---
title: 'People Enablement Lead, Payroll and HR Systems-US at Neko Health'
canonical: 'https://feeny.ai/job/people-enablement-lead-payroll-and-hr-systems-us-neko-health-new-york-zzm4fkhb1m7y'
type: 'job'
last_seen: '2026-09-13'
---

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

- **Company:** [Neko Health](https://feeny.ai/companies/neko-health)
- **Location:** New York, NY
- **Compensation:** $150k–$187k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-09-08
- **Last confirmed live:** 2026-09-13
- **Apply:** https://jobs.ashbyhq.com/neko-health/bae6230a-19f2-46ee-8c7a-e9b4f1f541a2

## Job description

Mission 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

## About Neko Health

## Company Overview
- **One-liner**: Neko Health is a healthcare technology company that has engineered a proprietary, data-driven preventive health scan to detect early signs of disease in otherwise healthy individuals.
- **Entity Type**: Private (Funding Stage: Series A)
- **Headquarters**: Stockholm, Sweden
- **Founded**: 2018
- **Founders**: Daniel Ek (Co-founder, also founder/CEO of Spotify) and Hjalmar Nilsonne (Co-founder)

## Core Business
- Primary industry/industries: Healthcare Technology, Preventive Medicine, Clinical Diagnostics
- Target customers: B2C – Health-conscious individuals; B2B Potential – Self-insured employers
- Mission or purpose statement: “To provide healthcare that’s proactive instead of reactive – so that people can live longer, healthier lives.”

## Products & Services
- **[The Neko Health Scan]**: A 60-minute, full-body health check that captures millions of data points across the skin, heart, blood, and circulation using four proprietary devices (Derma, Spectrum, Echo, and Neko Lens). Includes an unrushed consultation with a doctor where results are discussed immediately. The scan is priced at approximately 2750kr (~$260) in Sweden and is designed for asymptomatic, healthy individuals looking for prevention.

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed (as of mid-2026).
- **Key Metric**: Total Funding – **$325.1M** (one prior funding round).
- **Notable Investors/Partners**: Backed by “investors who have built and scaled some of the most ambitious technology companies of the last two decades” (individual names not publicly listed on career page). The company has strong ties to the tech and startup ecosystem.
- **Growth Signals**: Over 1,000 employees (more than half in clinical roles). Aggressive expansion with active clinic locations in London, Manchester, Birmingham, Stockholm, and plans for more. Job postings have increased +344.4% year-over-year (as of mid-2026), indicating rapid scaling.

## Competitive Advantages
- **Proprietary Hardware**: All four scanning devices are designed, engineered, and assembled in-house in Stockholm, creating a hard-to-replicate technological moat.
- **Integrated Clinical Model**: Unlike traditional clinics or digital health apps, Neko combines its proprietary hardware with on-site doctors, clinical researchers, and data science under one roof with a low patient volume per doctor ( ~9 members/day vs. 30+ in standard care). This enables a focus on prevention, not just treatment.
- **Data Moat**: The system captures millions of structured data points per scan, allowing for peer benchmarking and longitudinal tracking over years, creating a powerful, network-effect dataset for preventive health insights.
- **Leadership**: Co-founded by Daniel Ek (Spotify) and Hjalmar Nilsonne.

## Strategic Focus
- **Scaling the Scan Room**: Neko is actively testing a second-generation modular scan room platform designed to capture more signals and scale to new locations.
- **Global Expansion**: Opening new clinics across the UK and Europe, with a clear intent to make the service more accessible.
- **Clinical Research & Governance**: Continued focus on validating their devices with clinical studies and building a clinical leadership team (including ex-NHS and Amazon Health executives) to establish preventive care as a formal clinical discipline.

## Why Work Here
- **Mission-Driven**: The company was founded to solve the fundamental problem of late-stage diagnosis by focusing on prevention. The work is presented as having a direct, positive impact on human longevity.
- **Culture & Engineering**: The company actively showcases a deep engineering culture where “clinical insight can become a hardware iteration overnight.” Clinicians and engineers share the same floor, fostering rapid iteration and innovation.
- **Compensation & Benefits**: Salaries are benchmarked via market research. Benefits include comprehensive Medical, Dental, and Vision Insurance, 401K, Paid Time Off, Life Insurance, Disability Insurance, CME Days, and Commuter Benefits.
- **Work Model**: Roles are **on-site** at specific clinic locations. Training for medical roles is fully paid. The interview process is designed to give candidates a feel for the culture and mission.
- **Growth Trajectory**: With 80+ active job postings and triple-digit growth in hiring, the company is in a high-growth phase, offering significant career development opportunities.

## Sources
1. [nekohealth.com](https://www.nekohealth.com/en)
2. [nekohealth.com](https://www.nekohealth.com/us/en/about)
3. [linkedin.com](https://www.linkedin.com/company/nekohealth)
4. [nekohealthcareers.com](https://www.nekohealthcareers.com/)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/neko-health)

## Other roles at Neko Health

- [Clinic Area Lead, Florida](https://feeny.ai/job/clinic-area-lead-florida-neko-health-miami-47h80bnz035s) — Miami, FL
- [Data Science Lead](https://feeny.ai/job/data-science-lead-neko-health-stockholm-6warwzs4th6b) — Stockholm, Sweden
- [Senior Mechanical Design Engineer](https://feeny.ai/job/senior-mechanical-design-engineer-neko-health-stockholm-hd088g35d5ab) — Stockholm, Sweden
- [Laboratory Technical Supervisor](https://feeny.ai/job/laboratory-technical-supervisor-neko-health-miami-vyh56r34bpey) — Miami, FL
- [Laboratory Technologist](https://feeny.ai/job/laboratory-technologist-neko-health-miami-nn0mptfr3kcn) — Miami, FL
- [Employment and Commercial Counsel Lead, US](https://feeny.ai/job/employment-and-commercial-counsel-lead-us-neko-health-new-york-kwb7kxdpmnrx) — New York, NY
- [General Manager, Sweden](https://feeny.ai/job/general-manager-sweden-neko-health-stockholm-cq1408gs4wqd) — Stockholm, Sweden
- [Facilities Lead, Southeast](https://feeny.ai/job/facilities-lead-southeast-neko-health-miami-sh8nete37tct) — Miami, FL
- [Clinic Area Lead, Florida](https://feeny.ai/job/clinic-area-lead-florida-neko-health-miami-a05e6t2skvea) — Miami, FL
- [Signature Concierge - US](https://feeny.ai/job/signature-concierge-us-neko-health-new-york-zbn9jap546rc) — New York, NY