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