Heartflow · San Francisco, CA

Salary
$180,000–$250,922from the description
Posted
Jul 15, 2026
Location
San Francisco, CA
Last confirmed open
Jul 21, 2026

What this job asks for AI summary

A founding engineering role on a newly formed Agentic AI team, focused on building a production-grade platform for autonomous, multi-step medical reasoning workflows from the ground up. Day-to-day work spans designing multi-agent orchestration patterns, integrating with EHRs and imaging pipelines, and implementing safety guardrails suited to FDA-cleared software. The role suits experienced engineers with hands-on LLM and agentic architecture background who are comfortable operating in greenfield, ambiguous environments.

Senior level · 5+ years · San Jose-Sunnyvale-Santa Clara, CA · Full-time

Must have (6)
LLMsPython or GomicroservicesRESTAWS or GCPvector databases
Nice to have (3)
CI/CDRAGHIPAA or Gdpr

“or” means any one of them counts — you don't need all of them.

We read this from the posting text with AI. Skim the description below before ruling yourself out.

How this req sits in the market our data

Roughly 300 people in the San Jose-Sunnyvale-Santa Clara, CA area plausibly meet what this posting asks for (software developers). range 220–390

Applicant volume Moderate — A normal amount of company. The rare requirements below are what will separate a shortlisted application from the rest.

What gives you an edge
vector databases6%

Rare in this occupation — lead with these, and say what you built with them.

What won't set you apart
Python51%

Most people in this occupation already list these. Still required — just not what gets you shortlisted.

What the occupation pays Median $217,796 (middle half $177,469–$231,052). This posting is about at that midpoint.

Estimated from BLS employment for this occupation and area, per-skill prevalence across our listing corpus, and published wage benchmarks — as of Jul 28, 2026. It is a model, not a headcount.

Why we read it this way (6)

This posting covers BOTH Senior (5+ years, $180K–$215K) and Staff (8+ years, $200,750–$250,922) levels simultaneously. The level advertised in the title is set to Senior (the lower of the two) and the overall years minimum reflects the Senior minimum of 5 years; the Staff band's 8-year floor and higher salary ceiling are captured in the comp range max.

The compensation range spans both levels: $180,000–$215,000 for Senior and $200,750–$250,922 for Staff. The min/max here represent the full combined range across both levels, plus cash bonus and equity.

Heartflow is headquartered in Redwood City, CA (San Jose-Sunnyvale-Santa Clara CBSA). The posting is tagged #LI-Hybrid, so it is not fully remote.

The SOC classification is Medium confidence: the role is primarily software engineering (building an agentic AI platform), but has a meaningful AI/ML dimension that could also point to Data Scientists (15-2051). Software Developers is the better fit given the emphasis on platform architecture, production deployment, and engineering execution.

'Orchestration frameworks' and 'agentic AI frameworks' are listed as a single required skill — the JD does not name a specific tool (e.g., LangChain, LlamaIndex, AutoGen), so the skill is labeled generically per the posting's language.

Fine-tuning appears only under the Nice-to-Have section alongside prompt engineering and RAG optimization; all three are marked preferred accordingly.

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