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Senior Finance Manager

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

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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.

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