Senior Accountant, Midi Health

• Midi Health is seeking a hands-on Senior Accountant with strong inventory and cost accounting experience
• 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
• 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

Desirable

• Reports to: Controller
• This role is critical to maintaining accurate financials, strengthening close processes, and supporting compliance across revenue, payroll, and sales tax as the company scales
• Support core accounting operations in a fast-growing, venture-backed healthcare and technology environment
• 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
• 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
• Support external auditors and consultants
• Prepare schedules and analyses for leadership, fundraising, and board reporting
• Collaborate closely with Finance, Operations, Payroll, and Revenue teams
• 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