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Senior Systems Engineer

Heartflow · San Francisco, California · United States · On-site

Pay: USD 180,000 – 215,000 a year

Posted Oct 9, 2026

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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 750,000 patients worldwide. Location: San Francisco, CA (4+ days in office) Job Description As a Senior Systems Engineer, you are responsible for the completeness and quality of the system-level design and documentation for Heartflow's core products. You will translate user needs and product requirements into feasible technical requirements, own the functional architecture, and work with members of the R&D team to ensure a traceable, testable, and sustainable design. At Heartflow, we are working to transform coronary artery disease from the leading cause of death into a condition that can be managed for life. If you are energized by turning clinical and business needs into rigorous, testable requirements, developing a high-quality software development process that captures all system-level dependencies, and partnering across Engineering, Product, Clinical, Regulatory, and Quality to improve the lives of our patients, we want to hear from you. Key Responsibilities System Architecture & Requirements : Define system requirements and maintain the functional system architecture: the major subsystems, what each must do, and the interfaces and data flows between them. Traceability : Ensure traceability between user needs, requirements, and their verification and validation (V&V) evidence, and maintain it as the system evolves. System Integration : Identify and resolve complex technical issues across system boundaries, and coordinate dependencies across engineering disciplines. Verification & Validation Strategy : Own the system-level V&V strategy: what must be verified or validated, at what level, and what evidence verifies each requirement. Partner with the System Test and Software Engineering teams to ensure requirements are clear and testable. Risk Management & Reliability : Identify, analyze, and…