SlipstreamJobsFresh Startup & VC-Backed Jobs

Finance Manager

HeartFlow - San Francisco, CA, United States - Hybrid - posted 2026-09-23

Apply on the company site

SlipstreamJobs tracks this role from the company's public career site. Apply directly on the employer's site.

Salary: USD 155,000 - 200,000 / annual

HeartFlow is a publicly traded medical technology company (HTFL) pioneering AI-driven solutions for coronary artery disease diagnosis and management. The company's flagship product, HeartFlow FFR_CT Analysis, is a non-invasive cardiac test that provides 3D modeling of coronary arteries to assess blood flow impact. With international clearance and use across 750,000+ patients globally, HeartFlow is expanding its product pipeline and team. The Finance Manager plays a central strategic role in guiding HeartFlow's growth through operating and capital budget management, integrated financial modeling, and cross-functional decision support. This high-visibility position sits at the intersection of near-term and long-range planning, working regularly with senior functional leadership to translate operational inputs into clear financial outputs and drive data-driven decision-making. Key Responsibilities: Financial Planning, Budgeting & Modeling: - Serve as the financial owner for operational and capital budget activities across the company, partnering 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, and gross margin/operating expense projections. - Build sensitivity models to evaluate operating alternatives and guide key business decisions through scenario analysis and stress-testing. - Translate operational headcount, vendor spend, project pipelines, and unit economics into precise financial forecasts and management reports. Performance Analytics & Reporting: - Manage 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. Business Partnership & Strategic Projects: - 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. Required Qualifications: - Bachelor's degree in Finance, Accounting, or related field (required); MBA, CPA, or CMA is a plus. - 6+ years of FP&A, Strategic Finance, or Accounting experience. - Advanced expertise in MS Excel and PowerPoint; experience or familiarity with NetSuite, Tableau, or modern finance systems is a plus. - Demonstrated experience presenting to and collaborating directly with senior leadership (C-suite and functional directors). - 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. - Strong attention to detail, commitment to accuracy, and ability to thrive in a fast-paced environment where priorities evolve.

Similar roles