Staff Systems Engineer (CT Imaging)

The role

You will be the technical lead for how Heartflow's products perform across the CT landscape. You will own system requirements and the verification and validation strategy to optimize product outputs across scanners, detectors, reconstruction kernels, and imaging techniques.

What you will do

• Own the strategy and system architecture for optimizing Heartflow product outputs across EID-CT and PCCT.
• Define the optimal and acceptable ranges of CT scanner and recon settings.
• Partner with cross functional groups on new initiatives.
• Collaborate with Clinical Research to design data campaigns that quantify imaging performance.
• Monitor the CT landscape across OEMs and track new market entrants.
• Represent Systems Engineering in design reviews, program planning, and cross-functional decision-making.
• Serve as the CT subject matter expert in regulatory submissions and audits.
• Define and maintain system requirements with full traceability.
• Translate clinical and product goals into testable, unambiguous requirements.
• Promote Systems Engineering best practices and mentor Systems Engineers.

Required qualifications

• 10+ years of Systems Engineering experience in medical devices and/or regulated imaging products.
• Direct experience with CT acquisition and reconstruction across both EID-CT and PCCT.
• Expertise in applied statistics for quantifying imaging performance, variance, and measurement accuracy.
• Demonstrated ownership of system requirements, traceability, and verification and validation supporting successful regulatory submissions.
• Working knowledge of the design control, quality, risk, and software lifecycle requirements governing medical device software.
• Proficiency in system design, interface definition, requirements writing, and configuration/change control of CT scanners and reconstruction-kernels.
• Experience developing FDA-regulated SaMD.
• Strong written and verbal communication skills.
• B.S. or M.S. in Systems Engineering, Electrical Engineering, Biomedical Engineering, Physics, or a related discipline.

Nice to have

• Ph.D.
• Deep familiarity with CT scanner platforms and vendor roadmaps.
• Established relationships with CT OEMs.
• Experience with coronary CT angiography (CCTA), non-contrast CT (NCCT), coronary imaging workflows, and AI/ML-enabled clinical decision support.
• Expertise in DICOM and medical imaging interoperability standards (e.g., IHE, HL7/FHIR, PACS integration).

About the company

Heartflow is a medical technology company advancing the diagnosis and management of coronary artery disease using cutting-edge technology. It is a publicly traded company (HTFL) that provides an AI-driven, non-invasive cardiac test.