---
title: 'Payroll Analyst at Heartflow'
canonical: 'https://feeny.ai/job/payroll-analyst-heartflow-rohnert-park-85xv6c3ff2ny'
type: 'job'
last_seen: '2026-10-26'
---

# Payroll Analyst at Heartflow

- **Company:** Heartflow
- **Location:** Rohnert Park, CA
- **Posted:** 2026-10-23
- **Last confirmed live:** 2026-10-26
- **Apply:** https://job-boards.greenhouse.io/heartflowinc/jobs/6233800004

## 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 Payroll Analyst runs accurate, on-time, compliant payroll for Heartflow's employees across multiple states and, where applicable, international locations. You will own day-to-day payroll processing, reconcile payroll data against the general ledger, and partner with HR, Finance, and Accounting to keep compensation, benefits, and tax data correct.

This role reports to the Senior Manager Payroll and is based in Rohnert Park.

## Key responsibilities

- Process semi-monthly or bi-weekly payroll end to end, including hourly, salaried, and exempt/non-exempt employees, with accuracy and on-time delivery.
- Review and audit payroll inputs each cycle: new hires, terminations, pay changes, bonuses, commissions, retro pay, and deductions.
- Record equity-related payroll events, such as RSU vesting, NQ stock option exercises and ISO/ESPP disqualifying dispositions as directed.
- Reconcile payroll registers, tax filings, benefit deductions, and 401(k) contributions, and prepare journal entries and GL reconciliations for month-end close.
- Ensure compliance with federal, state, and local wage and hour and payroll tax requirements, including California-specific rules on final pay, overtime, sick leave, and RROP (regular rate of pay)
- Manage multi-state tax setup, registrations, and notices, and support year-end processing including W-2s and quarterly filings.
- Partner with HR and Benefits to keep HRIS and payroll system data synchronized and resolve integration or data discrepancies.
- Answer employee payroll questions promptly and confidentially and maintain clear self-service documentation.
- Support internal and external audits (financial, SOX, 401(k), workers' compensation) by preparing reports and documentation.
- Document payroll procedures and controls and identify opportunities to automate and improve processes.
- Build ad hoc payroll and labor cost reports for Finance, FP&A, and leadership.
- Perform pre and post payroll audits of earnings, deductions, taxes, hours, benefit elections
- Review payroll exception reports and research discrepancies prior to payroll finalization
- Partner with payroll vendors and internal teams to research system issues, data discrepancies, and payroll configuration concerns.
- Process off-cycle payments, payroll adjustments, reversals, voids, and check corrections as required

Required qualifications

- Bachelor’s degree in accounting, Finance, Business, or a related field, or equivalent practical experience.
- 3–5 years of hands-on, full-cycle payroll experience, ideally in a multi-state environment.
- Working knowledge of federal and state payroll tax and wage and hour law, especially California.
- Experience with a major payroll platform such as ADP, Workday, UKG, Paylocity, or Rippling.
- Strong Excel skills, including pivot tables, VLOOKUP/XLOOKUP, and reconciliations.
- High attention to detail and a track record of accuracy under recurring deadlines.
- Sound judgment handling confidential compensation and personal data.
- Clear written and verbal communication with employees at every level.

## Preferred qualifications

- Certified Payroll Professional (CPP) or Fundamental Payroll Certification (FPC).
- Experience at a public company or a company preparing for or recently through an IPO, including SOX controls.
- Exposure to international payroll or managing a global payroll vendor.
- Experience in medical devices, life sciences, or another regulated industry.
- Experience implementing or migrating payroll or HRIS systems.

The expected base salary range for this role is $85,000 - $115,000 plus bonus. 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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