The 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. Financial Planning, Budgeting & Modeling • Operating & Capital Budget Ownership: 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. • Integrated Financial Models: Own and maintain key components of integrated financial models, including monthly/quarterly rolling forecasts, long-range plans (LRP), and gross margin/operating expense projections. • Scenario Analysis & Stress-Testing: Build sensitivity models to evaluate operating alternatives to guide key business decisions. • Operational Translation: Translate operational headcount, vendor spend, project pipelines, and unit economics into precise financial forecasts and management reports. Performance Analytics & Reporting • Forecast Accuracy & Accounting: Responsible for monthly forecast accuracy, variance reviews, headcount tracking, accruals, and monthly/quarterly management reporting. • Metrics & Tools Enhancement: Develop and maintain operational metrics, reporting tools, and dashboards that encourage data-driven decision-making at the department level. • Modern Finance Workflows: Integrate AI tools and LLMs into financial analysis, data synthesis, and presentation development to enhance team productivity and analytical speed. Business Partnership & Strategic Projects • Cross-Functional Leadership: Partner directly with leadership across functions to support and quantify strategic business impacts. • Ad-Hoc Strategic Analyses: Drive high-priority special projects and ad-hoc financial studies for C-suite and department heads. Skills Needed • Financial & Analytical Rigor: Advanced financial modeling skills with speed, precision, and proficiency in scenario planning, valuation models, and sensitivity analyses. • Communication & Stakeholder Management: Excellent verbal, written, and presentation skills. Ability to present complex financial concepts clearly to senior leadership and cross-functional partners. • AI & Technology Mindset: Tech-forward approach with comfort leveraging AI tools, LLMs, and modern finance applications to optimize workflows. • Adaptability & Critical Thinking: Curiosity to understand the business deeply, with the agility to thrive in a fast-paced environment where priorities evolve. • Precision: Strong attention to detail and commitment to producing accurate work. Educational Requirements & Work Experience • Education: Bachelor's degree in Finance, Accounting, or a related field (required). MBA, CPA, or CMA is a plus. • Experience: 6+ years of FP&A, Strategic Finance, or Accounting experience. • Technical Software Expertise: Advanced expertise in MS Excel and PowerPoint. Experience or familiarity with NetSuite, Tableau, or modern finance systems is a plus. • Leadership Support: Demonstrated experience presenting to and collaborating directly with senior leadership (C-suite and functional directors). Hybrid Requirement: San Francisco or Rohnert Park office: Four times per week A reasonable estimate of the yearly base compensation range is $155,000 to $200,000, and bonus. #LI-IB1 #LI-Hybrid