Finance Director - FP&A

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 (Road Map™ 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 400,000 patients worldwide.

The Finance Director - FP&A plays a central role in constructing and updating the long-range business and valuation modeling for Heartflow. This position works with leadership across multiple functions to determine the most critical valuation drivers and understand their applicability to the organization’s financial planning.

Job Responsibilities

• Drive the multi-year strategic planning process across the organization, developing robust financial models that project future performance and evaluate financial returns of various strategic initiatives.

• Lead the comprehensive development and finalization of the company’s annual budget.

• Manage timely and accurate quarterly and rolling financial forecasts, identifying key risks and opportunities. Provide in-depth variance analysis of actual results against budget and forecast, explaining drivers of performance to senior management.

• Prepare executive-level presentations, including materials for the Board of Directors, Executive Leadership Team and Investor Relations, summarizing financial performance, strategic progress, and future outlook.

• Develop and maintain sophisticated models to monitor and forecast revenue performance by product and geography.

• Analyze pricing performance, providing recommendations to optimize top-line growth and profitability.

• Serve as the financial lead for gross margin optimization. Conduct detailed analysis of COGS components, partnering with Operations team to drive structural margin improvements.

• Create financial models, PowerPoint presentations, and data visualization as required.

Skills Needed

• Excellent analytical skills and the capacity to identify problems and opportunities and to provide well-informed recommendations for solutions.

• Ability to structure logical, analytical approaches and apply a range of techniques to solve business problems in an efficient, timely manner.

• Exceptional executive presence and communication skills with a track record of building solid relationships cross-functionally.

• Excellent verbal, written, and interpersonal communication skills.

• Curiosity, strong critical thinking skills, and an insatiable appetite for learning.

• Command of scenario planning and sensitivity analysis to evaluate the impact of various strategic initiatives.

• Comfortable working in a fast-paced and dynamic environment.

• Expertise with MS Excel and PowerPoint.

• Familiarity with Netsuite and Datarails is a plus.

Educational Requirements & Work Experience

• Bachelor's degree in Finance, Accounting, a related field or equivalent directly related work.

• MBA is preferred; CPA/CMA is a plus.

• 10+ years of experience in relevant Finance roles.

• Prior experience leading a team, fostering a culture of high performance, continuous improvement, and deep business acumen.

• Extensive experience with Excel-based advanced financial modeling and confidence with creating customizable customer valuation models.

• Ability to lead meetings with C-Level roles in the…