Senior Financial Analyst

Heartflowinc; San Francisco (CA); Hybrid; USD 140,000 - 170,000; Full time

Job summary

Heartflow, a medical technology company in the San Francisco area, is seeking a Senior Financial Analyst to drive financial planning and modeling for revenue and gross margins across rolling forecasts and long-range plans.

You will partner with cross-functional teams to translate business inputs into financial outputs, develop scenario analyses, and model pricing and contracts while leveraging AI tools to enhance analysis and presentation of findings.

Qualifications

• Bachelor's degree in Finance, Accounting, or related field (required).
• 5+ 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 leadership team members.

Responsibilities

• 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 and gross margin projections.
• Partner closely with cross-functional teams to turn business inputs into financial outputs, making sure unit economics are captured accurately and analyzed.
• Build and maintain scenario models that stress-test operating alternatives and market dynamics, delivering insights that shape real strategic decisions.
• Work directly with commercial leadership to model pricing structures, contract frameworks, and customer valuations, quantifying business impact where it matters most.
• Work hand-in-hand with finance leadership and business partners to keep financial planning grounded in operational reality.
• 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.
• Dig into detailed financial analysis, sensitivity analysis, and variance reviews that give leadership the clarity they need to decide with confidence.

Skills

Financial modeling

Data analysis

Excel

Communication

Cross-functional collaboration

AI tools

Problem solving

Education

Bachelor's degree in Finance, Accounting, or related field

Tools

Excel

Financial modeling software

LLMs / AI tools

Job description

Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease, the #1 cause of death worldwide, using cutting-edge technology. The flagship product—an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCTAnalysis—provides a color-coded, 3D model of a patient’s coronary arteries indicating the impact blockages have on blood flow to the heart. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMap™Analysis), assess coronary blood flow (FFRCTAnalysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare.

Heartflow is a publicly traded company (HTFL) that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 750,000 patients worldwide.

Heartflow is redefining how heart disease is diagnosed and treated, and our Finance team plays a direct role in shaping that trajectory. As Senior Financial Analyst, 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 and gross margin projections.
• Business-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.
• Cross-Functional Collaboration: Work hand-in-hand with finance leadership and business partners to keep financial planning grounded in operational reality.
• 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).
• 5+ 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 leadership team members.

Special Working Conditions

This position requires a hybrid schedule:

• San Francisco or Rohnert Park office: Four times per week

A reasonable estimate of the yearly base compensation range is $140,000 to $170,000, and bonus. #LI-IB1 #LI-Hybrid

Heartflow is an Equal Opportunity Employer. We are committed to a work environment that supports, inspires, and respects all individuals and do not discriminate against any employee or applicant because of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. This policy applies to every aspect of employment at Heartflow, including recruitment, hiring, training, relocation, promotion, and termination.

Positions posted for Heartflow are not intended for or open to third party recruiters / agencies. Submission of any unsolicited resumes for these positions will be considered to be free referrals.

Heartflow has become aware of a fraud where unknown entities are posing as Heartflow recruiters in an attempt to obtain personal information from individuals as part of our application or job offer process. Before providing any personal information to outside parties, please verify the following: A) all legitimate Heartflow recruiter email addresses end with “@heartflow.com” and B) the position described is found on our careers site at www.heartflow.com/about/careers/.