HHiring Reality
← Heartflow

Director, Engineering

Heartflow
Location
San Francisco, California
Posted
12 days ago
Department
Software Engineering
Salary
$220,000 to $270,000
What they actually want (must-haves)
  • Bachelor's degree in Computer Science, Engineering, or related discipline, or equivalent experience
  • 15+ years of relevant industry experience, including significant time in principal, staff, or architect-level roles with cross-team architectural responsibility
  • Demonstrated track record of diagnosing and resolving performance and scalability problems in large distributed systems
  • Hands-on experience architecting systems for multi-region deployment, including data residency and sovereignty constraints
  • Direct management experience, including managing engineers across time zones
  • Deep expertise across system design, cloud-native architectures, and distributed systems
Nice to have
  • Experience launching a healthcare or medical device product into a new international market
  • Deep hands-on experience with AWS multi-region infrastructure and infrastructure-as-code tooling (e.g., Terraform, CloudFormation)
  • Experience owning performance SLOs and observability platforms (e.g., Datadog, OpenTelemetry) at scale
  • Experience managing engineering teams in Eastern Europe, or working within a GlobalLogic or similar systems-integrator partnership model
  • Experience with medical imaging pipelines, DICOM, or compute-intensive clinical workloads
What the job really is

The Director of Engineering at Heartflow will lead the technical strategy for the clinical platform's performance and international expansion. This hands-on role involves managing an offshore engineering team, defining architectural standards, and ensuring compliance with regulatory requirements while optimizing system performance and scalability for multi-region operations.

Benefits
  • A reasonable estimate of the yearly base compensation range is $220,000 to $270,000, bonus, and equity.
Things to weigh
  • No specific mention of remote work flexibility or on-site requirements
  • The role involves managing an offshore team, which may require flexibility in working hours due to time zone differences
  • The position requires significant experience and may not be suitable for those earlier in their careers
Job score4/5
Benefits1/5
Freshness5/5
Career value4/5
Role clarity5/5
Pay transparency5/5

Applying to Heartflow?

See how your résumé matches this role — and tailor it from what actually gets interviews.