About the role
Senior Accountant @ Midi Health 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
