Senior Technical Business Systems Analyst - Financial Systems

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 colour‑coded, 3‑D model of a patient’s coronary arteries indicating the impact of blockages 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 (Road Map™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 revolutionise precision heart‑care.

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.

We are seeking a proactive, technically deep Senior Business Systems Analyst to serve as the primary subject‑matter expert and day‑to‑day steward of Heart Flow’s Net Suite ERP ecosystem. This role sits at the intersection of finance operations and enterprise systems, translating complex business requirements into scalable Net Suite configurations and integrations that support our growth as a globally expanding, publicly traded medtech company.

You will own the ongoing health of our Net Suite platform—including the modules, integrations, and partner ecosystem reflected in our current subscription—while driving continuous improvement across our broader financial systems stack. That stack extends beyond Net Suite to include payroll and HR, procurement‑to‑pay, rebate and contract management, advanced revenue recognition (ARM), and business intelligence platforms (Domo, Tableau). If you thrive working cross‑functionally, can hold a technical conversation with IT in the morning and a business requirements session with stakeholders in the afternoon, this role is built for you.

• Serve as primary functional and technical administrator for Heart Flow’s Net Suite environment, covering core ERP (GL, AR, AP), One World multi‑subsidiary/multi‑currency, Revenue Management, Revenue Allocation, Fixed Asset Management, and Advanced Electronic Bank Payments.
• Manage platform health across production and sandbox environments, including configuration, customization governance, Suite Cloud+ usage, and oversight.
• Drive adoption and optimisation of licensed modules including Suite Analytics Connect and Suite Cloud Plus.
• Lead planning and execution for Net Suite bi‑annual releases: assess new functionality, develop test plans, coordinate UAT with business stakeholders, and manage sandbox‑to‑production promotion.

• Partner closely with Finance, Accounting, FP&A, Revenue, and Operations teams to gather, document, and translate business requirements into scalable system solutions within Net Suite and connected platforms.
• Analyse current‑state business processes and workflows across order‑to‑cash, procure‑to‑pay, record‑to‑report, and revenue recognition; identify gaps and design improved future‑state processes.
• Develop and maintain business requirements documents (BRDs), functional design specifications, process flow diagrams, and user acceptance test scripts.
• Act as the liaison between business units, IT, and external implementation partners or vendors, ensuring solution designs balance business need with technical feasibility.

• Oversee and support integrations between Net Suite and Heart Flow’s broader enterprise application ecosystem, including orchestration layers, REST/SOAP API integrations, and file‑based data exchanges.
• Work hands‑on with Suite Script, Suite Flow (workflow automation), saved searches, and custom reports to configure and extend Net…