Strategic 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 FFR_CT 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 (FFR_CT 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 Strategic Finance Manager, you'll sit at the center of near-term and long-range financial planning, partnering with finance leadership and cross-functional teams across the business to build the models, scenarios, and analyses that guide Heartflow's most important strategic decisions. This is a high-visibility role for someone who wants their financial thinking to directly influence how a mission-driven company grows.

Job Responsibilities

• Financial Modeling Support: Own key pieces of the company's integrated financial models, including rolling forecasts (monthly/quarterly) and long-range plans (LRP), with a sharp focus on revenue, gross margin, and / or operating expense  projections.
• Commercial-to-Financial Translation: Partner closely with cross-functional teams to turn business inputs into financial outputs, making sure unit economics are captured accurately and analyzed.
• Scenario Analysis & Modeling: Build and maintain scenario models that stress-test operating alternatives and market dynamics, delivering insights that shape real strategic decisions.
• Pricing & Contract Analysis: Work directly with commercial leadership to model pricing structures, contract frameworks, and customer valuations, quantifying business impact where it matters most.
• Cost & Resource Allocation Translation: Partner closely with cross-functional teams (R&D, Sales, G&A) to translate operational headcount, vendor spend, and project pipelines into accurate financial outputs, ensuring department budgets are tightly managed and optimized.
• AI-Native Workflows: Put AI tools and LLMs to work in financial analysis, data synthesis, and presentation development, helping set the pace for how modern finance teams operate.
• Analytics & Reporting: Dig into detailed financial analysis, sensitivity analysis, and variance reviews that give leadership the clarity they need to decide with confidence.

Skills Needed

• Strong analytical and problem-solving skills, with a knack for spotting financial insights and opportunities others miss.
• Excellent verbal, written, and interpersonal communication skills.
• Ability to structure logical approaches and apply analytical techniques with speed and precision.
• Proficiency with scenario planning and sensitivity analysis.
• Genuine curiosity and sharp critical thinking, with a real appetite for learning Heartflow's business and industry inside and out.
• Thrives in a fast-paced, dynamic environment where priorities can shift quickly.
• AI mindset and comfort leveraging LLMs and modern tools for problem-solving.
• Advanced expertise with MS Excel for financial modeling and data analysis.
• Ability to communicate effectively with senior leadership and cross-functional teams.
• Attention to detail and commitment to accuracy.

Educational Requirements & Work Experience

• Bachelor's degree in Finance, Accounting, or related field (required).
• 8+ years of experience in finance, strategic planning, financial analysis, or related roles.
• Advanced Excel skills: Demonstrated proficiency in complex financial modeling, custom valuation models, and financial analysis.
• Medical Device, BioPharma, or Healthcare Technology experience (preferred but not required).
• Comfort leading or contributing to meetings with senior leadership (C-suite and department heads).

Special Working Conditions

This position requires a hybrid schedule:

• San Francisco or Rohnert Park office: Three times per week

A reasonable estimate of the yearly base compensation range is $160,000 to $210,000, bonus and equity.