Senior Finance Manager

Heartflow•Rohnert Park, CA

7d•$190,000 - $240,000•Hybrid

About The Position

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 750,000 patients worldwide. The Senior Finance Manager plays a central role in guiding HeartFlow'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.

Requirements

Advanced financial modeling skills with speed, precision, and proficiency in scenario planning, valuation models, and sensitivity analyses.
Excellent verbal, written, and presentation skills. Ability to present complex financial concepts clearly to senior leadership and cross-functional partners.
Tech-forward approach with comfort leveraging AI tools, LLMs, and modern finance applications to optimize workflows.
Curiosity to understand the business deeply, with the agility to thrive in a fast-paced environment where priorities evolve.
Strong attention to detail and commitment to producing accurate work.
Bachelor’s degree in Finance, Accounting, or a related field (required).
7+ years of FP&A, Strategic Finance, or Accounting experience.
Advanced expertise in MS Excel and PowerPoint.
Demonstrated experience presenting to and collaborating directly with senior leadership (C-suite and functional directors).

Nice To Haves

MBA, CPA, or CMA is a plus.
Experience or familiarity with NetSuite, Tableau, or modern finance systems is a plus.

Responsibilities

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.
Own and maintain key components of integrated financial models, including monthly/quarterly rolling forecasts, long-range plans (LRP), and gross margin/operating expense projections.
Build sensitivity models to evaluate operating alternatives to guide key business decisions.
Translate operational headcount, vendor spend, project pipelines, and unit economics into precise financial forecasts and management reports.
Responsible for monthly forecast accuracy, variance reviews, headcount tracking, accruals, and monthly/quarterly management reporting.
Develop and maintain operational metrics, reporting tools, and dashboards that encourage data-driven decision-making at the department level.
Integrate AI tools and LLMs into financial analysis, data synthesis, and presentation development to enhance team productivity and analytical speed.
Partner directly with leadership across functions to support and quantify strategic business impacts.
Drive high-priority special projects and ad-hoc financial studies for C-suite and department heads.