1,791,034open jobs
103,611companies
267,906added this week
Browse all
Salary
$188k – $240k per year
Location
In office (San Francisco)
Seniority
Principal · 10+ years exp
Visa
H-1B filings in 12 months: 12 · green card filings: 2

Confirmed on the employer's own hiring board on Oct 17, 2026. First seen by Alion on Aug 28, 2026. HeartFlow scores B on the Alion truth index.

Overview
Company
Impact
Profile match
HeartFlow is a medical technology company founded in 2007 that turns a routine coronary computed tomography scan into a personalised model of blood flow. Deep learning and computational fluid dynamics estimate the functional significance of each blockage, letting cardiologists avoid many invasive diagnostic procedures. The analysis is reimbursed in several countries and used by hundreds of hospitals.

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.  

The Opportunity

As the  Principal Device Quality Engineer, you will serve as the global subject matter expert (SME) for software quality and design excellence. You will bridge the gap between rapid Agile development and rigorous medical device regulations, ensuring that our digital health solutions-including Software as a Medical Device (SaMD) and AI/ML-enabled technologies-are safe, secure, and compliant.

Your core responsibility will be overseeing compliance around the end to end design control process within the Heartflow’s Software Development Lifecycle (SDLC), advising on everything from initial architecture and security-by-design to global regulatory submissions and post-market surveillance.

Key Responsibilities

Strategic Leadership

  • SME Guidance: Act as the primary authority on global regulatory standards, including IEC 62304, IEC 82304, ISO 14971, ISO 13485, and AAMI TIR45. 
  • Modern SDLC Evolution: Lead the integration of modern technologies into the Quality Management System (QMS), specifically defining validation frameworks for AI/ML, Cloud Infrastructure (SaaS), and Cybersecurity (ISO 81001-5-1).
  • Agile Transformation: Partner with engineering teams to implement "Compliance at Speed," applying Agile best practices while maintaining total regulatory rigor. Commit to execution to ensure predictable, complete, high quality releases.

Design Quality & Risk Management

  • Technical Architecture Review: Advise on software architecture through the lens of safety, security-by-design, and privacy-by-design.
  • Advanced Risk Analysis: Support comprehensive risk management activities, including Hazard Analysis, Fault Tree Analysis (FTA), and FMEAs (Design and Software), specifically addressing software-driven failure modes.
  • V&V Oversight: Technical lead for Software Verification and Validation (V&V); review and approve test strategies, protocols, and reports to ensure robust product performance.

Execution & Compliance

  • DHF Management: Drive compliance from concept to commercialization, overseeing the Design History File (DHF) and ensuring a seamless design transfer.
  • Audit Representation: Represent the organization’s software QMS during internal and external audits and inspections (e.g., FDA, Notified Body, MDSAP).

Cross-Functional Collaboration

  • Regulatory Submissions: Collaborate with Regulatory Affairs to author technical documentation for global bodies, including FDA, PMDA, and EU-MDR.
  • Mentorship: Provide high-level technical guidance and training to R&D, Product and Program. 

Skills Needed

  • Strong critical thinking skills and great attention to detail
  • Ability to work as a self-starter in a fast-paced, adaptive environment
  • Excellent communication, documentation, and time management skills

Educational Requirements & Work Experience 

  • Bachelor’s degree in Software Engineering, Computer Science, Biomedical Engineering, or a related technical field is required; a Master’s degree is strongly preferred.
  • 10+ years of experience in quality engineering or product development within the medical device industry.
  • Certifications (Preferred): ASQ Certified Quality Engineer (CQE), Certified Software Quality Engineer (CSQE), or Six Sigma Black Belt.

This position has an estimated base salary of $188,000 - $240,000, bonus, and equity. #LI-IB1; #Hybrid

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/. 

Free account
Stop reading job ads. Get the ones that fit.
One free account turns this page into a shortlist built around your stack, your level and your pay.
Match on every job. Stack, seniority, pay and location, scored against your profile.
1,791,034 open roles. Read straight off company career pages, refreshed every day.
Unlimited applications. Every one you send is tracked in one place, on-site or on a company board.
3 tailored CVs a month. Rewritten for the exact job you are applying to. Included free.
Create a free account Continue with Google
Free forever. No card. Under a minute.

Your match

How well do you fit this role?
Two answers are enough for a real match. No account needed.
Check my fit
Answers stay in this browser until you create an account.

Recommended for you based on this role

Industrial Engineering
Similar stack
Same company
San Francisco
Site OpEx Lead 1 day ago
≈ $85k – $173k per year (Estimated) • Equity • Hybrid • Full-Time • 12+ years exp • Bachelor's Degree • Oklahoma City
Apply
$96k – $125k per year • In office • Full-Time • 7+ years exp • High School Diploma • Gahanna
Apply
$110k – $151k per year • In office • Full-Time • 8+ years exp • Bachelor's Degree • Columbus
Apply
$110k – $151k per year • In office • Full-Time • 8+ years exp • Bachelor's Degree • Columbus
Apply
$224k – $357k per year • In office • Full-Time • Bachelor's Degree • Santa Clara
Python
Rust
AI/ML
Model Context Protocol
AI Agents
Analytics
A/B Testing
Apply
Agile Coach - 5815-1 13 days ago
≈ $130k – $238k per year (Estimated) • In office • Contractor • 8+ years exp • New York
Management
Agile
Scrum
Kanban
Apply
≈ $101k – $188k per year (Estimated) • Hybrid • Contractor • 15+ years exp • Bachelor's Degree • New York
Databases
Oracle
Management
Agile
Scrum
Apply
≈ $117k – $213k per year (Estimated) • Hybrid • Contractor • 8+ years exp • New York
Management
Agile
Apply
Software Tech Lead 13 days ago
≈ $64k – $190k per year (Estimated) • In office • Full-Time • 10+ years exp • Bachelor's Degree • Cairo
Python
JavaScript
TypeScript
Node JS
Databases
MySQL
PostgreSQL
RabbitMQ
Apache Kafka
Frontend
React.js
DevOps
CI/CD
Docker
Kubernetes
Management
Jira
Agile
Scrum
Apply
≈ $67k – $194k per year (Estimated) • In office • Full-Time • 5+ years exp • Cairo
Management
Jira
Agile
Apply
≈ $135k – $276k per year (Estimated) • Hybrid • 12+ years exp • Master's Degree • San Francisco
Cybersecurity
CAPA
Apply
$160k – $180k per year • In office • 5+ years exp • Bachelor's Degree • San Francisco
Management
Agile
Apply
$155k – $202k per year • In office • 8+ years exp • PhD • San Francisco
Apply
$180k – $215k per year • Hybrid • 7+ years exp • Bachelor's Degree • San Francisco
Python
Java
SQL
Python
Django
DevOps
Terraform
CI/CD
AWS
Kubernetes
Amazon EKS
AWS Fargate
AWS Lambda
Amazon S3
Amazon ECS
Cybersecurity
HIPAA
OWASP
Management
Agile
Apply
$188k – $240k per year • In office • 10+ years exp • Bachelor's Degree • San Francisco
AI/ML
Machine Learning
Management
Agile
Apply
≈ $134k – $248k per year (Estimated) • Equity • Remote (United States) • Full-Time • 10+ years exp • Master's Degree • San Francisco
AI/ML
TensorFlow
Triton
TorchServe
Feature Store
Machine Learning
DevOps
GCP
Platform Engineering
Apply
$131k – $145k per year • Equity • Hybrid • 4+ years exp • Bachelor's Degree • San Francisco
SQL
Apply
≈ $146k – $277k per year (Estimated) • In office • 5+ years exp • Houston • New York • San Francisco • Seattle
Python
AI/ML
Edge AI
DevOps
Prometheus
Grafana
Linux
BGP
OSPF
Apply
$86k – $107k per year • Hybrid • Full-Time • 2+ years exp • Bachelor's Degree • San Francisco • Washington
Cybersecurity
GDPR
Marketing
Salesforce
LinkedIn
SpaceTech
QGIS
Apply
$74k – $92k per year • Hybrid • Full-Time • 2+ years exp • Bachelor's Degree • Arlington • San Francisco • Washington
Cybersecurity
GDPR
Marketing
Salesforce
LinkedIn
SpaceTech
QGIS
Apply
See all jobs
This is one of many
1,791,034 more open roles from verified company boards, updated every day.