Engineering Manager - Agentic AI
San Francisco, United States · Hybrid · Full-time
- Posted 1mo ago
- From HeartFlow’s careers page
- Location
- San Francisco, United States
- Work mode
- Hybrid
- Type
- Full-time
- Level
- Senior
- Experience
- 8+ years
- Department
- Software Development
Opens the listing on job-boards.greenhouse.io
Let the right jobs find you
In your inbox every Wednesday and SaturdayPersonalised suggestions from verified career pages, matched to your role, location, level and skills.
About the role
About the role
To accelerate this mission, we are seeking an Engineering Manager to build and lead our new Agentic AI initiatives team.
This is a unique "player-coach" opportunity. You will start in a deeply hands-on capacity - acting as the lead architect and foundational engineer to set up the core ecosystem that allows autonomous, intelligent agents to execute multi-step medical reasoning securely and at scale. As the foundation is laid and the product gains momentum, your role will transition into a full Engineering Manager capacity. You will be responsible for scaling a world-class team of engineers, guiding their execution, and shaping the long-term technical strategy of the platform.
You will have a true blank-canvas opportunity to design production-grade agentic systems from scratch, directly translating our decade-plus of clinical AI success into the next generation of autonomous medical technology.
Job 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.
Required 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.
Nice-to-Have
- Experience deploying AI applications in regulated industries (Healthcare, Finance, etc.) or navigating HIPAA/GDPR compliance.
- Active contributions to open-source LLM or Agentic AI frameworks.
- Experience with advanced prompt engineering, fine-tuning, or RAG optimization.
Skills they ask for
Pick one to see other roles that ask for it.
About HeartFlow
AI analysis for coronary careHeartflow develops AI-based analysis of coronary CT angiograms to create 3D heart models and support personalized coronary artery disease care.
See all 99 roles at HeartFlowMore roles at HeartFlow
See all 99- Territory Sales Manager - Lincoln, NE; Omaha, NE; Des Moines, IALincoln · RemoteSales · RemoteLincoln, United States7h
- Territory Account Manager - North Phoenix, AZPhoenix · RemoteSales · RemotePhoenix, United States10h
- Senior Systems EngineerSan Francisco · Senior · HybridEngineering · Senior · HybridSan Francisco, United States11h
- Regional Business Manager - CentralSt. LouisSalesSt. Louis, United States11h
Let the right jobs find you
In your inbox every Wednesday and SaturdayPersonalised suggestions from verified career pages, matched to your role, location, level and skills.