---
title: 'Director Clinical Quality and Compliance at Heartflow'
canonical: 'https://feeny.ai/job/director-clinical-quality-and-compliance-heartflow-san-francisco-b3bqggcndx24'
type: 'job'
last_seen: '2026-11-09'
---

# Director Clinical Quality and Compliance at Heartflow

- **Company:** Heartflow
- **Location:** San Francisco, CA
- **Posted:** 2026-09-16
- **Last confirmed live:** 2026-11-09
- **Apply:** https://job-boards.greenhouse.io/heartflowinc/jobs/6194282004

## 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 750,000 patients worldwide.

The Director of Clinical Quality & Compliance is responsible for the strategic oversight, management, and execution of clinical quality assurance and regulatory compliance programs across pre-market and post-market clinical research initiatives. The role will work closely with internal Clinical Operations teams and cross-functional partners to support and monitor compliance, ensure adherence with FDA IDE requirements and Good Clinical Practice (GCP), and maintain inspection readiness across all studies, both  internally managed  and externally initiated or managed.

Job Responsibilities:

- Leads clinical quality and regulatory compliance strategies and initiatives across pre-market and post-market internal and external clinical programs.
- Ensures robust end-to-end clinical trial compliance with FDA Good Clinical Practice (GCP) guidelines (21 CFR Parts 50, 56, 312, 812) and ISO 14155.
- Oversees medical device labeling requirements, ensuring full compliance with FDA regulations and international labeling standards for post-market and investigational devices.
- Authors, reviews, and maintains Investigator’s Brochures (IB) for investigational medical devices being used in clinical research programs.
- Leads Bioresearch Monitoring (BIMO) audit preparation, internal GCP audits, vendor oversight, and external regulatory health authority inspections.
- Works closely with internal Clinical Operations and external CRO teams to ensure study protocols, execution strategies, and trial management practices align with regulatory and quality standards.
- Establishes clinical trial monitoring protocols and oversees key study deliverables, including Informed Consent Forms (ICFs), site monitoring oversight plans, and Trial Master File (TMF) quality standards.
- Partners with Clinical Operations to review regulatory document packages required for site greenlighting, ensuring ongoing Institutional Review Board (IRB) / Ethics Committee (EC) approvals, protocol amendments, and revised ICF implementations remain compliant across all sites.
- Manages regulatory compliance oversight for Unanticipated Adverse Device Effects (UADE) and Serious Adverse Event (SAE) reporting workflows, ensuring strict adherence to FDA 10-day reporting windows, IRB/EC notifications, and safety monitoring plans.
- Implements systematic oversight for logging, evaluating, and mitigating protocol deviations and non-compliance, ensuring thorough root-cause analysis (RCA) and Corrective and Preventive Actions (CAPA) in partnership with internal Clinical Operations.
- Partners with Clinical Operations to establish quality oversight and compliance metrics ensuring field monitors and study personnel execute the trial strictly per the approved protocol and Instructions for Use (IFU).
- Partners with Regulatory Affairs to ensure post-market regulatory obligations are met, including contribution and review of Clinical Evaluation Reports (CER), Post-Market Clinical Follow-up (PMCF) studies, Literature Searches, and Periodic Safety Update Reports (PSUR).
- Contributes to FDA Investigational Device Exemption (IDE) regulatory strategies and submissions.
- Navigates geographic data governance, data privacy, and cross-border clinical regulatory requirements for multi-site global trials.
- Participates in and leads process improvement activities within the department and cross-functionally alongside Clinical Operations.

Skills Needed:

- Deep technical knowledge of FDA IDE regulations, FDA GCP standards, ISO 14155, and medical device labeling requirements.
- Strong experience partnering closely with internal Clinical Operations teams to ensure robust GCP compliance in study management processes.
- Direct hands-on experience hosting FDA BIMO audits and preparing sponsors/vendors for regulatory health authority inspections.
- Demonstrated expertise reviewing and managing ICFs, IBs, IFUs, PMCF plans, and PSUR compilation.
- Extensive background managing protocol deviations, CAPA systems, and UADE/SAE safety reporting within regulated clinical trials.
- Understanding of multi-geographic clinical trial execution, data integrity, and cross-border regulatory considerations.
- Strong matrix leadership and collaboration skills, with the ability to drive cross-functional compliance.
- Incredible attention to detail, accuracy, and quality.
- Ability to manage multiple tasks and work comfortably in an environment with shifting priorities.
- Ability to work in a collaborative team environment with a willing, all-hands-on-deck attitude.
- Excellent written and oral English communication skills required.
- Proficiency in computer programs, specifically Microsoft Office tools (Word, Excel, PowerPoint) and Google tools.

Educational Requirements & Work Experience:

- Minimum of a Bachelor’s degree in Life Sciences, Biomedical Engineering, Clinical Research, or related scientific/health field (Master's, Ph.D., PharmD, or RN preferred).
- Demonstrated minimum of 8 years relevant experience in clinical quality assurance and regulatory affairs within the medical device, biotech, or combination product industries.
- Demonstrated experience leading BIMO audit readiness and FDA IDE submissions preferred.
- Proven track record of working in close alignment with internal Clinical Operations teams.
- Experience managing CROs and clinical vendors required.

A reasonable estimate of the base salary compensation range is $215,000 to $240,000, bonus, and equity. #LI-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/](https://www.heartflow.com/about/careers/).

## About Heartflow

## Company Overview
- **One-liner**: Heartflow is a medical technology company that leverages AI to create personalized 3D models of the heart from a single CT scan, enabling clinicians to diagnose, treat, and manage coronary artery disease (CAD) non-invasively.
- **Entity Type**: Public (NASDAQ: HTFL) – IPO in 2025
- **Headquarters**: San Francisco, California, USA
- **Founded**: 2007
- **Founders**: Not publicly listed on primary company pages; the company was founded by a team including Dr. Charles Taylor (inventor of the core technology). *Note: Founders not explicitly named on the main website.*

## Core Business
- **Primary Industry**: Medical Technology / HealthTech / AI-Driven Diagnostics (Cardiology)
- **Target Customers**: B2B – Hospitals, health systems, and cardiology clinics; the end-users are clinicians (cardiologists, radiologists) and the ultimate beneficiaries are patients with suspected or known CAD.
- **Mission/Purpose**: To transform coronary artery disease (CAD) from the leading cause of death into a disease that can be managed for life.

## Products & Services
- **Heartflow One Platform**: The company’s core AI-driven, non-invasive precision coronary care platform. It provides a suite of analyses from a single Coronary CTA (CCTA) scan:
    - **Roadmap™ Analysis**: Visualizes the coronary anatomy and assesses blood flow anywhere in the coronary tree.
    - **FFRct Analysis**: Computes Fractional Flow Reserve from CT, determining the functional significance of a blockage (the original, most established product).
    - **Plaque Analysis**: Quantifies and characterizes plaque to inform risk stratification and disease management.
    - **Type**: SaaS/Software-as-a-Medical-Device (SaMD) integrated into clinical workflow.

## Market Standing
- **Valuation/Market Cap**: Not publicly available from the provided sources. As a recently public company (2025), market cap fluctuates. *Source: LinkedIn indicates a 2025 IPO.*
- **Key Metric**: Over **650,000 patients treated**; over **1,800 institutions** using the platform; **99.5% of U.S. lives covered** for FFRct Analysis.
- **Notable Investors/Partners**: Not listed in the provided search results. The company is now public.
- **Growth Signals**:
    - Supported by scientific statements from the American College of Cardiology (ACC) and American Heart Association (AHA) for personalized CAD management.
    - Late-breaking data at AHA 2025 reinforced the prognostic power of its Plaque Analysis.
    - Growing evidence base across the CAD care continuum, from risk stratification to CT-guided intervention planning.
    - Backed by **>625 peer-reviewed publications**.
    - LinkedIn follower growth: +32% year-over-year, indicating strong brand and market interest.

## Competitive Advantages
- **First-Mover & Gold Standard in FFRct**: Heartflow created the FFRct technology category and has the most robust clinical evidence base (over 625 peer-reviewed publications) and guideline support (ACC/AHA).
- **Integrated Platform (Heartflow One)**: It is the only complete, non-invasive, precision coronary care platform that covers the entire guideline-directed CCTA pathway (anatomy, physiology, and plaque).
- **Massive Clinical & Reimbursement Moat**: Achieving 99.5% U.S. lives covered creates an enormous barrier to entry for competitors, as reimbursement and clinical adoption are already deeply established.
- **AI-First, Non-Invasive Solution**: Replaces invasive diagnostic procedures (cardiac catheterization) with a safer, cheaper, and more comfortable CT scan, aligning with the industry shift toward value-based care.

## Strategic Focus
- **Deepening the Evidence Base**: Continuing to publish clinical data to expand the use cases for its platform (e.g., from diagnosis to guiding interventions).
- **Global Expansion**: Operating in the US, Europe, and Japan, with a focus on expanding access and adoption in these key markets.
- **Platformization**: Moving from a single product (FFRct) to a comprehensive CAD management platform (Heartflow One) that manages patients from screening through treatment.
- **Lifecycle Management**: Shifting the narrative from a one-time diagnostic test to a tool for managing CAD for the patient's entire life.

## Why Work Here
- **Mission-Driven**: The work directly impacts the world's leading cause of death. The company culture emphasizes a "patient-first" mentality.
- **Remote-First Culture**: The company is remote-first with employees across the US, Europe, and Japan. Hubs include San Francisco (HQ), Austin, London, and Tokyo.
- **Strong Benefits**: Medical/Dental/Vision (90% of premium paid by company), 401k match, parental leave, flexible PTO, and an Employee Assistance Program (EAP).
- **Engineering & Clinical Excellence**: A high-caliber team of engineers, data scientists, and clinicians working on cutting-edge AI in a regulated medical environment. The tech stack involves complex 3D modeling, AI/ML, and cloud infrastructure.
- **Growth Stage**: As a recently public company with strong adoption, it offers a balance of startup energy and established market stability. High growth potential in a mission-critical field.

## Sources
1. [heartflow.com (Company Overview)](https://www.heartflow.com/)
2. [heartflow.com (About Us)](https://www.heartflow.com/about/)
3. [heartflow.com (Careers Page)](https://www.heartflow.com/about/careers/)
4. [Greenhouse (Job Board)](http://job-boards.greenhouse.io/heartflowinc)
5. [LinkedIn (Company Profile)](https://www.linkedin.com/company/heartflow-inc)

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