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 500,000 patients worldwide.
As the Principal Risk Quality Engineer, you will own the product Risk Management process and will serve as the global subject expert (SME) for Product Safety and Risk Management. You will be the architect of the risk lifecycle, ensuring that our digital health solutions—including SaMD and AI/ML-enabled technologies—are designed with a "Safety-First" mindset.
Your core responsibility will be leading the end-to-end Risk Management process (ISO 14971), from initial Hazard Analysis through Post-Market Risk surveillance, ensuring that clinical risks are identified, mitigated, and verified before reaching a patient. As a global SME of Risk Management, you will train and coach teams on Risk Management and work collaboratively with cross functional engineers and Quality team members.
Key Responsibilities
Strategic Leadership
- Risk Governance: Act as the primary authority on global risk standards, including ISO 14971, IEC 62304 (Risk focus), and ISO/TR 24971.
- Safety Architecture: Define the framework for evaluating risk in AI/ML (algorithmic bias/drift), Cloud Infrastructure, and Cybersecurity (AAMI SW96/TIR57).
- Cybersecurity: Partner with Cybersecurity team to evaluate and address cybersecurity related risks and ensure processes adhere to U.S. and international standards and guidance documents.
- Risk Culture: Lead cross-functional "Safety-by-Design" workshops, ensuring engineering and product teams understand the clinical impact of technical failures.
Design Quality & Risk Management
- Advanced Risk Modeling: Lead and facilitate comprehensive risk activities, including Hazard Analysis, Fault Tree Analysis (FTA), and FMEAs (System, Design, and Software).
- Benefit-Risk Analysis: Partner with Clinical Affairs to author Benefit-Risk Assessments (BRA) for global regulatory submissions.
- V&V Alignment: Ensure that the Software Verification & Validation (V&V) strategy is directly driven by the Risk Management File (RMF), ensuring all mitigations are rigorously tested.
Execution & Compliance
- Risk Management File (RMF) Ownership: Drive the creation and maintenance of the RMF from concept through commercialization, ensuring a "living document" approach.
- Post-Market Risk Surveillance: Lead the review of field performance data and complaints to update risk assessments and trigger Corrective and Preventive Actions (CAPA) when necessary.
- Health Hazard Evaluations (HHEs): Lead necessary HHE activities related to quality and safety issues.
- Audit Representation: Serve as the global SME, defending the technical integrity of the Risk Management process and files and technical safety justifications during FDA, Notified Body, and MDSAP inspections.
Cross-Functional Collaboration
- Clinical Collaboration: Bridge the gap between technical software failures and clinical harms by working closely with Medical Affairs.
- Regulatory Submissions: Provide critical risk-based evidence for FDA 510(k)/PMA and EU-MDR technical files.
Skills Needed
- Mastery of Risk Estimation, Evaluation, and Control methodologies.
- Strong critical thinking skills with the ability to visualize complex system-level failure modes.
- Ability to translate technical software bugs into potential clinical patient harms.
Educational Requirements & Work Experience
- Bachelor’s degree in Biomedical Engineering, Systems Engineering, or a related technical field; Master’s degree strongly preferred.
- 10+ years of experience in Risk Management or Quality Engineering within the medical device industry.
- Certifications (Preferred): ASQ Certified Risk Management Professional, Six Sigma Black Belt, or ISO 14971 Lead Auditor.
This position has an estimated base salary of $185,000 - $240,000, bonus, and equity. #LI-IB1; LI-Hybrid
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.
