Heartflow

Staff/Senior Agentic AI Engineers (Multiple roles)

San Francisco, California · Staff+

Sponsorship not specified$180k-$215kDetected 6 days ago

PythonGoData StructuresAWSGCPCloud PlatformsCI/CDAPI DevelopmentLLMsRAGAgentic AIAI OrchestrationComplianceHIPAAEHR/EMRFDA Regulatory

About the role

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.
Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare.
You won't just be consuming AI models; you will be responsible for setting up the core ecosystem that allows autonomous, intelligent agents to execute multi-step medical reasoning and data workflows securely and at scale.

Design and implement a robust, secure, and scalable Agentic AI platform, establishing standard patterns for multi-agent orchestration, state management, tool usage, and memory.
Drive the technical execution of brand-new, agent-driven product features from initial ideation to production deployment.

5+ years (Senior) or 8+ years (Staff) of professional software engineering experience, with a proven track record of shipping production-grade software.
Deep, hands-on experience building applications with Large Language Models (LLMs) and a strong understanding of agentic architectures.
Experience with orchestration frameworks and vector databases.
Advanced proficiency in Python or Go, alongside a solid grasp of microservices, API design, and cloud infrastructure (AWS or GCP).
You will build systems to parse requirements, map software modules, and auto-generate test cases - boosting engineering velocity without sacrificing the compliance rigor required for FDA-cleared software.

Active contributions to open-source LLM or Agentic AI frameworks.
Experience with advanced prompt engineering, fine-tuning, or RAG optimization.
Heartflow is an Equal Opportunity Employer.
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.

A reasonable estimate of the base salary compensation range is $180,000 to $215,000 (for Senior level), $200,750 to $250,922 (for Staff level), cash bonus, and equity. #LI-IB1 #LI-Hybrid

Implement advanced guardrails, evaluation frameworks, and reasoning validation loops to ensure agent behaviors are safe, deterministic, and highly accurate within a medical context.
Enable agents to interact dynamically with complex medical data structures, Electronic Health Records (EHRs), imaging pipelines, and internal APIs.
Experience deploying AI applications in regulated industries (Healthcare, Finance, etc.) or navigating HIPAA/GDPR compliance.

This listing is sourced directly from Heartflow's careers page and normalized into a canonical job model.