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

Find Your Perfect Job

Find Your Perfect Job