Midi Health

Senior Accountant

Midi Health

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $130,000 - $140,000 per year

Job Level

Tech Stack

About the role

  • Own and manage inventory-related accounting
  • 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.
  • 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.
  • 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.
  • Reconcile payroll, benefits, and related accruals across multi-state operations.
  • Support stock-based compensation accounting under ASC 718, including monthly expense entries and reconciliations.
  • 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).
  • 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.
  • Prepare schedules and analyses for leadership, fundraising, and board reporting.
  • Collaborate closely with Finance, Operations, Payroll, and Revenue teams.

Requirements

  • 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
Benefits
  • Competitive base salary
  • Equity
  • Benefits
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
inventory accountingGAAPCOGS calculationfinancial reportingreconciliationvariance analysisstock-based compensation accountingExcelASC 606ASC 718
Soft Skills
collaborationproblem-solvingcommunicationleadershiporganizational skills
Certifications
Bachelor’s degree in AccountingBachelor’s degree in Finance