Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease, the #1 cause of death worldwide, using cutting-edge technology. The flagship product—an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis—provides a color-coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMap™Analysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare.
Heartflow is a publicly traded company (HTFL) that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 400,000 patients worldwide.
The Finance Director - FP&A plays a central role in constructing and updating the long-range business and valuation modeling for Heartflow. This position works with leadership across multiple functions to determine the most critical valuation drivers and understand their applicability to the organization’s financial planning.
Job Responsibilities:
- Drive the multi-year strategic planning process across the organization, developing robust financial models that project future performance and evaluate financial returns of various strategic initiatives
- Lead the comprehensive development and finalization of the company’s annual budget
- Manage timely and accurate quarterly and rolling financial forecasts, identifying key risks and opportunities. Provide in-depth variance analysis of actual results against budget and forecast, explaining drivers of performance to senior management
- Prepare executive-level presentations, including materials for the Board of Directors, Executive Leadership Team and Investor Relations, summarizing financial performance, strategic progress, and future outlook
- Develop and maintain sophisticated models to monitor and forecast revenue performance by product and geography
- Analyze pricing performance, providing recommendations to optimize top-line growth and profitability
- Serve as the financial lead for gross margin optimization. Conduct detailed analysis of COGS components, partnering with Operations team to drive structural margin improvements
- Create financial models, PowerPoint presentations, and data visualization as required
- Excellent analytical skills and the capacity to identify problems and opportunities and to provide well-informed recommendations for solutions
- Ability to structure logical, analytical approaches and apply a range of techniques to solve business problems in an efficient, timely manner
- Exceptional executive presence and communication skills with a track record of building solid relationships cross-functionally
- Excellent verbal, written, and interpersonal communication skills
- Curiosity, strong critical thinking skills, and an insatiable appetite for learning
- Command of scenario planning and sensitivity analysis to evaluate the impact of various strategic initiatives
- Comfortable working in a fast-paced and dynamic environment
- Expertise with MS Excel and PowerPoint
- Familiarity with Netsuite and Datarails is a plus
- Bachelor's degree in Finance, Accounting, a related field or equivalent directly related work
- MBA is preferred; CPA/CMA is a plus
- 10+ years of experience in relevant Finance roles
- Prior experience leading a team, fostering a culture of high performance, continuous improvement, and deep business acumen
- Extensive experience with Excel-based advanced financial modeling and confidence with creating customizable customer valuation models
- Ability to lead meetings with C-Level roles in the organization
- Medical Device, BioPharma or other Healthcare Technology client experience is preferred
A reasonable estimate of the base salary compensation range is $210,000 - $265,000, cash bonus, and stock options.
Top Skills
What We Do
Heartflow is the global leader in AI-driven coronary artery disease (CAD) management, transforming how CAD — the world’s leading cause of death — is diagnosed and treated. Our advanced technology generates personalized, precision 3D heart models from a single CT scan, providing clinicians with the clarity and confidence to deliver earlier, more effective treatments — transforming CAD into a disease that can be managed for life.
Heartflow One is the only complete, non-invasive, precision coronary care platform providing patient insights throughout the guideline-directed CCTA pathway. The AI-driven platform — including Roadmap™ Analysis, FFRCT Analysis and Plaque Analysis — is supported by the ACC/AHA Chest Pain Guideline and backed by more than 600 peer-reviewed publications.
With over 400,000 patients treated, more than 1,400 leading institutions adopting our solution, and 99.5% of U.S. lives covered — Heartflow is redefining the standard of coronary care. We're a global company, with employees across the United States, Europe and Japan. Our headquarters are in Mountain View, California, with additional offices in California, Texas, the UK, and Japan.
We believe CAD shouldn’t be a silent threat. By making it screenable, diagnosable, and manageable, we’re changing the story of CAD, empowering clinicians to save lives and giving patients more time for what matters most.
Why Work With Us
Join Us to Rewrite the Story of CAD.









