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Salary: USD 190,000 - 240,000 / 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, provides non-invasive cardiac testing and has been used for over 750,000 patients worldwide across the US, UK, Europe, Japan, and Canada.
The Senior Finance Manager is a strategic finance role responsible for guiding HeartFlow's growth through comprehensive financial planning, budgeting, and cross-functional decision support. This high-visibility position sits at the center of near-term and long-range planning, working directly with senior leadership across the business.
Key Responsibilities:
Financial Planning, Budgeting & Modeling:
- Serve as financial owner for operational and capital budget activities across the company
- Partner with cross-functional leadership to manage P&L expenses, understand cost drivers, and optimize department budgets
- Own and maintain integrated financial models, including monthly/quarterly rolling forecasts, long-range plans, and gross margin/operating expense projections
- Build sensitivity models and scenario analyses to evaluate operating alternatives and guide key business decisions
- Translate operational headcount, vendor spend, project pipelines, and unit economics into precise financial forecasts and management reports
Performance Analytics & Reporting:
- 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
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 Skills:
- 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 agility to thrive in a fast-paced environment where priorities evolve
- Strong attention to detail and commitment to producing accurate work
Requirements:
- Bachelor's degree in Finance, Accounting, or related field (required); MBA, CPA, or CMA is a plus
- 7+ 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)
Hybrid Requirement: Four times per week in San Francisco or Rohnert Park office.