Alpacahealth is hiring for a full-time remote role: Customer Success Manager (Payroll). Pay: $70k–100k / yr.
Who can apply: Candidates based in the United States.
Posted Oct 26, 2026 · still open as of Oct 29, 2026 · apply on Alpacahealth's own careers page.
Start high‑quality ABA therapy for your child at home or in a clinic. No waitlist, local providers, and coverage from 100+ insurance plans.
Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving hundreds of patients, while growing 30% MoM.
This role is full-time. We’re looking for candidates remotely. We also have an New York City and San Francisco office.
About the Role
Payroll is the part of our product people notice most when it goes wrong. Our customers are clinic owners whose RBTs and BCBAs depend on them for a correct paycheck every two weeks. You'll own that outcome — running payroll across dozens of clinics in multiple states, and owning the Salsa-based platform it runs on: configuring it, catching problems early, and telling engineering what needs to change.
You'll be the person clinic owners email when something's wrong, and the person inside Alpaca who knows payroll best. There's no playbook yet — you'll write it.
What You'll Do
1. Run payroll, end to end
2. Own the payroll platform (built on Salsa)
3. Onboarding & multi-state compliance
4. Support clinic owners directly
5. Build the systems that make this scale
Who You Are
💵 Competitive salary📈 Meaningful equity🏥 Health benefits🏖️ Flexible PTO🍱 Dinner when working late
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