HeartFlow

Senior Finance Manager

HeartFlow • $190K — $240K *
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Finance or Accounting (required), MBA, CPA, or CMA is a plus.
  • 8+ years of experience in FP&A, Strategic Finance, or Accounting.
  • Advanced proficiency in MS Excel and PowerPoint; familiarity with NetSuite, Tableau, or similar finance systems preferred.
  • Demonstrated ability to lead discussions with senior leadership effectively.
  • Strong attention to detail and accuracy in financial work.

Responsibilities

  • Own operational and capital budget management across the company.
  • Maintain integrated financial models, including forecasts and projections.
  • Conduct scenario analyses to evaluate business alternatives.
  • Translate operational inputs into precise financial forecasts and reports.
  • Ensure monthly forecast accuracy and conduct variance reviews.
  • Enhance reporting tools and dashboards for better decision-making.
  • Collaborate with cross-functional leadership on strategic business impacts.

Benefits

  • Hybrid work environment requiring in-office presence four times a week in San Francisco or Rohnert Park.
Full Job Description
The Senior 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: 8+ 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 $190,000 to $240,000, and bonus. #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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