Midi Health · 22 hours ago
Senior Accountant
United States
Full-time
Remote
Mid, Senior Level
$125K/yr - $145K/yr
4+ years expMidi Health is a mission-driven healthcare company seeking a hands-on Senior Accountant to support core accounting operations in a fast-growing, venture-backed environment. The role is critical for maintaining accurate financials, strengthening close processes, and ensuring compliance across various accounting areas as the company scales.
Health CareMedicalmHealthTherapeuticsWomen's
Responsibilities
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
Qualification
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
Benefits
Competitive base salary
Equity
Benefits
Company
Midi Health
Midi Health provides virtual care for women in midlife, offering clinician support for menopause, hormonal health, and related conditions.
51-200 employees
Funding
Current Stage
Late StageTotal Funding
$252MKey Investors
Goodwater CapitalAdvance Venture PartnersEmerson Collective
2026-02-03Series D· $100M
2025-10-02Series C· $50M
2024-04-24Series B· $63M
Leadership Team
J
Jill Herzig
Chief Brand Officer, Brand Steward
Joanna Strober
Founder
Recent News
vcnewsdaily.com
2026-02-04
2026-02-03
2026-02-03
Company data provided by crunchbase