Heartflow
Senior Software Engineer
San Francisco, California · Senior
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odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →H-1B wage level
the lottery is wage-weighted — each level is one more entry
$13,149 more — $193,149 — moves this role to Level III and 3 lottery entries. That figure is inside the range the employer already advertised.
Based on the DOL prevailing wage for this occupation and worksite, a base salary of $193,149 would place this position at wage Level III. That figure is within the posted range, and I'd like to target it. This role classifies under "Software Developers" for prevailing-wage purposes.
DOL prevailing wage, 2026-27 wage year · Software Developers (15-1252) · San Francisco-Oakland-Fremont, CA. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.
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Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
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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.
- Operating at the senior level, you will contribute to architectural decisions for key components, mentor more junior engineers, and apply robust software development best practices.
Responsibilities
- Design & Build EHR Integration:
- Design and develop Heartflow's interoperability services.
- Implement data modeling and persistence strategies.
- Own Mission-Critical Components:
- Build and maintain critical data acquisition and ingestion pipelines, ensuring the seamless, scalable, and secure extraction and normalization of patient data from diverse hospital networks.
- Build Enterprise-Grade APIs:
- Support Compliance & Security:
- Own Mission-Critical Components: Build and maintain critical data acquisition and ingestion pipelines, ensuring the seamless, scalable, and secure extraction and normalization of patient data from diverse hospital networks.
- Support Compliance & Security: Follow software development best practices and ensure your data flows and system integrations adhere to the standards and guidance set forth by the FDA and other regulatory bodies.
- Collaborate & Mentor: Join a team of high-performing engineers on a mission to revolutionize precision heart care. You will mentor more junior engineers and contribute to system design discussions.
Requirements
- Bachelor's degree in Computer Science, Engineering, or related discipline, or equivalent experience.
- Software Engineering & Architecture: Strong Python development proficiency, applying Domain-Driven Design (DDD) principles, and architecting robust microservices and event-driven architectures at scale.
- You are passionate about:
Skills
- You have experience in the following:
- Software Engineering & Architecture:
- Healthcare Interoperability:
- Integrating with Electronic Health Record (EHR) systems and utilizing healthcare data standards (e.g., FHIR, HL7).
- data modeling and architecting scalable persistence layers for complex, high-volume data systems.
- Data Strategy:
- Cloud & Connectivity:
- Technical Leadership:
- Quality Assurance:
Compensation
- A reasonable estimate of the base salary compensation range is $180,000 to $215,000, bonus, and equity. #LI-IB1
Benefits
- This position plays a key engineering role in realizing Heartflow's vision of creating a single, comprehensive platform to manage heart disease.
- Platform Vision:
- Realizing the vision of a single, unified platform to manage and treat heart disease.
Company info
- 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.
This listing is sourced directly from Heartflow's careers page and normalized into a canonical job model.