Senior Accountant

The Opportunity

We are seeking a Senior Accountant to become a core member of the MediDrive finance team. This is a highly visible role with direct exposure to senior leadership and the opportunity to help build the accounting and financial infrastructure of a fast-growing healthtech company from the ground up.

This role is ideal for someone who wants to go beyond traditional accounting and play a key role in shaping financial operations, supporting real-time decision making, and helping drive profitability across a complex, high-volume business.

THIS POSITION WORKS ON SITE IN OUR BROOKLYN, NY OFFICE (NO REMOTE AVAILABLE)

Key Responsibilities

• Own day-to-day accounting operations for MediDrive, including journal entries, reconciliations, and month-end close
• Manage billing and revenue tracking across multiple healthcare contracts and clients
• Ensure proper classification and allocation of expenses in alignment with contribution margin and operational reporting
• Support payroll accounting and integration with ADP
• Assist in integrating financial systems (Sage) with operational data (dispatch, call center, etc.)
• Manage credit card and vendor expense tracking to ensure clean and accurate reporting
• Partner closely with operations and leadership to understand business drivers and ensure financial data reflects reality
• Assist in building scalable accounting processes and internal controls as the business grows
• Support preparation of financial statements and reporting packages

What You’ll Work On

• Building a best-in-class Chart of Accounts aligned with operational metrics
• Helping implement and optimize Sage accounting systems
• Supporting contribution margin and unit economics analysis
• Creating the foundation for real-time financial and operational dashboards
• Preparing the business for future audits, investor diligence, and strategic growth

Qualifications

• 3–6+ years of accounting experience (public accounting or industry)
• Bachelor’s degree in Accounting or Finance (CPA a plus)
• Experience with Sage or similar ERP systems preferred
• Strong understanding of accrual accounting and financial reporting
• Experience in a high-growth, startup, healthcare, or transportation environment is a plus
• Comfortable working in a fast-paced, evolving environment
• High attention to detail with a strong sense of ownership