Senior Accountant at Midi Health

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Full Time

Start Date

Immediate

Expiry Date

02 Jun, 26

Salary

140000.0

Posted On

04 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Inventory Accounting, Cost Accounting, GAAP, ASC 606, Journal Entries, Reconciliations, Variance Analysis, Revenue Recognition, Payroll Reconciliation, Stock-Based Compensation, Sales Tax Compliance, ERP Systems, Excel, NetSuite, Sage Intacct, Process Improvement

Industry

Hospitals and Health Care

Description

Senior Accountant Location: Remote (U.S.) Reports to: Controller About this Role Midi Health is seeking a hands-on Senior Accountant with strong inventory and cost accounting experience to support core accounting operations in a fast-growing, venture-backed healthcare and technology environment. This role is critical to maintaining accurate financials, strengthening close processes, and supporting compliance across revenue, payroll, and sales tax as the company scales. This is a high-impact, hands-on role requiring a proactive approach. The Senior Accountant must be able to own areas end-to-end, identify issues before they become problems, and operate effectively in a dynamic, evolving environment.. Key Responsibilities Inventory & COGS Ownership This role will own and manage inventory-related accounting, including: Maintain accurate inventory records across raw materials, WIP (if applicable), and finished goods. Ensure proper inventory valuation in accordance with GAAP. Record and reconcile inventory purchases, usage, write-offs, obsolescence, and adjustments. Calculate and reconcile COGS, including pharmacy and supplement-related product costs, freight, and other landed costs. Perform monthly inventory roll-forwards and tie-outs to the general ledger. Partner closely with Operations and Supply Chain to investigate and resolve complex inventory variances. Month-End & Close Own key areas of the monthly close process, including journal entries, reconciliations, and variance analysis. Prepare and review balance sheet reconciliations (cash, AR, AP, accrued expenses, payroll, equity). Ensure timely, accurate financial reporting in accordance with GAAP. Revenue & Healthcare Accounting Support revenue recognition under ASC 606, including analysis of contracts, reimbursements, and pharmacy-related transactions. Lead reconciliation of medical vs. product revenue streams. Partner with FP&A and Finance leadership on revenue reporting accuracy. Payroll & Equity Support Reconcile payroll, benefits, and related accruals across multi-state operations. Support stock-based compensation accounting under ASC 718, including monthly expense entries and reconciliations. Sales Tax & Compliance Ensure compliance with state and local sales tax filings and reconciliations (product and healthcare-related taxes). Support audits (financial, sales tax, and other compliance reviews). Systems & Process Improvement Maintain accurate accounting records within the ERP, and leverage system capabilities to identify and resolve process inefficiencies. Support implementation of new tools, policies, or accounting standards as needed. Ad-Hoc & Cross-Functional Support Support external auditors and consultants. Prepare schedules and analyses for leadership, fundraising, and board reporting. Collaborate closely with Finance, Operations, Payroll, and Revenue teams. Qualifications Required Bachelor’s degree in Accounting or Finance, or equivalent. 4–7+ years of progressive accounting experience Strong knowledge of GAAP; experience with ASC 606 required Experience in healthcare, technology, or high-growth environments Advanced proficiency in Excel (e.g., pivot tables, VLOOKUP, complex formulas) and experience working with large datasets. Experience with NetSuite, Sage Intacct, or similar ERP systems Preferred CPA or CPA-track Experience with multi-entity or multi-state operations Prior experience with accounting or tax system implementation or significant migration projects. Familiarity with sales tax automation tools (Avalara, Sphere, Anrok, etc.) Prior experience in a startup or PE/VC-backed company What Success Looks Like Month-end close runs smoother and faster Reconciliations are clean, documented, and review-ready Revenue and payroll reporting issues are identified early—not during audits Finance leadership trusts your numbers without re-checking them Why Join Midi Health Mission-driven healthcare company improving access to women’s healthcare Remote-first, flexible work environment High-Growth Opportunity: Play a pivotal role in scaling the finance function and take on increasing ownership as the company expands. Strategic Impact: Gain direct exposure to senior finance leadership, contributing to strategic initiatives and board-level reporting. The base salary range is $130-140K, dependent on experience. Midi provides a competitive base salary, plus equity and benefits. #LI-MB1 At this time, Midi is unable to provide visa sponsorship. All Candidates must be authorized to work in the United States without current or future sponsorship needs. Please note that all official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at careers@joinmidi.com. Midi Health is an Equal Opportunity Employer. We are committed to pay equity and ensure that all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Our compensation philosophy is based on fair, objective criteria and the impact of the role, regardless of an applicant’s salary history. Please find our CCPA Privacy Notice for California Candidates here.

Responsibilities

This role is responsible for owning inventory accounting, including valuation and COGS calculation, and managing key areas of the monthly close process such as journal entries and balance sheet reconciliations. The Senior Accountant will also support revenue recognition, payroll reconciliation, and sales tax compliance as the company scales.