HeartFlow

Engineering Manager - Agentic AI

HeartFlow$200K — $270K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of software engineering experience with a solid record of delivering production-grade software.
  • 5+ years of team management or technical lead experience in software engineering.
  • Willing to take a player-coach role, engaging deeply with code and architecture initially.
  • Strong experience with Large Language Models (LLMs) and agentic systems design.
  • Expertise in Python or Go, with knowledge of microservices and cloud platforms like AWS or GCP.
  • Enjoys tackling greenfield projects, capable of navigating ambiguity and complex problem-solving.

Responsibilities

  • Design, architect, and develop a scalable Agentic AI platform with multi-agent orchestration.
  • Lead the transition from technical architect to Engineering Manager as the team expands.
  • Drive the execution of innovative agent-driven features from concept to production.
  • Establish safety and compliance measures to ensure agent performance meets necessary standards.
  • Collaborate with product managers and clinical experts to align AI systems with user needs.
  • Promote best software engineering practices to keep pace with the evolving AI landscape.

Benefits

  • Flexible hybrid work model allowing remote work options.
  • Collaborative and innovative work environment focused on cutting-edge technologies.
  • Professional development opportunities to scale your career within a fast-growing team.
  • Engagement in meaningful projects that impact the healthcare sector positively.
Full Job Description
About the role

To accelerate this mission, we are seeking an Engineering Manager to build and lead our new Agentic AI initiatives team.

This is a unique "player-coach" opportunity. You will start in a deeply hands-on capacity - acting as the lead architect and foundational engineer to set up the core ecosystem that allows autonomous, intelligent agents to execute multi-step medical reasoning securely and at scale. As the foundation is laid and the product gains momentum, your role will transition into a full Engineering Manager capacity. You will be responsible for scaling a world-class team of engineers, guiding their execution, and shaping the long-term technical strategy of the platform.

You will have a true blank-canvas opportunity to design production-grade agentic systems from scratch, directly translating our decade-plus of clinical AI success into the next generation of autonomous medical technology.

Job Responsibilities
  • Initial Hands-On Execution: Design, architect, and write code for a robust, secure, and scalable Agentic AI platform, establishing standard patterns for multi-agent orchestration, state management, tool usage, and memory.
  • Team Building & Leadership: Transition from an individual contributor/architect role into a dedicated management role as the team scales.
  • Technical Strategy: Drive the technical execution of brand-new, agent-driven product features from initial ideation to production deployment. Build systems to parse requirements, map software modules, and auto-generate test cases.
  • Safety & Compliance: Implement advanced guardrails, evaluation frameworks, and reasoning validation loops to ensure agent behaviors are safe, deterministic, highly accurate, and meet the compliance rigor required for FDA-cleared software.
  • Cross-Functional Collaboration: Work closely with product managers, clinical experts, and data scientists to translate clinical needs into technical AI agent architectures and viable product roadmaps.
  • Best Practices: Champion software engineering best practices (CI/CD, comprehensive testing, logging for non-deterministic systems) and keep the team ahead of the rapidly evolving AI landscape.

Required Qualifications
  • 8+ years of professional software engineering experience, with a proven track record of shipping production-grade software.
  • 5+ years of experience managing, mentoring, or acting as a formal technical lead for software engineering teams.
  • Player-Coach Mentality: Willingness and technical capability to be deeply hands-on with code and architecture during the first 6-12 months while concurrently building the team.
  • Deep, hands-on experience building applications with Large Language Models (LLMs) and a strong understanding of agentic architectures, orchestration frameworks, and vector databases.
  • Advanced proficiency in Python or Go, alongside a solid grasp of microservices, API design, and cloud infrastructure (AWS or GCP).
  • A passion for greenfield projects - you thrive in ambiguity, enjoy designing systems from scratch, and love solving complex, open-ended problems.

Nice-to-Have
  • Experience deploying AI applications in regulated industries (Healthcare, Finance, etc.) or navigating HIPAA/GDPR compliance.
  • Active contributions to open-source LLM or Agentic AI frameworks.
  • Experience with advanced prompt engineering, fine-tuning, or RAG optimization.

A reasonable estimate of the base salary compensation range is $200,000 to $270,000, cash bonus, and equity. #LI-IB1 #LI-Hybrid

About HeartFlow

HeartFlow is a medical technology company that specializes in non-invasive, personalized cardiovascular disease diagnosis and treatment planning. The company's technology uses artificial intelligence and deep learning algorithms to create 3D models of patients' hearts and simulate blood flow. HeartFlow's technology has been used in over 30,000 patients worldwide and has been shown to improve patient outcomes and reduce healthcare costs. The company was founded in 2007 and is headquartered in Redwood City, California.
Learn more about HeartFlow
Size
500 employees
Industry
Founded
2009

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