HeartFlow

Strategic Finance Manager

HeartFlow$160K — $210K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Finance, Accounting, or related field required.
  • 8+ years of experience in finance, strategic planning, or financial analysis.
  • Demonstrated advanced proficiency in Excel for complex financial modeling.
  • Experience in Medical Device, BioPharma, or Healthcare Technology preferred, but not required.
  • Proficiency in scenario planning and sensitivity analysis.

Responsibilities

  • Own integrated financial models, focusing on revenue, gross margin, and operating expense projections.
  • Partner with teams to translate business inputs into accurate financial outputs.
  • Build scenario models to test operating alternatives and market dynamics.
  • Model pricing structures, contract frameworks, and customer valuations in collaboration with commercial leadership.
  • Translate operational metrics into financial outputs for accurate budget management.
  • Integrate AI tools for enhanced financial analysis and presentation development.
  • Conduct detailed financial, sensitivity, and variance analysis for leadership insights.

Benefits

  • Hybrid work schedule with three days in-office (San Francisco or Rohnert Park).
  • Opportunities for high visibility and influence within a mission-driven company.
  • Access to modern tools and technologies for enhancing finance workflows.
Full Job Description
As Strategic Finance Manager, you'll sit at the center of near-term and long-range financial planning, partnering with finance leadership and cross-functional teams across the business to build the models, scenarios, and analyses that guide Heartflow's most important strategic decisions. This is a high-visibility role for someone who wants their financial thinking to directly influence how a mission-driven company grows.

Job Responsibilities
  • Financial Modeling Support: Own key pieces of the company's integrated financial models, including rolling forecasts (monthly/quarterly) and long-range plans (LRP), with a sharp focus on revenue, gross margin, and / or operating expense projections.
  • Commercial-to-Financial Translation: Partner closely with cross-functional teams to turn business inputs into financial outputs, making sure unit economics are captured accurately and analyzed.
  • Scenario Analysis & Modeling: Build and maintain scenario models that stress-test operating alternatives and market dynamics, delivering insights that shape real strategic decisions.
  • Pricing & Contract Analysis: Work directly with commercial leadership to model pricing structures, contract frameworks, and customer valuations, quantifying business impact where it matters most.
  • Cost & Resource Allocation Translation: Partner closely with cross-functional teams (R&D, Sales, G&A) to translate operational headcount, vendor spend, and project pipelines into accurate financial outputs, ensuring department budgets are tightly managed and optimized.
  • AI-Native Workflows: Put AI tools and LLMs to work in financial analysis, data synthesis, and presentation development, helping set the pace for how modern finance teams operate.
  • Analytics & Reporting: Dig into detailed financial analysis, sensitivity analysis, and variance reviews that give leadership the clarity they need to decide with confidence.

Skills Needed
  • Strong analytical and problem-solving skills, with a knack for spotting financial insights and opportunities others miss.
  • Excellent verbal, written, and interpersonal communication skills.
  • Ability to structure logical approaches and apply analytical techniques with speed and precision.
  • Proficiency with scenario planning and sensitivity analysis.
  • Genuine curiosity and sharp critical thinking, with a real appetite for learning Heartflow's business and industry inside and out.
  • Thrives in a fast-paced, dynamic environment where priorities can shift quickly.
  • AI mindset and comfort leveraging LLMs and modern tools for problem-solving.
  • Advanced expertise with MS Excel for financial modeling and data analysis.
  • Ability to communicate effectively with senior leadership and cross-functional teams.
  • Attention to detail and commitment to accuracy.

Educational Requirements & Work Experience
  • Bachelor's degree in Finance, Accounting, or related field (required).
  • 8+ years of experience in finance, strategic planning, financial analysis, or related roles.
  • Advanced Excel skills: Demonstrated proficiency in complex financial modeling, custom valuation models, and financial analysis.
  • Medical Device, BioPharma, or Healthcare Technology experience (preferred but not required).
  • Comfort leading or contributing to meetings with senior leadership (C-suite and department heads).

Special Working Conditions

This position requires a hybrid schedule:
  • San Francisco or Rohnert Park office: Three times per week

A reasonable estimate of the yearly base compensation range is $160,000 to $210,000, 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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