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About the Role

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.

Responsibilities

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.
Partner closely with cross-functional teams to turn business inputs into financial outputs, ensuring unit economics are captured accurately and analyzed.
Build and maintain scenario models that stress-test operating alternatives and market dynamics, delivering insights that shape real strategic decisions.
Work directly with commercial leadership to model pricing structures, contract frameworks, and customer valuations, quantifying business impact where it matters most.
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.
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.
Dig into detailed financial analysis, sensitivity analysis, and variance reviews that give leadership the clarity they need to decide with confidence.

Requirements

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.
Comfort leading or contributing to meetings with senior leadership (C-suite and department heads).

Skills

Financial Modeling
Forecasting
Long-range planning
Revenue projection
Gross margin projection
Operating expense projection
Unit economics analysis
Scenario analysis
Pricing analysis
Contract analysis
Customer valuation
Cost allocation
Resource allocation
Budget management
AI tools
LLMs
Financial analysis
Sensitivity analysis
Variance analysis
MS Excel
Communication
Problem-solving
Critical thinking

Location

San Francisco
Rohnert Park

Work Type

Hybrid

Experience Level

8+ years of experience in finance, strategic planning, financial analysis, or related roles.

Education Level

Bachelor's degree in Finance, Accounting, or related field

Salary/Compensations

$160,000 to $210,000

Benefits

Bonus
Equity

About the Company

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 (RoadMap™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 500,000 patients worldwide.

Equal Opportunity

Heartflow is an Equal Opportunity Employer. We are committed to a work environment that supports, inspires, and respects all individuals and do not discriminate against any employee or applicant because of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. This policy applies to every aspect of employment at Heartflow, including recruitment, hiring, training, relocation, promotion, and termination.