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 (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 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 Heart Flow'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…