At Midi Health, we're not just building a company; we're reclaiming midlife for women as a new beginning. We're the leading force in midlife women's healthcare, providing expert-designed, clinician-delivered, and insurance-covered care that's changing lives. As a company founded by women, for women, we're dedicated to helping every woman embrace midlife as a powerful new chapter. Join us, and you'll be part of a team that embodies our core values every single day.
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 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
- Maintai