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 VC-backed company 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 ideal candidate brings skills in architecting high-performance, scalable full-stack services that ensure robust security through well-designed and scalable systems. If you want to shape the technical vision while working with world-class software engineers, join our engineering team! You will work alongside Product Managers, Usability Designers, and Information Security Engineers to design APIs, services, and infrastructure that unlock new product capabilities and improve system reliability. #LI-IB1; #LI-Remote
Job Responsibilities
- Lead the design, development, and scaling of backend services and APIs powering core product functionality
- Solve complex and ambiguous problems, working closely with Product and Engineering leadership to break down solutions
- Influence engineering best practices, tooling, and architecture patterns
- Design and implement secure backend systems, including but not limited to authentication, authorization, and access control
- Make high-impact architectural decisions across backend services, balancing performance, security, and scalability, including areas such as identity management when relevant
- Identify technology risks and dependencies early to establish mitigation plans
- Mentor and guide other engineers through technical design, code reviews, and coaching
- Participate in security audits and compliance reviews
- Collaborate with InfoSec and AppSec teams on security implementations
- Collaborate cross-functionally with key partners in Product Management, Strategy, Operations, and Regulatory to ensure high-quality, high-impact delivery of innovative software projects
Qualifications required
- Education: Bachelor's degree in Computer Science, Engineering, or related discipline, or equivalent experience.
- Experience: 10+ years of relevant industry experience
- Technical Proficiency:
- Strong proficiency in modern backend (e.g., Python, Java, Go, Django, Flask, or similar) technologies and database technologies (SQL, NoSQL, or similar) understanding of front-end (e.g., Vue.js, JavaScript, React, Angular, or similar) technologies
- Project Experience:
- Proven track record implementing authentication and authorization systems
- Strong expertise in distributed systems and microservices architecture
- Demonstrated experience in building, deploying large-scale, secure RESTful APIs
- Leadership Skills: Experience driving technical vision and leading architectural decisions; ability to mentor and lead other engineers.
- Methodologies: Experience with Agile development methodologies and project management tools.
- Security Knowledge: Strong understanding of web security best practices.
- DevOps: Experience with DevOps best practices (e.g., CI/CD pipelines).
- Regulatory Understanding: Experience with or willingness to learn about FDA regulations and compliance requirements for medical software.
- Collaboration: Demonstrated ability to work in a fast-paced, collaborative environment.
How you stand out
- Experience with AWS Lambda, AWS ECS, AWS Fargate
- Experience with integrating OpenID, OAuth2, or SAML protocols
- Experience with medical applications or other regulated industries
A reasonable estimate of the base salary compensation range is $146,232 to $200,177 (for all locations outside San Francisco Bay Area) and $155,750 to $240,922 (for San Francisco Bay Area), cash bonus, and stock options.
Heartflow is an Equal Opportunity Employer. We are committed to a work environment that supports, inspires, and respects all individuals and do not discriminate against any employee or applicant because of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. This policy applies to every aspect of employment at Heartflow, including recruitment, hiring, training, relocation, promotion, and termination.
Positions posted for Heartflow are not intended for or open to third party recruiters / agencies. Submission of any unsolicited resumes for these positions will be considered to be free referrals.
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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.
