IT Director, Infrastructure and Operations

Heartflow•Rohnert Park, CA

3d•Hybrid

About The Position

Heartflow is a medical technology company focused on improving the diagnosis and management of coronary artery disease. Its AI-driven cardiac products support clinicians in identifying coronary stenoses, assessing coronary blood flow, and characterizing coronary atherosclerosis. The company’s products have been used for more than 750,000 patients worldwide. The IT Director, Infrastructure and Operations provides strategic, operational, and architectural leadership across Systems Engineering, Enterprise Networking, and End User Services. The role owns the corporate infrastructure roadmap and vendor ecosystem, and partners closely with InfoSec, Quality, and Clinical Operations leadership. The Director is accountable for infrastructure scalability, enterprise resilience, and modernizing service delivery through automation and AI. The role includes leadership of team leads and a workforce spanning employees, contractors, and managed service providers; ownership of infrastructure planning and budgets; oversight of corporate infrastructure and clinical computing environments; and responsibility for service delivery, audit readiness, disaster recovery, asset management, and infrastructure support for office changes.

Requirements

12+ years of experience in IT infrastructure and operations.
5+ years managing multidisciplinary engineering and support teams through managers or team leads.
Proven experience overseeing hybrid infrastructure, hyperconverged platforms (such as Nutanix), public cloud environments, enterprise storage, and resilient backup systems.
Strong understanding of enterprise routing, switching, wireless, SD-WAN, and modern Zero Trust/SASE architectures.
Experience overseeing mixed Mac and Windows fleet management, such as Entra ID, hybrid AD, Intune, Jamf, and Automox.
Demonstrated success running ITIL-aligned service delivery, major incident command, and root-cause reviews, and implementing AI or automation to measurably reduce ticket volumes.
Demonstrated experience managing infrastructure budgets, vendor renewals, and multi-site project portfolios.
Bachelor’s degree in Computer Science, Information Technology, or equivalent practical experience.

Nice To Haves

Direct experience in medical device, life sciences, or FDA-regulated environments supporting validated systems, GxP procedures, and computer systems validation.
Experience overseeing modern directory architectures and unified endpoint management across mixed macOS and Windows fleets.
Relevant professional certifications, such as AWS/Azure Solutions Architect, CCNP, CISM, or ITIL.

Responsibilities

Lead, mentor, and grow team leads across Systems Engineering, Enterprise Networking, and End User Services, establishing a scalable operating rhythm and talent model across FTEs, contractors, and MSPs.
Own the multi-year infrastructure roadmap, long-range capacity planning, and project portfolio across hybrid cloud, private data center environments, and corporate SaaS platforms.
Maintain executive accountability for high-availability computing environments and validated endpoints supporting Clinical Operations under strict Quality Management System (QMS) change control.
Direct enterprise network operations across corporate offices, colocation facilities, and remote workers, partnering with InfoSec on Zero Trust network access, Device Trust enforcement, and resilient site-to-site connectivity.
Oversee tiered (L1–L3) service desk operations, AV and collaboration technology, and automated lifecycle management for a distributed, mixed-OS fleet.
Drive adoption of AI and automation across support and operations to expand self-service, reduce ticket volumes, and support seamless day-one onboarding.
Ensure continuous audit readiness for IT controls under SOC 2, HITRUST, SOX ITGC, HIPAA, and QMS change control.
Own enterprise disaster recovery and ransomware recovery programs, including cross-functional tabletop exercises, recovery playbooks, and immutable backup validation.
Manage infrastructure budgeting, cost forecasting, enterprise licensing strategies, and vendor contract negotiations.
Govern the asset management system of record and partner with Facilities to deliver IT infrastructure for office buildouts, moves, and consolidations.