative work environment where adaptability and teamwork matter.

Benefits

• Competitive salary.
• Medical, dental, and vision insurance.
• Paid time off and company holidays.
• Company laptop and cell phone provided.

Requirements

• 3–5 years of HR experience, preferably in HR operations, recruiting, or payroll
• Bachelor’s degree in Human Resources, Business Administration, or a related field
• Experience running or supporting payroll; Paychex experience preferred
• Experience supporting multi-state or distributed workforces
• Strong understanding of HR operations and compliance requirements
• Excellent written and verbal communication skills
• Strong organizational skills and attention to detail
• Ability to work independently in a remote environment; prior remote experience preferred
• Adaptability is a must
• Ability to maintain strict confidentiality and handle sensitive employee information
• Experience in healthcare or a fast-growing organization is a plus
• aPHR or PHR certification preferred

Why This Role Matters at MedStreamline

This role supports MedStreamline’s continued growth by ensuring HR processes remain organized, compliant, and scalable. The HR Generalist plays a critical role in supporting employees, reducing operational risk, and partnering with HR leadership to build sustainable HR practices.

We offer highly competitive compensation packages based on experience. This is a full-time position with potential for career advancement within our organization.

If you are a highly motivated individual with a passion for HR and a proven track record of success, we encourage you to apply. Only qualified candidates will be contacted for an interview.

Why Join MedStreamline LLC?

A Better Way for Senior Healthcare
MedStreamline is transforming the senior healthcare experience by providing innovative ways to monitor residents, prevent unnecessary hospitalizations, and support accreditation efforts. Our solutions help ensure a higher quality of care and peace of mind for the communities we serve.

Focus on People & Wellness
Our team members are the heart of what we do. MedStreamline has been recognized as a top employer and trusted partner by leading media and professional organizations. We foster a fast-moving, collaborative, and inspiring work environment where talented, passionate individuals can thrive. We are also deeply committed to employee wellness and work-life balance.

Diversity & Inclusion
We believe diversity drives innovation. At MedStreamline, we hire based on strengths, skills, and qualifications, and how they can contribute to success in the role. We value personal and professional diversity and are dedicated to fostering an inclusive environment where all voices are heard and respected.

Growth & Innovation
We are making healthcare easier to manage to help ensure a better quality of life for our resident and patient communities. As we continue to grow, we invite you to grow with us and be part of our mission to make a meaningful difference in the lives of seniors every day.

MedStreamline is proud to be an Equal Opportunity Employer.
We celebrate and value diversity in all its forms and are committed to creating an inclusive environment where every team member can thrive. All qualified applicants will receive consideration for employment without regard to age, race, religion, color, ethnicity, national origin, gender, gender identity or expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy.

Job Type: Full-time

Pay: From $62,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Retirement plan
• Vision insurance

Application Question(s):

• Did you include your brief cover letter? You can copy and paste in this field if needed.

Education:

• Bachelor's (Preferred)

Experience:

• HR Operations and Recruiting: 3 years (Required)

Work Location: Remote