Principal Regulatory Affairs Specialist

San Francisco, California;
Rohnert Park, California

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 (Road Map™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 750,000 patients worldwide.

We are seeking a Principal
Regulatory Affairs Specialist to drive global regulatory strategy and submissions for our AI-driven Heartflow medical products. In this role, you will serve as a regulatory subject matter expert across SaMD, artificial intelligence/machine learning (AI/ML) algorithms, mobile medical apps, and other products. You will partner closely with Software Engineering, Data Science, Product Management, Clinical and Quality teams from initial agile planning through global commercial clearance and post-market regulatory activities.

• Product Development Team: Represent Regulatory Affairs on cross‑functional teams to ensure regulatory alignment with business objectives and generation of deliverables for regulatory submissions.
• Strategic
  
  Roadmap:
  
  Author and execute timely global regulatory strategies including FDA Pre‑submissions, 510(k) s, De Novo requests, EU MDR CE Marking, and other geographies.
• Advanced Technology Filings: Develop submission strategies for advanced digital health technologies, including AI/ML‑enabled devices, Good Machine Learning Practice (GMLP), and Predetermined Change Control Plans (PCCPs).
• External Engagement: Develop relationships and lead interactive communications with regulatory agencies (e.g., FDA Digital Health Center of Excellence, Notified Bodies) and 3rd party business partners for Heartflow devices including algorithm performance evaluation and metrics.

• Quality System Support: Maintain regulatory pre‑market and post‑market commitments and compliance (establishment registrations, certifications, reporting, special controls, etc) and related activities. Support development of SOPs and internal guidance. Support Quality organization as necessary in audits and initiatives.
• Software Change Impact Analysis: Evaluate software changes under FDA and other software change guidances to determine necessary filings versus internal software release documentation.
• Regulatory Intelligence: Track evolving digital health policies (e.g., FDA AI/ML Action Plans, EU Artificial Intelligence Act, ISO/IEC standards) and provide guidance to internal teams.
• Mentorship: Provide guidance and training to software engineers, product managers, and junior regulatory team members on medical device software development and regulations.

• Bachelor’s Degree in Computer Science (ML/AI), Biomedical Engineering, Software Engineering, Electrical…