MainStreet Family Care HR Generalist | On-Site in Downtown Birmingham, AL 

MainStreet Family Care is growing fast, and our people are the engine behind that growth. We’re looking for a high-energy HR Generalist who loves fast-paced work, complex logistics, and being the “go-to” person who keeps everything moving smoothly behind the scenes. 

In this role, you will partner closely with our Director of HR to support a high-volume, multi-state operation. We have over 65 clinics and 700+ employees across 4 states, so expect to play a major role in a variety of HR functions! 

If you’re the type who likes to own a process from start to finish, spot gaps before they become problems, and be the steady point of contact for busy teams, this role is for you! 

Key Responsibilities 

• Partner with the Director of HR to manage end-to-end onboarding 

• Coordinate all pre-employment steps: background checks, drug screens, scrubs/equipment ordering, system access, and required training 

• Prepare, process, and track employment agreements, addendums, promotions, resignations, and terminations, ensuring accuracy and compliance 

• Manage multiple email inboxes to serve as a primary point of contact for employees across four states, responding to questions about contracts, onboarding status, employment changes, and HR processes 

• Support payroll by helping verify hours, resolve discrepancies, and process employment changes that impact pay 

• Assist with reimbursements, ensuring proper documentation, routing, and timely processing for employees and leaders 

• Maintain accurate, up-to-date employee records and HRIS data, with a strong focus on confidentiality and detail 

• Support the coordination of our recurring WOW orientation events (every four weeks), including rosters, documentation checks, and completion tracking 

• Collaborate with recruiting and leadership to ensure smooth handoffs from “offer accepted” through first day of work 

• Monitor onboarding and HR workflow metrics, escalate delays, and recommend process improvements to increase speed and consistency 

• Assist with HR projects, compliance tasks, policy roll-outs, and audit preparation as needed 

Qualifications 

• Bachelor’s degree in Human Resources, Business, or a related field preferred 

• At least 1 year of HR experience, preferably in a high-volume or multi-site environment; healthcare experience is a plus 

• Strong organizational skills with the ability to manage multiple deadlines and priorities at once 

• Comfortable working in a fast-paced, high-growth environment where things move quickly and expectations are high 

• Experience reconciling and administering employee benefit programs 

• Excellent written and verbal communication skills, with a service-focused mindset 

• Experience working with HRIS, applicant tracking systems, and/or credentialing platforms 

• High level of professionalism and discretion with confidential information 

• Strong attention to detail, follow-through, and a willingness to “own” your work from start to finish 

• Experience in Sharepoint, Deputy, and/or Ramp would be a huge plus! 

What You’ll Love About This Role 

• Direct impact on the provider and staff experience from day one 

• Close partnership with an experienced Director of HR and exposure to many aspects of HR (onboarding, payroll support, employee relations, compliance, and more) 

• The chance to build and refine processes in a growing organization, not just maintain the status quo 

• A mission-driven environment focused on expanding access to quality care in the communities we serve 

Schedule 

This position is Monday–Friday, 8:00 a.m. to 5:00 p.m. Once you’re fully trained and operating independently, there is flexibility to structure your 40 hours in alignment with workflow and departmental needs. 

Compensation & Benefits 

• Competitive starting salary of $50,000-55,000/year, depending on background and experience. 

• Company contribution towards your health, dental, and vision insurance 

• 401(k) plan with generous company match 

• 80 hours of Paid Time Off (PTO) 

• Opportunities for professional growth in a rapidly growing organization 
   

If you’re energized by checklists, people, and problem-solving—and you like the idea of being the operational backbone of a busy HR department—we’d love to hear from you. :)