About the role

Narayan Pharmacy is hiring a remote accountant, based in India, to own day-to-day US accounting for two independent retail pharmacies in Current York and an affiliated Medicare insurance agency.

Key responsibilities

Bookkeeping and close

- Record daily transactions for three entities and keep them in separate books
- Reconcile bank, credit card, and merchant accounts weekly
- Close the books monthly by the 10th business day
- Prepare monthly P&L;, balance sheet, and cash flow for each entity

Pharmacy-specific accounting

- Reconcile PBM and third-party remittances (835s) against claims from PioneerRx
- Track DIR fees, clawbacks, and network adjustments by PBM
- Reconcile wholesaler invoices and statements; support monthly COGS and inventory valuation
- Report gross margin by payer (Medicare Part D, Medicaid, commercial, cash)

Payables, receivables, and payroll

- Process vendor bills and schedule payments for owner approval
- Track receivables from facilities, agencies, and insurance carriers (agency commissions)
- Review payroll runs and post payroll journal entries

Tax and compliance support

- Prepare workpapers for the US CPA: year-end package, fixed assets, 1099s
- Track New York sales tax on taxable front-store items and prepare filings
- Maintain a monthly compliance calendar (estimated taxes, filings, license renewals)

Reporting and improvement





- Build a monthly KPI pack: script count, revenue per script, margin, cash on hand
- Document procedures so tasks can be handed off or audited

Required qualifications

- Bachelor's degree in commerce or accounting (B.Com, M.Com, or equivalent)
- 3+ years doing US bookkeeping or accounting for US small businesses
- Strong grasp of US GAAP basics, accrual accounting, and month-end close
- Advanced Excel or Google Sheets: pivot tables, lookups, reconciliations
- Clear written and spoken English for working directly with the owner
- Reliable home office, stable internet, and backup power
- Willing to sign an NDA and a HIPAA business associate agreement, and follow our data security rules

Preferred qualifications

- CA (Inter or Final), US CPA, or IRS Enrolled Agent (EA)
- Prior work with US pharmacies, healthcare practices, or insurance agencies
- Experience reconciling PBM remittances, 835 files, or wholesaler statements
- Familiarity with systems
- Multi-entity bookkeeping experience
- Comfort with automation tools

Pay: ₹8,500.00 - ₹42,000.00 per month

Benefits:

- Flexible schedule

Experience:

- Accounting: 2 years (Required)

Language:

- English (Required)

License/Certification:

- Chartered Accountant (Required)
- ICMAI CMA (Preferred)

Work Location: Remote

📌 Accountant/Bookkeeper (India)
🏢 Narayan Pharmacy
📍 India