Strategic Finance Manager

Job Responsibilities

• Financial Modeling Support: Own key pieces of the company's integrated financial models, including rolling forecasts (monthly/quarterly) and long-range plans (LRP), with a sharp focus on revenue, gross margin, and / or operating expense projections.
• Commercial-to-Financial Translation: Partner closely with cross-functional teams to turn business inputs into financial outputs, making sure unit economics are captured accurately and analyzed.
• Scenario Analysis & Modeling: Build and maintain scenario models that stress-test operating alternatives and market dynamics, delivering insights that shape real strategic decisions.
• Pricing & Contract Analysis: Work directly with commercial leadership to model pricing structures, contract frameworks, and customer valuations, quantifying business impact where it matters most.
• Cost & Resource Allocation Translation: Partner closely with cross-functional teams (R&D, Sales, G&A) to translate operational headcount, vendor spend, and project pipelines into accurate financial outputs, ensuring department budgets are tightly managed and optimized.
• AI-Native Workflows: Put AI tools and LLMs to work in financial analysis, data synthesis, and presentation development, helping set the pace for how modern finance teams operate.
• Analytics & Reporting: Dig into detailed financial analysis, sensitivity analysis, and variance reviews that give leadership the clarity they need to decide with confidence.

Skills Needed

• Strong analytical and problem-solving skills, with a knack for spotting financial insights and opportunities others miss.
• Excellent verbal, written, and interpersonal communication skills.
• Ability to structure logical approaches and apply analytical techniques with speed and precision.
• Proficiency with scenario planning and sensitivity analysis.
• Genuine curiosity and sharp critical thinking, with a real appetite for learning Heartflow's business and industry inside and out.
• Thrives in a fast-paced, dynamic environment where priorities can shift quickly.
• AI mindset and comfort leveraging LLMs and modern tools for problem-solving.
• Advanced expertise with MS Excel for financial modeling and data analysis.
• Ability to communicate effectively with senior leadership and cross-functional teams.
• Attention to detail and commitment to accuracy.

Educational Requirements & Work Experience

• Bachelor's degree in Finance, Accounting, or related field (required).
• 8+ years of experience in finance, strategic planning, financial analysis, or related roles.
• Demonstrated proficiency in complex financial modeling, custom valuation models, and financial analysis.
• Medical Device, BioPharma, or Healthcare Technology experience (preferred but not required).
• Comfort leading or contributing to meetings with senior leadership (C-suite and department heads).

Special Working Conditions

• This position requires a hybrid schedule: San Francisco or Rohnert Park office: Three times per week.
• A reasonable estimate of the yearly base compensation range is $160,000 to $210,000, bonus and equity.