Heartflow

Healthcare

StaffSystemArchitect

$200–275k San Francisco, California, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“Staff System Architect at Heartflow. Skills: System architecture, Cloud-native architectures, Distributed systems, Security architecture. Define system architecture strategy. Drive system-wide architectural direction”

Industry & Context.

Healthcare
Problems you'll solve

Identify technology risks; Establish mitigation plans

What They're Looking For.

Must Have

Bachelor's degree in Computer Science, 15+ years of relevant industry experience, Significant time in senior or staff-level roles, Cross-team architectural responsibility, Deep expertise across system design, Cloud-native architectures expertise, Distributed systems expertise, Broad familiarity with backend technologies, Familiarity with database technologies, Familiarity with cloud platforms, Expertise in distributed systems, Expertise in microservices architecture, Experience designing large-scale secure distributed systems, Experience delivering large-scale secure distributed systems, Experience with platform architectures, Experience setting technical vision, Architectural track record, Experience mentoring senior engineers, Experience influencing engineering culture, Experience with Agile development methodologies, Experience with project management tools, Understanding of web security best practices, Understanding of OWASP security best practices, Experience with DevOps best practices, Experience with CI/CD pipelines, Experience with FDA regulations, Experience with compliance requirements for medical software, Demonstrable experience with FDA regulations, Demonstrable experience with compliance requirements for medical software, Demonstrated ability to work in a fast-paced environment, Demonstrated ability to work in a collaborative environment

Nice to Have

Deep hands-on experience with AWS infrastructure, Hands-on experience with infrastructure-as-code tooling, Experience leading enterprise identity and security architecture

What You'll Do.

Define system architecture strategy

Drive system-wide architectural direction

Own technical strategy for backend

Ensure platform is scalable

Ensure platform is secure

Ensure platform is built for long term

Shape architectural standards across teams

Align technical direction with business strategy

Ensure platform is built for growth

Translate organizational goals into roadmaps

Create actionable work items

Define engineering best practices

Enforce engineering best practices

Evolve engineering best practices

Define tooling standards

Enforce tooling standards

Evolve tooling standards

Define architecture patterns

Enforce architecture patterns

Evolve architecture patterns

Establish security architecture standards

Govern security architecture standards

Make cross-cutting architectural decisions

Balance long-term maintainability

Identify technology risks

Identify technology dependencies

Establish mitigation plans

Mentor senior engineers

Develop senior engineers

Mentor staff engineers

Develop staff engineers

Raise architectural bar organization-wide

Lead security architecture reviews

Own security architecture reviews

Lead compliance strategy

Own compliance strategy

Ensure platform-wide adherence to standards

Define authentication architecture

Oversee authentication architecture

Define authorization architecture

Oversee authorization architecture

Ensure engineering practices adhere to FDA regulations

Ensure engineering practices adhere to HIPAA standards

Represent engineering architecture in leadership

Communicate technical strategy to stakeholders

Communicate trade-offs to stakeholders

How You'll Work.

Team & Collaboration

Partner with Product; Partner with Engineering; Partner with executive leadership; Cross-functional leadership; Cross-functional stakeholders; Executive stakeholders; Non-technical stakeholders

Communication Scope

Communicate technical strategy; Communicate trade-offs

Process & Methodology

Agile development methodologies, Project management tools, Roadmaps

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. We are seeking a Staff System Architect who will define and drive system-wide architectural direction. In this role, you will own the technical strategy for the backend of our clinical platform, ensuring it is scalable, secure, and built to support HeartFlow’s mission for the long term. We aren’t just looking for an engineer; we are looking for a systems thinker who can shape architectural standards across teams, align technical direction with business strategy, and ensure our platform is built for the long term. You will work at the intersection of complex medical data and organizational scalability, ensuring our systems are robust, secure, and ready for growth Job Responsibilities Define and own the system architecture strategy impacting multiple engineering teams, establishing standards and patterns that scale

Free ATS check

Applying for this Staff System Architect role?

Most applicants get filtered before a human reads their resume. See if yours makes the cut.

How to Apply on Greenhouse

  • Create a Greenhouse profile before applying — it saves time across multiple applications.
  • Upload your resume as a PDF; the parser handles it better than Word.
  • Answer all knockout questions carefully — wrong answers auto-reject before a human sees you.
  • Enable email notifications to track application status in real time.

ANONYMOUS · UNFILTERED

What do employees actually say about Heartflow?

Real rants from real employees. Read before you apply.

Read Company Rants →