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 FFR CT 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 (FFR CT 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. The Opportunity We are seeking a proactive, technically deep Senior Business Systems Analyst to serve as the primary subject matter expert and day-to-day steward of HeartFlow’s NetSuite ERP ecosystem.

Requirements

into scalable NetSuite configurations and integrations that support our growth as a globally expanding, publicly traded medtech company. You will own the ongoing health of our NetSuite platform—including the modules, integrations, and partner ecosystem reflected in our current subscription—while driving continuous improvement across our broader financial systems stack. That stack extends beyond NetSuite to include payroll and HR, procurement-to-pay, rebate and contract management, advanced revenue recognition (ARM), and business intelligence platforms (Domo, Tableau).

session with stakeholders in the afternoon, this role is built for you.

Process Analysis Partner closely with Finance, Accounting, FP A, Revenue, and Operations teams to gather, document, and translate business

into scalable system solutions within NetSuite and connected platforms. Analyze current-state business processes and workflows across order-to-cash, procure-to-pay, record-to-report, and revenue recognition; identify gaps and design improved future-state processes.

documents (BRDs), functional design specifications, process flow diagrams, and user acceptance test scripts. Act as the liaison between business units, IT, and external implementation partners or vendors, ensuring solution designs balance business need with technical feasibility.

Responsibilities

NetSuite Platform Ownership Serve as primary functional and technical administrator for HeartFlow’s NetSuite environment, covering core ERP (GL, AR, AP), OneWorld multi-subsidiary/multi-currency, Revenue Management, Revenue Allocation, Fixed Asset Management, and Advanced Electronic Bank Payments. Manage platform health across production and sandbox environments, including configuration, customization governance, SuiteCloud+ usage, and oversight. Drive adoption and optimization of licensed modules including SuiteAnalytics Connect and SuiteCloud Plus Lead planning and execution for NetSuite bi-annual releases: assess new functionality, develop test plans, coordinate UAT with business stakeholders, and manage sandbox-to-production promotion.

Senior Technical Business Systems Analyst - Financial Systems