ApplySarthi

Senior Systems Engineer

Heartflow

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  1. Why do you want to join Heartflow?
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  3. How would you design an API for a feature you have worked on?
  4. What do you do when a production issue happens on your code?
  5. Walk me through a system you built. How was it designed, and what would you change now?

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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 FFRCT 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 (FFRCT 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

Required Qualifications

Preferred Qualifications

A reasonable estimate of the base salary compensation range is $180,000 to $215,000, bonus, and equity. #LI-IB1

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/. 

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Listed on greenhouse · posted 2026-10-09. ApplySarthi collects openings and links to application pages; the role is advertised by Heartflow, not by us.