Heartflow

Medical Technology

Staff/SeniorAgenticAIEngineers(Multipleroles)

$175–251k San Francisco, California, United States Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“Staff/Senior Agentic AI Engineers (Multiple roles) at Heartflow. Skills: Agentic AI, Platform architecture, Product engineering, LLMs. Design Agentic AI platform. Implement Agentic AI platform”

Industry & Context.

Medical Technology
Problems you'll solve

Complex problems

What They're Looking For.

Must Have

5+ years software engineering, 8+ years software engineering, Build applications with LLMs, Agentic architectures understanding, Orchestration frameworks experience, Vector databases experience, Advanced Python proficiency, Advanced Go proficiency, Microservices knowledge, API design knowledge, Cloud infrastructure knowledge, Thrive in ambiguity, Design systems from scratch, Solve complex problems

Nice to Have

Deploy AI regulated industries, Navigate HIPAA compliance, Navigate GDPR compliance, Contribute to open-source LLM, Contribute to open-source Agentic AI, Advanced prompt engineering, Fine-tuning experience, RAG optimization experience

What You'll Do.

Design Agentic AI platform

Implement Agentic AI platform

Establish standard patterns

Drive technical execution

Build systems to parse requirements

Auto-generate test cases

Implement advanced guardrails

Implement evaluation frameworks

Implement reasoning validation loops

Enable agent interaction

Interact with medical data

Interact with imaging pipelines

Interact with internal APIs

Translate clinical needs

Mentor junior engineers

Mentor mid-level engineers

Champion software engineering best practices

Stay ahead of AI landscape

How You'll Work.

Team & Collaboration

Product managers; Clinical experts; Data scientists

Process & Methodology

CI/CD

Full Job Description

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 500,000 patients worldwide. About the role(s) To accelerate this mission, we are hiring for multiple roles across both the Senior and Staff levels. As a founding member of our new Agentic AI initiatives team, you will step into a role that is a unique hybrid of platform architecture and greenfield product engineering. You won't just be consuming AI models; you will be responsible for setting up the core ecosystem that allows autonomous, intelligent agents to execute multi-step medical reasoning and data workflows securely and at scale. Whether you join us at the Senior level to drive execution or at the Staff level to help shape technical strategy and architecture, you will have a true blank-canvas opportunity to design production-grade agentic systems from scratch, directly translating our decade-plus of clinical AI success into the next ge

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