Full-Time

Director – Engineering

Clinical Products

Posted on 6/2/2025

HeartFlow

HeartFlow

501-1,000 employees

Non-invasive cardiac imaging to guide treatment

Compensation Overview

$220k - $290k/yr

+ Cash Bonus + Equity

San Francisco, CA, USA

Hybrid

Hybrid work model; SF Bay Area location.

Category
Engineering Management (1)
Required Skills
MLOps
Agile
UI/UX Design
Machine Learning
AWS
DevOps
Requirements
  • Bachelor’s degree in Computer Science or related technical field; advanced degree preferred.
  • 8+ years of relevant industry experience in a software company.
  • Experience shipping and maintaining commercial software products that combine ML models with engaging user interfaces.
  • 5+ years in engineering leadership, with at least 3 years managing engineering managers and growing multi-team organizations.
  • Proven experience managing managers and leading multiple engineering teams in a fast-paced, mission-driven environment.
  • Track record of successful planning, consistent execution, and on-time delivery of complex software projects.
  • Strong leadership and organizational skills with an ability to align engineering outcomes to business priorities.
  • Experience in turning complex data and algorithms into intuitive, interactive visual experiences.
  • Strong background in UI/UX-driven development, data visualization, or real-time rendering.
  • Practical experience of turning research-developed algorithms into production-grade software
  • Solid understanding of MLOps, cloud-native development, and scalable architectures.
  • Deep knowledge of software development best practices: testing, CI/CD, DevOps, agile methodologies.
  • Excellent communication and collaboration skills across cross-functional teams.
  • Experience with medical applications or other regulated industries. Direct experience with Software as a Medical Device (SaMD) is highly desired.
  • Experience with cloud-based infrastructures (Amazon Web Services or equivalent).
  • Nice-to-have: experience with medical imaging or 3D visualization.
Responsibilities
  • Lead and grow multiple engineering teams through engineering managers, setting clear goals and ensuring alignment to strategic objectives.
  • Drive successful quarterly and long-range planning efforts, balancing innovation with execution, and ensuring engineering teams consistently meet delivery commitments.
  • Ensure engineering teams are executing with high quality, predictable velocity, and attention to operational reliability.
  • Hire, develop, and retain strong engineering and management talent; build an inclusive, high-performance team culture.
  • Manage and grow an organization of engineering teams that span algorithm development, visualizations, results and report generation.
  • Mentor and guide engineering managers in their career development and technical growth.
  • Provide technical leadership across medical device software, including visualization, UI architecture, cloud services, algorithm development and integration.
  • Collaborate with product, clinical, design, and research teams to build seamless and effective user experiences that translate complex data into actionable insights.
  • Partner with other engineering leaders to evolve our system architecture and ensure cross-team alignment and technical coherence.
  • Contribute hands-on to design when appropriate, especially in areas of high impact such as architecture, rendering pipelines, or clinical data visualization.
Desired Qualifications
  • Advanced degree in Computer Science or related field
  • SaMD experience is highly desired
  • Nice-to-have: medical imaging or 3D visualization

HeartFlow provides a non-invasive cardiac test that helps doctors visualize a patient’s coronary arteries to diagnose and plan treatment for heart disease. It uses a proprietary set of analyses—FFRCT Analysis, RoadMap Analysis, Plaque Analysis, and HeartFlow Planner—to create a detailed, patient-specific visualization from imaging data, enabling clinicians to assess blood flow and plaque without surgery. This approach reduces the need for invasive procedures, lowers risk for patients, and can cut costs for healthcare providers. Compared with traditional methods, HeartFlow offers validated, FDA-cleared tools that integrate multiple analyses into one platform, giving physicians a clearer, data-driven basis for diagnosis and treatment decisions. The company’s goal is to improve cardiovascular care by making safer, more efficient diagnosis and treatment planning widely available in hospitals and clinics around the world.

Company Size

501-1,000

Company Stage

IPO

Headquarters

Redwood City, California

Founded

2010

Simplify Jobs

Simplify's Take

What believers are saying

  • 2025 revenues hit $176M, up 40%, with 24-26% growth to $218-222M projected 2026.
  • FISH&CHIPS delivers greater-than-modeled cost savings, boosting NHS and payer adoption.
  • Capricorn's $48M stake and Bain's $419M investment signal strong investor confidence.

What critics are saying

  • Ongoing $116.79M 2025 net losses exhaust cash, forcing dilutive financing by 2027.
  • NHS cost scrutiny post-FISH&CHIPS slashes margins on $160.6M US revenues in 2026.
  • Siemens Healthineers AI-CT rivals capture 30% US hospital contracts within 12 months.

What makes HeartFlow unique

  • Lesion-specific FFRCT predicts MI and revascularization strongest in FISH&CHIPS 90,000-patient study.
  • PCI Navigator integrates AI 3D models for pre-procedural stent planning launched October 2025.
  • FFRCT combines anatomy, physiology, plaque analysis in personalized 3D heart models.

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Benefits

Remote Work Options

Stock Options

401(k) Company Match

Growth & Insights and Company News

Headcount

6 month growth

2%

1 year growth

2%

2 year growth

1%
Yahoo Finance
Mar 23rd, 2026
HeartFlow soars 27% as firm targets 24-26% revenue growth in 2026

Heartflow Inc. surged 27% week-on-week following its strong 2025 performance and optimistic growth guidance. The medical technology company reported 2025 revenues of $176 million, up 40% from $125.8 million in 2024, with US revenues rising 41% to $160.6 million and international revenues climbing 26% to $15.4 million. The company remains unprofitable, posting a net loss of $116.79 million, 21% higher than the previous year. However, fourth-quarter net loss decreased 26% to $24.4 million. For 2026, Heartflow projects revenue growth of 24% to 26%, targeting between $218 million and $222 million. CEO John Farquhar said the guidance "reflects strong business fundamentals" and expressed high confidence in consistent execution.

Yahoo Finance
Mar 22nd, 2026
Capricorn Investment Group buys $48M stake in AI cardiac diagnostics firm HeartFlow

Capricorn Investment Group has purchased 1.7 million shares of HeartFlow, establishing a new position worth $48.18 million in the AI-powered cardiac diagnostics company, according to an SEC filing dated 17 February 2026. The stake represents 5.83% of Capricorn's reportable assets under management. HeartFlow offers AI-driven, non-invasive diagnostic solutions for coronary artery disease, generating revenue from healthcare providers and systems. The company went public in August 2025 and currently has a market capitalisation of $2.22 billion. As of 20 March 2026, HeartFlow shares traded at $26.30, down 10.7% year-to-date from a 52-week high of $41.22 reached last October. The company reported trailing twelve-month revenue of $161.88 million and a net loss of $125.37 million.

Yahoo Finance
Mar 17th, 2026
HeartFlow to report Q4 results with $46.5M revenue expected, analysts cut earnings forecast to -$2.11 per share

HeartFlow Inc is set to report Q4 2025 earnings on 18 March 2026. The consensus estimate projects revenue of $46.50 million and a loss of $0.27 per share. Full-year 2025 revenue is expected to reach $173.36 million, with a loss of $2.11 per share. Over the past 90 days, revenue estimates have increased slightly, whilst earnings estimates have declined. In Q3 2025, HeartFlow beat revenue expectations by 10.29% but missed earnings forecasts, posting a loss of $1.04 per share against an expected loss of $0.32 per share. The stock fell 13.43% following that release. Six analysts have set an average one-year price target of $38.50, suggesting an 83.51% upside from the current price of $20.98. The average brokerage recommendation is "Outperform".

Daily Political
Feb 3rd, 2026
HeartFlow's $317M IPO lock-up period ends tomorrow as analysts set $38.50 target

HeartFlow, a medical technology company developing non-invasive diagnostics for coronary artery disease, will see its lock-up period expire on 4th February. The company issued 16,666,667 shares in its August public offering at $19.00 per share, raising $316.7 million. Following the expiry, restrictions preventing company insiders and major shareholders from selling shares will be lifted. Shares traded at $28.78 on Tuesday, giving the company a market capitalisation of $2.45 billion. HeartFlow has received positive analyst coverage, with five buy ratings, two hold ratings and one sell rating. The consensus price target stands at $38.50. The company's technology uses computational modelling to analyse coronary CT angiography data, creating three-dimensional physiological models to identify coronary lesions without invasive procedures.

The Motley Fool
Nov 30th, 2025
HeartFlow Acquired for $65M by Billionaire

Tulsa-based Schusterman Interests acquired 1.9 million shares of HeartFlow, Inc. for $65 million, making it the fourth-largest holding in their portfolio. HeartFlow, an AI-driven heart diagnostics company, saw its shares rise 70% from its $19 IPO price in August. The acquisition reflects confidence in HeartFlow's technology and potential for revenue growth. As of September 30, HeartFlow represented 14.9% of Schusterman's 13F assets.

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