HeartFlow

Role Description The Regional Business Manager (RBM) will shape the Territory Account Manager (TAM) organization by creating a culture of performance and accountability based in transforming the standard of care in diagnosing CAD. - Hire, train, coach, and develop the territory account manager team. - Ensure customer success with Heartflow’s non-invasive cardiovascular diagnostic technology. - Provide the team with expectations, resources, and coaching to drive Heartflow adoption. - Partner with TAMs and accounts to support, educate, and provide solutions for high customer satisfaction. - Spend time with the direct sales team and customers, including Cardiologists, Internists, general practitioners, Nurse practitioners, and physician assistants managing patients with ACS/CAD. Job Responsibilities - Work cross-functionally to create solutions as new opportunities present. - Create progressive programming to reach ordering physicians treating CAD. - Work directly with key strategic Heartflow accounts to drive growth and adoption of a cCTA and FFRct clinical pathway. - Develop and execute business development plans with account stakeholders. - Facilitate cross-functional collaboration throughout the organization. - Increase Heartflow usage within designated key strategic accounts by: - Maintaining and building relationships with referring physicians and key clinical stakeholders. - Educating customers on Heartflow’s value proposition through presentations and discussions. - Promoting and championing Heartflow to build advocacy. - Evaluate performance based on: - Meeting/exceeding quota for strategic Heartflow accounts. - cCTA growth and FFRct penetration/case growth over baseline in assigned accounts. Skills Needed - Meeting Sales Goals - Motivation for Sales Team - Territory Management - Presentation Skills - Performance Management - Building Relationships - Emphasizing Excellence - Negotiation - Results Driven - Sales Planning - Managing Profitability - Demonstrated ability to hire, develop, and manage talent - Proven sales management skills and track record of sales achievement - Experience building and supporting strong clinical programs - Clinical/technical proficiency with the ability to disseminate information to customers - Customer-focused mentality - Knowledge of cardiac patient pathways and diagnostic technology preferred - Self-motivated with excellent problem-solving ability - Strong work ethic and ability to work in a cross-functional team environment - Excellent verbal and written communication skills - Experience with Salesforce.com or similar CRM Educational Requirements & Work Experience - 4-year degree with 5+ years of related sales or clinical experience, or 2-year degree with 7+ years related sales or clinical experience. - Degree in Science, Medical, Business, Marketing, or Technical field preferred. - Prior experience in medical device, cardiology pharmaceuticals, or medical software highly desired. - Experience introducing new cardiovascular technologies into hospitals highly desired. Physical Demands of the Job - Up to 60% travel from your home office is expected. Equal Opportunity Employer Heartflow is committed to a work environment that supports, inspires, and respects all individuals and does not discriminate against any employee or applicant based on various protected statuses.

Role Description The Territory Sales Manager (TSM) will be the face of Heartflow within a specific geographic region. The TSM will sell and promote Heartflow’s FFRct product by developing new accounts and expanding usage in current accounts. The Heartflow analysis is a first-of-its-kind noninvasive technology that helps clinicians diagnose and treat patients with suspected coronary artery disease (CAD). Job Responsibilities: - Drive sales of Heartflow’s technology at new accounts, including prospecting, quoting, and closing new business. - Develop a pipeline of opportunities within the assigned geography. - Schedule sales calls to meet with current and potential customers. - Manage the sales process of Heartflow into new centers. - Build and maintain relationships with Interventional Cardiologists, Cardiologists, Radiologists, and other key clinical stakeholders (and other key decision makers) to grow and develop business. - Educate customers on Heartflow’s value proposition by giving presentations / having discussions with key decision makers. - Drive penetration of Heartflow’s technology within existing accounts. - Maintain and build relationships with referring physicians and other key clinical stakeholders within the assigned geography to grow and develop business within existing accounts. - Promote / champion Heartflow and build advocacy. - Be accountable to achieve sales goals in the assigned geography. - Collaborate with the commercial team to develop detailed plans / strategies for Heartflow adoption and penetration within the assigned geography. - Coordinate priorities / activities of a team that includes CT Applications specialists, Implementation Managers, Field Billing Specialists (and others) to drive sales, increase adoption, and deliver excellent customer service. - Gather “voice of customer” input to guide product development and market strategy. - Utilize salesforce.com to manage all facets of business (sales leads, activities, etc.). This is a home-based position with up to 30-50% travel. Qualifications - History of proven sales skills and sales achievements. - Experience in a sales with Cardiology (radiology experience is a plus). - Knowledge/experience developing and implementing go-to-market plans for new diagnostic or therapeutic areas. - Deep understanding of cardiovascular disease and relationships with practitioners in this area in your assigned region. - Strong problem-solving skills. - Knowledge/experience in physician education regarding new technologies. - Knowledge/experience creating tactical sales plans for segmentation and anticipated adoption of Heartflow technologies. - Self-starter with high initiative. - A pattern of winning/driving revenue. - Technical aptitude; able to discuss / explain a complex technology. - Experience with Salesforce.com or similar CRM. - Excellent teamwork and communication skills; ability to work in a fast-paced adaptive environment. Requirements - BA Degree. - 10+ years of healthcare and/or business-to-business sales experience in a cardio/cardiovascular environment is required. - Medical device sales experience required. Benefits - The base salary is $150,000 plus variable/commission. - The total target compensation for this role is $300,000, however there is no cap on variable pay. - Heartflow offers a robust benefits package.

Role Description The individual will be responsible for the identification, development, and management of strategic relationships with payers and organizations that influence payer decision-making within their assigned geographic region. The person will work directly with the Market Access team including the sales, implementation, and billing specialist teams within their respective regions and will serve as a resource for identification and resolution of payer related issues. The person will be responsible for regional managed care organizations within their assigned geography. This person will also interact within a broader Market Access team and ultimately be responsible for implementation of tactical plan developed by the market access leadership team. In addition, this position will provide critical competitive intelligence within the market access marketplace to leadership. The individual will assist in the development of the local market access strategic plan for Heartflow’s FFRCT­ Analysis. The ultimate goal of the position is to minimize FFRCT access barriers and to achieve favorable coverage policy and reimbursement contracts for Heartflow products with commercial payers as well as support other billing and collections projects as needed. Job Responsibilities - Assume and implement assigned projects to increase covered lives and revenue. - Maintain current knowledge of applicable third-party reimbursement rules and regulations. - Serve as primary point of contact for assigned private payers. - Coach physicians in nuances of reimbursement advocacy for Heartflow products. - Lead discussions with relevant payers to reach positive coverage determinations and optimize contract terms for payment. - Negotiate, secure, and manage regional contracts with appropriate cross-regional and national payer accounts, including, but not limited to, managed care plans (MCOs), Accountable Care Organizations (ACOs), health systems, insurance companies and potentially, self-insured employers. - Support key opinion leader development from a payer perspective and provide targeted support to commercial sites to eliminate barriers to access. - Refine supporting materials from HQ for physician advocacy use with regional payers. - Support Medical Policy development as required. - Support the team in determining regional payer account strategy and tactics. - Serve as liaison between payer customers and company personnel on administrative matters. - Support commercialization strategy with regional sales teams and participate actively in the preparation and execution of regional field sales plans. - Establish critical relationships with a variety of stakeholders within their geography: health plan medical directors, select practice administrators, key opinion leaders. - Instill reimbursement confidence within the cardiovascular community to support FFRCT. - Responsible and accountable for the successful implementation within their territories of the strategic and tactical reimbursement plan for Market Access team. - May represent company at trade shows, scientific, or other meetings. Qualifications - Experience closing commercial payers for coverage decisions and negotiating contracted rates for the medical device or diagnostics industry (hospital contracting experience a plus). - Understand the global payer and reimbursement environment, specifically as it relates to coronary artery disease diagnostic testing in the U.S. - Must have a solid understanding of coverage, coding, payment, and reimbursement requirements and policies. - Understanding of key private payer policy infrastructure, payment methodologies, coding and coverage trends. - Experience developing physician advocates who will testify as to the clinical utility of Heartflow products. - Demonstrated ability to work with multiple stakeholders in a collaborative and constructive manner. - Experience working in the field and supporting reimbursement needs of sales team members. - Excellent written and verbal communication skills, especially with presentation development. - Early stage company experience preferred. - Ability and willingness to act in accordance with regulatory compliance requirements, including but not limited to Heartflow’s quality system requirements. Requirements - Minimum 5+ years of health care/managed care and reimbursement industry experience. - BS required. MBA or advanced degree preferred. Benefits - This position has an estimated base salary of $140,000-$145,000 per year, variable pay of up to $50,000 per year. Company Description 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 (RoadMap™Analysis), assess coronary blood flow (FFR CT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). 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.

Senior Complaint Specialist Location: Austin, Texas Hybrid Job Description The Opportunity As our Senior Complaint Specialist, you will play a critical role in ensuring the safety and regulatory integrity of our products after they reach clinicians and patients. You will be responsible for the end-to-end management of product complaints, ensuring that every report is handled with the highest level of technical accuracy and regulatory compliance. This role is a key pillar of our post-market surveillance strategy, bridging the gap between customer feedback and continuous quality improvement. The Senior Complaint Specialist requires experience in the medical device industry with a clear understanding of medical device complaint handling processes, trending, and regulatory reporting procedures. This role will be responsible for identifying, reviewing, and processing complaints for evaluation as required by applicable regulations, standards, and company procedures. This role serves as a primary subject matter expert for complaint escalations and ensures that all reporting requirements to domestic and international regulatory authorities are completed accurately and on time. Job Responsibilities: - Complaint Handling: Assess reports received through multiple customer feedback channels to identify alleged deficiencies, ensure accurate documentation, and manage timely complaint review and closure. - Regulatory Reporting: Ensure timely and accurate Medical Device Reporting (MDR) and adverse event reporting to external regulatory authorities as required to ensure compliance with global regulatory requirements, including but not limited to FDA (21 CFR 820, 803, 806) and EU MDR. - Data Analysis & Statistical Trending: Collect, evaluate, and analyze complaints data to identify trends, potential risks, and opportunities for product improvement. - Quality System Support: Provide support on the maintenance of department documents and procedures; participate in Quality Management System (QMS) activities and Risk Management activities, including Health Hazard Evaluations (HHE), CAPA, and Nonconformance Reports (NCR). - Field Actions & Recalls: Provide support on product field action activities, including identification, risk assessment, stakeholder communication, and coordination of corrective actions. - Cross-Functional Liaison: Assist Customer Support and serve as a technical liaison for complaint escalations, providing support on complaint closure approvals; Provide guidance and mentorship to team members on process execution and regulatory requirements. - Process Optimization: Identify efficiencies in our surveillance workflows to scale our operations Skills Needed: - Regulatory Knowledge and deep understanding of 21 CFR 820, 21 CFR 803, 21 CFR 806, EU MDR, Health Canada MPR, ISO13485, and ISO 14971 - Proficient with Salesforce, Tableau, Electronic Document Management Systems (EDMS), Google Workspace, and MS Office - Strong critical thinking skills and great attention to detail - Ability to work as a self-starter in a fast-paced, adaptive environment and mentor team members - Excellent communication, documentation, and time management skill - Ability to stay current with global regulatory requirements and industry best practices Educational Requirements & Work Experience: - Education: Bachelor’s degree in Science, Engineering, or a related field. - Experience: 5+ years of relevant experience in the medical device industry, software medical device products (class II/III) preferred. This position has an estimated base salary of $75,000 to $100,000 and bonus.

Title: Clinical Field Specialist, CT - Southeast Location: South Carolina Greenville United States The Clinical Field Specialist, CT is responsible for optimizing customers' imaging programs and workflows by assisting with the proper use of Heartflow products (e.g. CT quality, systems, processes). This includes traveling to customer sites to deliver training and build relationships with Technologists, Radiologists, Cardiologists, and other customer representatives. The Clinical Field Specialist, CT will have substantial experience in clinical and cardiac CT, will be able to express a deep understanding of Heartflow's technology and products, and will be passionate about delivering the highest level of customer support. Job Responsibilities: - Assess the customer lifecycle and ensure the coronary CT program is optimized to set up customers for success. - Identify areas of improvement and make recommendations to enhance quality acceptance rates during customer onboarding. - Ensure customer has implemented any necessary changes to optimize use of Heartflow products on a continuous basis. - Conduct virtual and/or live training of technologists using various delivery methods, including product demonstrations, one-on-one, and group training sessions, to transfer knowledge on the use of Heartflow products in assigned geography. - Establish credibility and sustain strong working relationships with key stakeholders. - Ensure proper records (e.g. customer contacts, CT volume, engagement logs, training records, etc.) and documentation are input and maintained in Heartflow systems. - Capture customer feedback and participate in clinical discussions with customers and colleagues regarding Heartflow analysis on multiple products. - Maintain knowledge of the latest CT and Workstation technology innovations, training delivery methodologies, and training materials for effective training. - Build and execute on plans to proactively optimize customer performance and identify opportunities for improvement. - This is a remote position with up to 80% travel. Ability to take periodic on-call responsibilities Skills Needed: - Expert knowledge of cardiac CT is required - Teaching and industry experience are highly desirable - Strong communication skills and demonstrated success in building relationships Educational Requirements & Work Experience: - Associate degree in radiology, technology or related field required; Bachelor's Degree preferred - Minimum 3 years cardiac CTA experience - Must have active ARRT Certification in CT or Board Certified in Radiology A reasonable estimate of the base salary compensation range is $90,000 to $125,000 per year. This position is eligible for discretionary commission-based earnings.

Role Description The CT Application Specialist position is responsible for assisting customers with the proper use of HeartFlow products to ensure optimal use of the technology. This includes travel to customer sites to deliver training to and build relationships with Radiologists, Cardiologists, and other customer representatives. The CT Application Specialist will have strong experience in clinical and cardiac CT, will be able to express deep understanding of HeartFlow’s technology and products, and will be passionate about delivering the highest level of customer support. This is a home-based position preferably in PST zone with up to 20% travel. Schedule will be Tuesday–Saturday, 9:30 AM – 6:00 PM PST. Job Responsibilities - Has expert level of experience in cardiac CT. - Can help setup cardiac CT programs in cardiology and radiology, lead quality improvement programs with customers to address systemic problems with CT programs. - High level of knowledge of FFRct to troubleshoot and explain complex customer complaints related to product performance. - Works on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. - Exercises judgement in selecting methods, techniques and evaluation criteria for obtaining results. - Networks with key contacts outside own area of expertise. - Provide direct end-user training on HF products in accordance with specific training plans. - Must deliver effective training using a variety of delivery methods including but not limited to product demonstrations, one on one and classroom training, webinars, and end-user knowledge transfer testing. - Document/communicate customer acceptance/success on each training/assignment. - Assist in the attainment of revenue goals by providing the highest level of customer satisfaction through exceptional communication, proper end-user expectation setting, superior training delivery and customer support. - Provide on-site and/or remote clinical application support to customers by providing scientific, technical information in response to inquiries regarding use of HF technologies. - Provide constant feedback to R&D on clinical performance of products. - Prepare customized training materials as needed. - Mentor and train CT Application Specialist in the field. - Communicate in a highly professional manner and develop effective relationships with customers to learn and stay up to date regarding clinical environments. - Keeps up with the latest CT and Workstation product innovations, training delivery methodologies and adapt training presentations accordingly. Qualifications - Must be ARRT Certified in CT or Board Certified in Radiology. - Teaching experience highly desirable. - Experience in cardiac CT is a must. - Ability to travel extensively, up to 20% is required. Requirements - 1-3 years of clinical and/or education experience on cardiac CT. - Ability to discuss advance CT technical topics e.g. artifacts, radiation dose, iterative reconstruction, and new technologies e.g. spectral CT across multiple scanner platforms. - Ability to discuss complex clinical topics related to CT/FFRct – accuracy, clinical utility, and outcomes. - High-level proficiency on CCTA and high level of proficiency on HeartFlow’s technology and ability to discuss routine accuracy complaints with customers. Benefits - A reasonable estimate of the base salary compensation range is $90,000 to $115,000 per year and bonus. Company Description 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 (RoadMap™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 500,000 patients worldwide.

Role Description The Implementation Manager is a member of the Customer Success team and will lead the process for integration of Heartflow’s technology into customer accounts. This role acts as the technical lifeline for rapid resolution of issues in the field and the achievement of customer satisfaction and loyalty targets. - Lead Heartflow’s implementation process for integrating our technology into new customer accounts. - Manage implementation projects for new products or features to the commercial team and customers. - Provide end-user and commercial team training on Heartflow products and CT data requirements to customers in accordance with specific training plans. - Provide clinically-relevant and technical information and solutions in response to inquiries regarding use of HF technologies. - Document and track customer feedback, training, complaints, and resolutions in Heartflow’s Customer Relationship Management system and help improve knowledge base for customer issues. - Proactively manage and maintain an accurate implementation project funnel, including tracking progress, identifying risks, and providing reliable projections for activation timelines to leadership and the commercial team. - Understand issues, questions, and challenges of our customers and commercial team and help design and develop solutions, data insights, and tools to support commercial growth. - Effectively lead customer teams, maintain focus on established project goals, ensure strict adherence to the project plan, and mitigate scope creep that may compromise implementation progress. - Manage End-to-End Workflow Build by coordinating internal and customer teams to map, document, and validate current processes (orders, scheduling, reading, billing), ensuring high customer adoption of Heartflow products. - Ensure all Go-Live criteria are fully met and signed off on by both teams, providing critical support during and post activation. - Field based position with up to 50% travel. Qualifications - Positive, energetic personality, comfortable in front of groups/customers. - Customer-focused and highly adaptable mentality. - Excellent problem solving ability, especially under pressure. - Knowledge of hospital operations and hospital implementation of new technologies. - Excellent verbal and written communication skills. - Ability to cater communication to a wide range of technical, clinical, and cultural backgrounds. - Professional etiquette. - Responsible and accountable, with ability to manage multiple projects involving customers and colleagues from a wide range of technical and clinical backgrounds. - Ability to delegate and manage goals and activities of other employees. - Knowledge in at least one of the following: - Digital health technologies - Healthcare IT, such as PACS, EMR, CVIS, HIPAA requirements and PHI protections - Healthcare management - Relevant health industry experience for integrating new technologies Requirements - Experience with Salesforce or other CRM tool (preferred, but not required). - Cardiology clinical, imaging or product experience (preferred, but not required). - BS, MS, or other relevant education in engineering or sciences. - 3+ years of experience in a technical or clinical field with advanced degree, or 5+ years of equivalent work experience. - Project/program management experience required. - Extensive experience with EPIC and/or similar EMR systems required. - Clinical/medical background preferred. - Prior experience working in digital health, healthcare, or a regulated environment preferred. Benefits - This position has an estimated base salary of $100,000 - $120,000 and discretionary commission-based earnings. Company Description 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. - Helps clinicians identify stenoses in the coronary arteries (RoadMap™ Analysis). - Assesses coronary blood flow (FFR CT Analysis). - Characterizes and quantifies coronary atherosclerosis (Plaque Analysis). - Has been used for more than 500,000 patients worldwide.

Role Description The Clinical Trial Manager (CTM) is responsible for the oversight and management of all clinical operational activities at the trial and site level. The CTM will interact well with the Heartflow Clinical Research staff and collaborate effectively with Heartflow onsite and field staff, clinical research coordinators, principal investigators, and vendors to aid in ensuring clinical studies meet or exceed timelines and maintain high quality standards. The CTM will have demonstrated experience with clinical research study execution, exceptional organizational skills, excellent attention to detail, and will be comfortable working in a fast-paced start-up culture. Job Responsibilities: - Participates in clinical research activities including management of clinical study sites, management of study documentation, vendor management, and completion of project management tasks. - Develops clinical trial timelines, enrollment projections, and instructional materials in support of trial execution, including project, communication, monitoring, recruitment, risk mitigation, and contingency plans. - Participates in and leads process improvement activities within the department and cross functionally, including SOP development. - Conducts study start-up activities including the development of protocols, informed consent forms, source document worksheets, training presentations, etc. - Reviews site regulatory documents (informed consents, IRB approvals, research agreements) to ensure compliance with study requirements and GCPs. - Maintains effective working relationships with investigators/investigational site research coordinators, and vendors including core labs and data management. - Perform other duties as required for successfully completing studies, as necessary. Qualifications - Ability to work in a smaller team environment with a willing, all hands on deck attitude. - Ability to manage multiple tasks and be comfortable working in an environment with shifting priorities. - High attention to detail, accuracy, and quality and able to effectively prioritize multiple projects. - Knowledge of ICH Guidelines, US FDA, and European clinical trial requirements and regulations. - Excellent written and oral English communication skills required. - Proficiency in computer programs and specifically in Microsoft office tools including Word, Excel and PowerPoint. Requirements - Bachelor’s degree in science or health related field. - Demonstrated 5 years minimum relevant experience required. - Experience in cardiovascular medical device clinical research a plus. - Travel required: up to 25%. Benefits - A reasonable estimate of the base salary compensation range is $95,000 to $125,000 and cash bonus. Company Description 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 (RoadMap™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 500,000 patients worldwide. This position is open for the Central Midwest region, with targeted cities but not limited to: Chicago, Illinois; Minneapolis, Minnesota; Dallas, Texas; Houston, Texas; Austin, Texas.

Staff/Lead Site Reliability Engineer (SRE) San Francisco, 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 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. HeartFlow is transforming cardiovascular care with cutting-edge, non-invasive technology. We are launching a massive Platform Modernization initiative to power the next generation of our life-saving medical products. We're looking for an experienced Site Reliability Engineer (SRE) to join our cloud-native infrastructure team. You will work closely with our Platform engineers and development teams to ensure our critical systems are highly available, scalable, observable, and performant. If you thrive on eliminating toil, automating complex operations, and defining the standards for production excellence, we want to talk to you. Job Responsibilities As our Staff SRE, you'll be the primary expert responsible for our entire compute ecosystem. Your key responsibilities will include: As a Staff SRE, you'll operate at the highest level of technical expertise and influence. You won't just solve problems; you'll prevent them at a fundamental level across organizational boundaries. - Lead the design, implementation, and operation of reliable, scalable cloud infrastructure - Define and begin rollout of SLI/SLO standards across microservices - Develop self-service instrumentation tooling enabling engineering teams to own observability - Establish observability and monitoring using OSS toolchain - Serve as a technical escalation point for critical incidents, perform deep-dive root cause analyses (RCAs), and implement robust corrective measures to prevent recurrence. - Enhance our monitoring, logging, and tracing systems to provide comprehensive visibility into system health. - Set the technical direction and best practices for the entire SRE and engineering organization. Mentor mid-level and senior engineers on design patterns, operational rigor, and reliability principles. We're looking for a leader and a deep technical expert with a proven track record of solving the hardest scaling and reliability challenges. Required Qualifications - 8+ years of progressive experience in Site Reliability Engineering, Production Engineering, or a closely related role. - Deep expertise with: - AWS  - Kubernetes, Helm - Observability stack (Prometheus, Grafana, Mimir, Loki, Pixie, Tempo) - CI/CD systems (ArgoCD, Harness) - Fluency in at least one major scripting/programming language for automation and tooling (e.g., Python, Go, or Java). - Hands-on engineering mindset — able to instrument services directly, not just configure tooling - Track record of building or significantly improving incident detection and response systems - Have deep technical familiarity with Kubernetes ecosystems, containerization technologies, and modern IaC tooling (e.g., Terraform, Crossplane, or Operators) so you can effectively guide the team's technical decisions - Exceptional communication skills, capable of explaining complex technical issues to both technical and non-technical audiences. Nice-to-Have - Experience implementing Service Mesh technologies (e.g., Istio, Linkerd). - A strong understanding of security principles and practices in a cloud environment. - Certifications such as CKA (Certified Kubernetes Administrator) or CKAD (Certified Kubernetes Application Developer). A reasonable estimate of the base salary compensation range is $200,750 to $250,922, cash bonus, and equity. #LI-IB1 #LI-Hybrid

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. About the Role We are seeking an experienced, analytical, and results-oriented Solution Architect to drive the efficiency, quality, design, implementation, and scalability of our technical service delivery. Leveraging deep expertise in system architecture, technical integration, and customer-facing delivery, this role will analyze, design, and implement standardized best practices and processes across critical customer-facing journeys (e.g., technical onboarding, implementation, ongoing support). This is a high-impact technical leadership role focused on driving cross-functional architectural alignment. Key Responsibilities Process Design and Architectural Strategy - Map, redesign, and document high-impact technical workflows (e.g., technical onboarding, implementation) using best practices (e.g., ITIL, Lean, TOGAF). - Design future-state architectural models for optimized technical delivery and support. - Identify and implement innovative field solutions to solve customer problems and address unique customer requirements. - Create comprehensive technical documentation, including system integration diagrams, data flow maps, and technical specifications. - Introduce and tailor industry best practices to standardize templates, communication, and decision-making for technical services delivery. Governance, Tooling & Change Management - Define requirements and guide the configuration of tools to manage and scale technical service delivery. - Ensure all proposed solutions and associated technical documentation meet rigorous regulatory and security compliance standards, such as HIPAA and medical device requirements. - Define and report on key performance indicators (KPIs) to continuously audit and improve the efficiency of solution deployments. - Create clear process maps, policies, and training materials for technical teams - Drive adoption and governance of new standardized processes across Technical Operations, Engineering, and Customer Success. Technical Leadership and Expertise - Serve as the internal subject matter expert (SME) on technical concepts, providing expert guidance to both internal teams and customers. - Act as the technical voice of the field, communicating complex technical challenges and customer feedback to Engineering, Product, and InfoSec teams to influence the product roadmap. - Mentor cross-functional teams on the application of best practices and emerging technology trends. Qualifications Required Experience and Skills - Education: Bachelor’s degree in Computer Science, Information Technology, or a related technical field. - Experience: 8+ years of experience in a technical customer-focused role, such as Solution Architecture, Systems Engineering, or Technical Consulting, within a SaaS or B2B technology environment. - Domain Knowledge: Deep expertise in medical imaging technology (e.g. DICOM, PACS, HL7, EMR, etc.) coupled with a strong cloud background (preferably AWS). Experience in Health Technology, Medical Device, or similarly regulated industry. - Architectural Expertise: Proven ability to design, document, and implement complex, cross-functional technical architectures and integration strategies. - Process Expertise: Proven ability to map, document, redesign, implement, and measure the effectiveness of complex, cross-functional business processes. - Leadership & Influence: Demonstrated success in leading high-stakes technical projects and influencing senior stakeholders across departments. - Communication: Exceptional ability to explain complex architectural concepts and technical trade-offs to both technical and non-technical audiences. Preferred Qualifications - Certification: AWS Certified Solutions Architect, Azure Solutions Architect, TOGAF, or similar professional certifications (e.g. CIIP) Travel 5 - 20% travel required for occasional business meetings and to observe field operations to identify improvement areas This position has an estimated base salary of $110,000-$145,000, and bonus. #LI-Remote 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. Positions posted for Heartflow are not intended for or open to third party recruiters / agencies. Submission of any unsolicited resumes for these positions will be considered to be free referrals. Heartflow has become aware of a fraud where unknown entities are posing as Heartflow recruiters in an attempt to obtain personal information from individuals as part of our application or job offer process. Before providing any personal information to outside parties, please verify the following: A) all legitimate Heartflow recruiter email addresses end with “@heartflow.com” and B) the position described is found on our careers site at www.heartflow.com/about/careers/.