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Engineering Manager - Agentic AI

Heartflow· Software Engineering
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Hybrid (San Francisco, CA)$200k - $270kFull-timePosted 1mo ago

About the role

Engineering Manager role leading the new Agentic AI initiatives team at Heartflow. Starts hands-on as lead architect and foundational engineer to build a secure, scalable agentic AI platform, then transitions to full engineering management to scale the team and shape long-term technical strategy for autonomous medical technology.

Responsibilities

  • Initial Hands-On Execution: Design, architect, and write code for a robust, secure, and scalable Agentic AI platform, establishing standard patterns for multi-agent orchestration, state management, tool usage, and memory.
  • Team Building & Leadership: Transition from an individual contributor/architect role into a dedicated management role as the team scales.
  • Technical Strategy: Drive the technical execution of brand-new, agent-driven product features from initial ideation to production deployment. Build systems to parse requirements, map software modules, and auto-generate test cases.
  • Safety & Compliance: Implement advanced guardrails, evaluation frameworks, and reasoning validation loops to ensure agent behaviors are safe, deterministic, highly accurate, and meet the compliance rigor required for FDA-cleared software.
  • Cross-Functional Collaboration: Work closely with product managers, clinical experts, and data scientists to translate clinical needs into technical AI agent architectures and viable product roadmaps.
  • Best Practices: Champion software engineering best practices (CI/CD, comprehensive testing, logging for non-deterministic systems) and keep the team ahead of the rapidly evolving AI landscape.

Qualifications

  • 8+ years of professional software engineering experience, with a proven track record of shipping production-grade software.
  • 5+ years of experience managing, mentoring, or acting as a formal technical lead for software engineering teams.
  • Player-Coach Mentality: Willingness and technical capability to be deeply hands-on with code and architecture during the first 6–12 months while concurrently building the team.
  • Deep, hands-on experience building applications with Large Language Models (LLMs) and a strong understanding of agentic architectures, 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).
  • A passion for greenfield projects - you thrive in ambiguity, enjoy designing systems from scratch, and love solving complex, open-ended problems.

Skills

Required:Software architectureTeam leadershipLarge Language Models (LLMs)PythonCloud infrastructure
Nice to have:Go

Benefits

  • base salary compensation range is $200,000 to $270,000
  • cash bonus
  • equity
Last updated Sep 14, 2026. Interested? Apply on the company site.

About Heartflow

Decisive Coronary Care

Heartflow’s vision is to transform CAD from the leading cause of death into a disease that can be managed for life.

CCTA ResourcesRoadmap AnalysisFFRCT AnalysisPlaque AnalysisHeartflow OneHeartflow One PlatformMeasurable Impact
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