Jobs at Heartflow

Own the clinical platform’s performance and multi-region architecture strategy, including scalability, data residency, localization, observability, and regulatory controls. Lead and grow an offshore Eastern European engineering team, establish distributed delivery practices, define cross-team engineering standards, manage technical risks, mentor senior engineers, and communicate architecture strategy to executives and cross-functional stakeholders.

Lead Heartflow’s social media strategy and execution across organic and paid channels. Own channel planning, content creation, community management, healthcare provider engagement, employee activation, agency relationships, and performance measurement. Develop KPI dashboards, manage social campaigns and budgets, coordinate cross-functional and regulatory reviews, and use AI-powered tools to improve efficiency and content impact. Build brand awareness and engagement among healthcare providers, patients, and the cardiovascular community.

Leads strategic partnerships with consumer health, wearable, longevity, concierge medicine, and physician-network organizations. Owns partnership sourcing, negotiation, lifecycle management, go-to-market strategy, preventive cardiology growth, cash-pay models, competitive positioning, and specialty sales oversight. Builds scalable partnership playbooks, sales capabilities, performance metrics, and commercial tools while coordinating with Legal, Regulatory, Medical Affairs, Marketing, Finance, and Customer Success.

Manages Heartflow accounts within an assigned territory, driving adoption and growth of cardiovascular diagnostic technologies. Builds relationships with cardiologists, primary care physicians, hospitals, and other stakeholders; educates customers; develops account plans; coordinates cross-functional resources; organizes clinical programs and events; and increases referrals, FFRCT usage, and quota attainment. The role requires approximately 20–25% travel from a remote home office.

Own the multi-year strategy and roadmap for a portfolio of FDA-regulated, AI-driven cardiovascular medical products. Define product requirements, performance targets, intended use, evidence and regulatory strategies, and care-pathway integration. Lead cross-functional alignment across engineering, clinical, regulatory, quality, UX, marketing, and support without formal authority. Engage physicians, health systems, and key opinion leaders while communicating portfolio risks and progress to executives. The role requires deep medical-device product management experience, cardiovascular or diagnostic expertise, and strong validation and regulatory judgment.

Own research data campaigns for medical imaging AI, including campaign design, annotation workflows, schema and ontology validation, quality measurement, reproducibility, and dataset documentation. Partner with data scientists, research scientists, engineering, clinical, product, and regulatory teams to translate research needs into reliable datasets. Build and validate pipelines using Python and SQL, coordinate timelines and resources, and ensure data quality supports algorithm development and product decisions.

Leads regional customer success and implementation teams delivering Heartflow’s diagnostic platform across healthcare organizations. Oversees execution, quality, KPIs, customer adoption, escalations, cross-functional alignment, process improvement, resource planning, and talent development. Partners with commercial, sales, reimbursement, medical affairs, product, quality, and regulatory stakeholders while explaining medical technologies to physicians and hospital leaders. Requires healthcare implementation experience, strong operational leadership, and extensive people-management experience.

Own sales growth for Heartflow’s AI-driven cardiac diagnostic technology across an assigned territory. Responsibilities include prospecting, closing new accounts, expanding existing-account adoption, educating cardiology stakeholders, developing go-to-market plans, managing sales pipelines in Salesforce, coordinating cross-functional teams, and achieving regional sales targets. This home-based role covers Charleston, Columbia, and Greenville, South Carolina, with 30–50% travel.

Lead the migration of AWS Lambda and ECS/Fargate workloads to Kubernetes on AWS EKS. Define migration roadmaps and reference architectures, build infrastructure with Terraform, Terragrunt, and Helm, develop event-driven workflows, and partner with engineering teams on standardized migration tooling. Optimize performance, cost, reliability, security, and developer experience through benchmarking, resource tuning, observability, documentation, and operational guardrails.

Own complex Heartflow implementations and post-sale customer success across EMEA hospital accounts. Lead onboarding, clinical workflow integration, training, adoption, optimization, escalations, and expansion. Serve as a regional subject matter expert for cardiac CT applications, develop implementation playbooks and educational programs, analyze customer metrics, improve processes, and collaborate with commercial, medical, technical, product, and global teams. The role requires strong clinical credibility, project leadership, stakeholder management, autonomy, and 30–40% travel across the UK and EMEA.

Partner with engineers on secure SDLC activities, including secure code reviews, threat modeling, vulnerability remediation, security testing, and risk assessment. Drive SAST, DAST, SCA, AI-assisted security testing, and external penetration testing. Translate security and privacy requirements into technical requirements, train teams on secure coding, and address modern AI security threats in a regulated healthcare environment.

Manage Heartflow accounts within a designated territory, driving adoption and growth of cardiovascular diagnostic technologies. Build relationships with cardiologists, primary care providers, hospital stakeholders, and referring physicians; educate customers; develop business plans; coordinate clinical programs, events, and cross-functional resources; and meet account quotas and usage targets. The role is customer-facing, home-office based, and requires approximately 20–25% travel.

Lead the strategy, execution, oversight, and continuous improvement of Heartflow’s global Quality Management System. Manage CAPA, document control, training, audits, management reviews, tool validation, and supplier management. Serve as the QMS subject matter expert during FDA, Notified Body, and other regulatory audits. Lead and develop a quality team, promote a quality-first culture, drive KPI-based decisions, and collaborate with R&D, Production, Regulatory, Clinical, and Product Management teams to support compliant global expansion.

Build and architect a production-grade Agentic AI platform for autonomous medical reasoning, initially serving as a hands-on technical lead. Establish orchestration, state management, tools, memory, guardrails, evaluation, and compliance frameworks. Transition into managing and scaling an engineering team, setting technical strategy, delivering AI-driven products, and collaborating with product, clinical, and data science teams. Ensure secure, accurate, deterministic, and FDA-compliant software through strong engineering, testing, logging, and deployment practices.

Lead software quality and design excellence for AI/ML-enabled medical devices and SaMD. Oversee design controls, QMS integration, risk management, software verification and validation, Design History Files, design transfer, regulatory submissions, and audit readiness. Advise on architecture, cybersecurity, privacy, Agile compliance, and validation frameworks for cloud infrastructure and AI/ML. Serve as a global quality subject matter expert while mentoring engineering, product, and program teams.

Architects and leads end-to-end test automation for regulated Software as a Medical Device products. Owns automation frameworks, AI-assisted testing, post-deployment verification, tool validation, API and integration testing, CI/CD integration, traceability, audit evidence, and root-cause investigations. Establishes testing standards across frontend, backend, 3D visualization, desktop, and AI/ML systems while partnering with engineering and regulatory teams. Mentors engineers, supports audits and submissions, and shapes the growth of the Test Engineering function.

Designs and owns end-to-end automated testing across UI, APIs, back-end services, ML pipelines, and clinical workflows for regulated SaMD products. Builds smoke, regression, visual, post-deployment, and integration tests using Selenium and Playwright; validates tools under medical-device QMS requirements; supports CI/CD, audits, CAPAs, traceability, defect resolution, and regulatory submissions. Coordinates offshore contractors, mentors engineers, and collaborates with engineering, product, and RA/QA teams.

Own the architecture and operation of Heartflow’s production OLTP databases supporting clinical and operational applications. Design schemas and data models, optimize queries, improve database performance and reliability, and guide Django ORM and backend data-access practices. Lead database operations, compliance, security, privacy, recovery, observability, and incident response across AWS. Mentor engineers and influence cross-team architecture, while supporting healthcare data standards, analytics pipelines, data lakes, and AI-oriented semantic data structures.

Design and build scalable interoperability services connecting hospital EHR systems with AWS cloud services. Develop clinical data models, ingestion pipelines, secure REST APIs using FHIR and HL7, and resilient distributed systems. Ensure compliance with FDA and HIPAA standards, lead testing strategies, contribute to architecture, and mentor junior engineers.

Lead post-market quality for an AI-driven SaMD, owning complaint handling, product investigations, adverse event reporting, field actions/recalls, EU MDR post-market surveillance, and team leadership. Convert post-market signals into risk management, CAPA, and design inputs while ensuring regulatory compliance under FDA and EU requirements.