Director, Engineering - Clinical Products San Francisco, California

Director, Engineering - Clinical Products

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 (RoadMapAnalysis), 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 VC-backed company 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 400,000 patients worldwide.

The Director, Engineering - Clinical Products will lead the engineering teams building sophisticated cloud applications supporting HeartFlow FFRct, Roadmap, Plaque, and other new products. These tools empower clinicians with advanced insights, data, and visualizations derived from CCTA images through intuitive and interactive user experiences.

This role is responsible for leading through engineering managers, scaling high-performing teams, and driving both the strategic direction and operational execution of our clinical products. The ideal candidate has a strong background in building and scaling engineering organizations, driving team planning and delivery, and ensuring the technical and operational excellence required in a regulated healthcare environment.

You will work alongside passionate software engineers, UI / UX designers, product managers and research scientists to deliver future generations of Heartflow’s AI-based products. As both a technical and people leader, you will play a critical role in scaling our organization and advancing our technology.

Job Responsibilities :

• Lead and grow multiple engineering teams through engineering managers, setting clear goals and ensuring alignment to strategic objectives.
• Drive successful quarterly and long-range planning efforts, balancing innovation with execution, and ensuring engineering teams consistently meet delivery commitments.
• Ensure engineering teams are executing with high quality, predictable velocity, and attention to operational reliability.
• Hire, develop, and retain strong engineering and management talent; build an inclusive, high-performance team culture.
• Manage and grow an organization of engineering teams that span algorithm development, visualizations, results and report generation.
• Mentor and guide engineering managers in their career development and technical growth.
• Provide technical leadership across medical device software, including visualization, UI architecture, cloud services, algorithm development and integration.
• Collaborate with product, clinical, design, and research teams to build seamless and effective user experiences that translate complex data into actionable insights.
• Partner with other engineering leaders to evolve our system architecture and ensure cross-team alignment and technical coherence.
• Contribute hands-on to design when appropriate, especially in areas of high impact such as architecture, rendering pipelines, or clinical data visualization.

Skills Needed :

Educational Requirements & Work Experience :

A reasonable estimate of the yearly base compensation range is $220,000 to $290,000 (For San Francisco Bay Area) , cash bonus, and stock options. #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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