Senior Finance Manager

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 (RoadMapAnalysis), 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 750,000 patients worldwide.

The Senior Finance Manager plays a central role in guiding HeartFlow's strategic growth through operating and capital budget management, integrated financial modeling, and cross-functional decision support. Sitting at the center of near-term and long-range planning, this high-visibility position works regularly with senior functional leadership across the business to turn operational inputs into clear financial outputs and drive data-driven decision-making.

Financial Planning, Budgeting & Modeling

• Operating & Capital Budget Ownership: Serve as the financial owner for operational and capital budget-related activities across the company. Partner with cross-functional leadership to manage P&L expenses, understand cost drivers, and optimize department budgets.
• Integrated Financial Models: Own and maintain key components of integrated financial models, including monthly/quarterly rolling forecasts, long-range plans (LRP), and gross margin/operating expense projections.
• Scenario Analysis & Stress-Testing: Build sensitivity models to evaluate operating alternatives to guide key business decisions.
• Operational Translation: Translate operational headcount, vendor spend, project pipelines, and unit economics into precise financial forecasts and management reports.

Performance Analytics & Reporting

• Forecast Accuracy & Accounting: Responsible for monthly forecast accuracy, variance reviews, headcount tracking, accruals, and monthly/quarterly management reporting.
• Metrics & Tools Enhancement: Develop and maintain operational metrics, reporting tools, and dashboards that encourage data-driven decision-making at the department level.
• Modern Finance Workflows: Integrate AI tools and LLMs into financial analysis, data synthesis, and presentation development to enhance team productivity and analytical speed.

Business Partnership & Strategic Projects

• Cross-Functional Leadership: Partner directly with leadership across functions to support and quantify strategic business impacts.
• Ad-Hoc Strategic Analyses: Drive high-priority special projects and ad-hoc financial studies for C-suite and department heads.

Skills Needed

• Financial & Analytical Rigor: Advanced financial modeling skills with speed, precision, and proficiency in scenario planning, valuation models, and sensitivity analyses.
• Communication & Stakeholder Management: Excellent verbal, written, and presentation skills. Ability to present complex financial concepts clearly to senior leadership and cross-functional partners.
• AI & Technology Mindset: Tech-forward approach with comfort leveraging AI tools, LLMs, and modern finance applications to optimize workflows.
• Adaptability & Critical Thinking: Curiosity to understand the business deeply, with the agility to thrive in a fast-paced environment where priorities evolve.
• Precision: Strong attention to detail and commitment to producing accurate work.

Educational Requirements & Work Experience

• Education: Bachelor’s degree in Finance, Accounting, or a related field (required). MBA, CPA, or CMA is a plus.
• Experience: 8+ years of FP&A, Strategic Finance, or Accounting experience.
• Technical Software Expertise: Advanced expertise in MS Excel and PowerPoint. Experience or familiarity with NetSuite, Tableau, or modern finance systems is a plus.
• Leadership Support: Demonstrated experience presenting to and collaborating directly with senior leadership (C-suite and functional directors).

Hybrid Requirement : San Francisco or Rohnert Park office: Four times per week

A reasonable estimate of the yearly base compensation range is $190,000 to $240,000, and bonus.

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.

Heartflow has become aware of a fraud where unknown entities are posing as Heartflow recruiters in an attempt to obtain personal information from individuals as part of our application or job offer process. Before providing any personal information to outside parties, please verify the following: A) all legitimate Heartflow recruiter email addresses end with \"@heartflow.com\" and B) the position described is found on our careers site at