Senior Manager, Quality System & Compliance

Heartflow; San Francisco (CA); On-site; USD 195,000 - 250,000; Full time

Job summary

Heartflow seeks a Senior Manager, Quality System & Compliance to lead the QMS strategy, execution, and continuous improvement. You will drive compliance with FDA, ISO, EU MDR, and MDSAP across SaMD and device products, guiding audits and regulatory submissions while enabling scalable growth.

You will build and mentor a high-performance quality team, promote a data-driven culture, and partner with R&D, Regulatory, and Production to balance compliance with business goals.

Qualifications

• Bachelor's degree in engineering or scientific discipline or equivalent.
• 10+ years of progressive quality experience in the medical device industry.
• 5+ years in a leadership/management role within quality.
• Expert knowledge of FDA 21 CFR 820, ISO 13485, IEC 62304, ISO 14971.
• Track record leading regulatory inspections (FDA, Notified Body).

Responsibilities

• Oversee Quality Management System (QMS) to ensure global regulatory compliance (FDA, ISO 13485, EU MDR, MDSAP).
• Lead QMS subsystems: CAPA, Document Control, Training, Management Review, Internal/External Audits, QMS Tool Validation, Supplier Management.
• Drive continuous improvement initiatives to enhance QMS efficiency and effectiveness.
• Serve as SME for audits by FDA, Notified Bodies, and other regulators.
• Prepare organization for US and international quality compliance to support global expansion.
• Lead, mentor, and scale a team of QMS professionals.
• Foster a Quality-first culture with KPI-driven accountability and data-based decisions.

Skills

Clear communication

Coaching & mentoring

Quality System expertise

Auditor interactions

Education

Bachelor's degree in engineering or scientific discipline

10+ years in medical device quality

5+ years in leadership/management

FDA 21 CFR 820, ISO 13485, IEC 62304, ISO 14971 knowledge

Regulatory inspections experience (FDA/Notified Bodies)

Job description

Senior Manager, Quality System & Compliance

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 FFR CT Analysis—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 (FFR CT Analysis), 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 500,000 patients worldwide.

As the Senior Manager of Quality System and Quality (Regulatory) Compliance, you are a pivotal leader responsible for the strategy, execution, and continuous improvement of our Quality Management System (QMS), oversight, and associated tools. You will lead our efforts to ensure robust compliance with national and international medical device regulations, including FDA, ISO 13485, EU MDR, and MDSAP. This role is a unique blend of strategic foresight and tactical leadership, requiring a deep expertise in QMS setup and management, particularly for Software as a Medical Device (SaMD), with ability to make thoughtful changes and enhance the overall QMS.

You will lead a high-performing team of quality professionals , championing a "Quality-first" culture and driving data-driven decisions. Your proven track record of navigating complex regulatory landscapes, including FDA, PMDA, IEC, EU MDR, and ISO regulations and standards, is essential to our success.

Job Responsibilities:

Quality Management System (QMS) Oversight

• Manage holistic aspects of the QMS to ensure compliance with global regulations, including FDA, ISO 13485, EU MDR, and MDSAP countries’ requirements.
• Oversee the following key QMS subsystems: CAPA subsystem, Document Control, Training, Management Review, Internal Audits, and External Audit management, QMS Tool Validation, and Supplier Management.
• Drive continuous improvement initiatives to enhance the efficiency and effectiveness of the QMS.

Quality Compliance & Audits

• Serve as the front room or backroom lead and the primary subject matter expert (SME) for the QMS during audits, including inspections by the FDA, Notified Bodies, and other regulatory authorities.
• Prepare the organization for an appropriate level of quality compliance to U.S. and international requirements to support Heartflow’s global expansion.

Strategic Leadership & Team Development

• Lead, mentor, and scale a team of QMS professionals, fostering career growth and technical excellence.
• Champion a "Quality-first" mindset throughout the organization, through collaboration and using impactful KPIs to drive accountability and data-driven decisions.
• Collaborate with leaders and partners in R&D, Production, Regulatory, Clinical, and Product Management to integrate quality processes seamlessly, balancing compliance with business objectives.
• Manage departmental resources, including headcount and long-term strategic planning.

Skills Needed:

• Effective, clear, and concise communication skills bringing clarity to complex topics across the leadership spectrum.
• Ability to coach, mentor, and drive a collaborative quality culture through influence.
• Deep understanding of Quality System and Quality Compliance.
• Experience interacting with auditors, including Notified Body auditors and FDA Investigators.

Educational Requirements & Work Experience:

• Bachelor's degree in engineering or scientific discipline, or equivalent.
• 10+ years of progressive experience in Quality within the medical device industry, with at least 5+ years in a leadership/management role.
• Expert-level knowledge of relevant regulations and standards, including FDA 21 CFR 820, ISO 13485, IEC 62304, and ISO 14971.
• Proven track record of successfully leading or playing a key SME role in regulatory inspections (FDA, Notified Body).
• Exceptional leadership and communication skills, with a demonstrated ability to influence and build consensus among cross-functional senior leaders.

Preferred:

• Direct experience with AI/ML-driven SaMD and cloud-based medical device platforms.
• Familiarity with medical device cybersecurity standards (e.g., AAMI TIR57) and data privacy regulations.
• Experience with global regulatory submissions (e.g., CE Marking, PMDA).
• Experience implementing and scaling quality processes in a fast-paced and growing environment.

This position has an estimated base salary of $195,000 - $250,000, bonus, and equity. #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.

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