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Malama Health

Malama Health leverages the best of technology and people to deliver exceptional care - building novel biometric tracking and patient engagement tools that allow skilled Care Managers to provide high-touch care navigation and coordination for pregnant and postpartum mothers that improves health outcomes for mom and baby.

The company has raised $9.2M in funding to date and is on target to hit profitability early this year. Malama's mission is to improve pregnancy-related outcomes beginning with conditions that disproportionately affect historically underserved groups. The company is an equal opportunity employer that strongly encourages applications from candidates of all backgrounds, including those with lived experience relevant to the mission of improving pregnancy-related outcomes for historically underserved communities.

## **Fractional HR Manager (Remote)**

**Overview**

This is a hands-on, detail-oriented HR professional role to own HR operations across a multi-entity structure (a Delaware C Corp MSO and two affiliated medical practice entities). You'll be the go-to person for payroll accuracy, benefits administration, compliance, and systems — with real ownership over building repeatable processes.

This is a great fit for a senior HR professional who can operate independently and think proactively about what the function needs next — while being willing to roll up their sleeves and get into the weeds of payroll systems, state compliance, and multi-entity setups. You'll both set direction, execute the details, and grow with an early-stage healthcare company.

### **Role Responsibilities**

**Payroll & Systems Administration**

- Serve as admin across HR/payroll platform (Rippling) for all entities, including managing access and evaluating add-on services against needs
- Set up and correct payroll deductions to ensure accurate tax treatment
- Manage payroll processing in partnership with vendors

**Benefits Administration**

- Administer employee health benefits (via SimplyInsured or similar), including eligibility, enrollment, and stipend alternatives
- Ensure payroll and benefits systems are properly connected and deductions are configured correctly across entities with different contribution structures

**Compliance & Multi-State Employment**

- Manage state registrations (SUI, EDD, and similar) as the company hires in new states
- Own resolution of compliance issues and claims (e.g., disability claims, unemployment filings), coordinating with legal counsel and vendors as needed
- Maintain accurate, up-to-date records of logins, filings, and documentation
- Partner with outside legal counsel and accounting/tax firms on employment compliance matters

**Time & Attendance / Wage & Hour**

- Educate managers and employees on hourly reporting requirements (including for salaried non-exempt staff) and meal/rest break compliance
- Work with internal stakeholders to systematize hour-reporting deadlines and reduce off-cycle payroll runs
- Support and help drive adoption of expense reimbursement policies and processes

**HR Operations & Employee Experience**

- Maintain employee files, offer letters, and contracts (W-2 and 1099)
- Serve as a point of contact for a dedicated HR inbox, particularly for state agency communications
- Participate in day-to-day team communications (Slack) to stay looped in on People-related needs
- Help run and coordinate payroll cycles alongside finance/ops stakeholders

### **Requirements**

**Required**

- 5+ years of HR/People Operations experience, ideally including payroll administration and multi-state compliance
- Comfortable working independently, prioritizing across a broad and sometimes ambiguous project list, and driving issues to resolution
- Strong communicator who can work cross-functionally with founders, finance, and outside counsel
- Detail-oriented with a bias toward building clean, repeatable processes

**Preferred**

- Experience with Rippling or similar HRIS/payroll platforms
- Familiarity with an MSO/PC structure
- Mission-aligned and/or healthcare background

### **Compensation & Work Arrangement**

- $80-120/hour, commensurate with experience
- Fractional engagement, 10-20 hours/week with potential to turn into full-time role
- Remote (US), with flexible scheduling

Co-founder and CTO at Malama Health (YC S22) I Building continuous maternal care

Orlando Li

Co-founder and CTO

Fractional HR Manager (Remote)

Rippling

Chief Human Resources Officer

Benefits Administration

People Operations

Payroll

 Malama’s vision is for every mother to have the resources and support needed to confidently navigate motherhood and beyond. Discover the digital tools that can help you better manage your transition to parenthood through health data tracking, real-time feedback, insights and benefits navigation that personalize to every mama and mama-to-be.

Biometric tracking and doula-led care navigation. 

**Overview**

Malama leverages the best of technology and people to deliver exceptional care - we build novel biometric tracking and patient engagement tools that allow skilled Care Managers to provide high-touch care navigation and coordination for pregnant and postpartum mothers that improves health outcomes for mom and baby.

We've raised $9.2M in funding to date and are on target to hit profitability early this year. Our mission is to improve pregnancy-related outcomes beginning with conditions that disproportionately affect historically underserved groups.

Malama Health is looking for a hands-on, detail-oriented HR professional to own our HR operations across a multi-entity structure (a Delaware C Corp MSO and two affiliated medical practice entities). You'll be the go-to person for payroll accuracy, benefits administration, compliance, and systems — with real ownership over building repeatable processes.

This is a great fit for a senior HR professional who can operate independently and think proactively about what the function needs next — while being willing to roll up their sleeves and get into the weeds of payroll systems, state compliance, and multi-entity setups. We need someone who can both set direction, execute the details, and wants to grow with an early-stage healthcare company.

### Requirements

**Role Responsibilities**

Payroll & Systems Administration

- Serve as admin across our HR/payroll platform (Rippling) for all entities, including managing access and evaluating add-on services against our needs
- Set up and correct payroll deductions to ensure accurate tax treatment
- Manage payroll processing in partnership with vendors

Benefits Administration

- Administer employee health benefits (via SimplyInsured or similar), including eligibility, enrollment, and stipend alternatives
- Ensure payroll and benefits systems are properly connected and deductions are configured correctly across entities with different contribution structures

Compliance & Multi-State Employment

- Manage state registrations (SUI, EDD, and similar) as the company hires in new states
- Own resolution of compliance issues and claims (e.g., disability claims, unemployment filings), coordinating with legal counsel and vendors as needed
- Maintain accurate, up-to-date records of logins, filings, and documentation
- Partner with outside legal counsel and accounting/tax firms on employment compliance matters

Time & Attendance / Wage & Hour

- Educate managers and employees on hourly reporting requirements (including for salaried non-exempt staff) and meal/rest break compliance
- Work with internal stakeholders to systematize hour-reporting deadlines and reduce off-cycle payroll runs
- Support and help drive adoption of expense reimbursement policies and processes

HR Operations & Employee Experience

- Maintain employee files, offer letters, and contracts (W-2 and 1099)
- Serve as a point of contact for a dedicated HR inbox, particularly for state agency communications
- Participate in day-to-day team communications (Slack) to stay looped in on People-related needs
- Help run and coordinate payroll cycles alongside finance/ops stakeholders

**Requirements**

Required

- 5+ years of HR/People Operations experience, ideally including payroll administration and multi-state compliance
- Comfortable working independently, prioritizing across a broad and sometimes ambiguous project list, and driving issues to resolution
- Strong communicator who can work cross-functionally with founders, finance, and outside counsel
- Detail-oriented with a bias toward building clean, repeatable processes

Preferred

- Experience with Rippling or similar HRIS/payroll platforms
- Familiarity with an MSO/PC structure
- Mission-aligned and/or healthcare background

### Benefits

**Benefits**

- $80-120/hour, commensurate with experience
- Fractional engagement, 10-20 hours/week with potential to turn into full-time role
- Remote (US), with flexible scheduling
- Supportive, mission-driven team culture

**Applications reviewed on a rolling basis - apply early!**

Equal opportunity Malama is an equal opportunity employer. We strongly encourage applications from candidates of all backgrounds, including those with lived experience relevant to our mission of improving pregnancy-related outcomes for historically underserved communities.

San Francisco

A remote role for a Fractional HR Manager at Malama Health, focusing on HR operations across multiple entities. Responsibilities include payroll, benefits administration, compliance, and HR systems management. The role requires 5+ years of HR experience and offers $80-120/hour for 10-20 hours per week, with potential to become full-time.

Malama Health

Jobs

Fractional HR Manager

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