Senior Technical Business Systems Analyst - Financial Systems

About the role

We are seeking a proactive, technically deep Senior Business Systems Analyst to serve as the primary subject matter expert and day-to-day steward of HeartFlow's NetSuite ERP ecosystem. This role sits at the intersection of finance operations and enterprise systems, translating complex business requirements into scalable NetSuite configurations and integrations that support our growth as a globally expanding, publicly traded medtech company. You will own the ongoing health of our NetSuite platform-including the modules, integrations, and partner ecosystem reflected in our current subscription-while driving continuous improvement across our broader financial systems stack. That stack extends beyond NetSuite to include payroll and HR, procurement-to-pay, rebate and contract management, advanced revenue recognition (ARM), and business intelligence platforms (Domo, Tableau). If you thrive working cross-functionally, can hold a technical conversation with IT in the morning and a business requirements session with stakeholders in the afternoon, this role is built for you. Job Responsibilities NetSuite Platform Ownership Serve as primary functional and technical administrator for HeartFlow's NetSuite environment, covering core ERP (GL, AR, AP), OneWorld multi-subsidiary/multi-currency, Revenue Management, Revenue Allocation, Fixed Asset Management, and Advanced Electronic Bank Payments. Manage platform health across production and sandbox environments, including configuration, customization governance, SuiteCloud+ usage, and oversight. Drive adoption and optimization of licensed modules including SuiteAnalytics Connect and SuiteCloud Plus Lead planning and execution for NetSuite bi-annual releases: assess new functionality, develop test plans, coordinate UAT with business stakeholders, and manage sandbox-to-production promotion. Requirements & Process Analysis Partner closely with Finance, Accounting, FP&A, Revenue, and Operations teams to gather, document, and translate business requirements into scalable system solutions within NetSuite and connected platforms. Analyze current-state business processes and workflows across order-to-cash, procure-to-pay, record-to-report, and revenue recognition; identify gaps and design improved future-state processes. Develop and maintain business requirements documents (BRDs), functional design specifications, process flow diagrams, and user acceptance test scripts. Act as the liaison between business units, IT, and external implementation partners or vendors, ensuring solution designs balance business need with technical feasibility. Integrations & Technical Delivery Oversee and support integrations between NetSuite and HeartFlow's broader enterprise application ecosystem, including orchestration layers, REST/SOAP API integrations, and file-based data exchanges. Work hands-on with SuiteScript, SuiteFlow (workflow automation), saved searches, and custom reports to configure and extend NetSuite functionality without requiring full developer engagement for every change. Review and validate technical solutions proposed by developers or implementation partners; provide functional sign-off on delivered configurations and customizations. Troubleshoot production issues across the financial systems stack-NetSuite, integrated applications, and downstream reporting-ensuring timely resolution with minimal business disruption. Connected Systems & Cross-Functional Applications Act as the functional liaison and systems owner for key platforms that integrate with or depend on NetSuite data, including: ADP Workforce Now (payroll and HR - ensuring accurate payroll journal entry feeds, headcount data, and GL coding); Zip (procurement intake and purchase requisition workflow, ensuring PO creation and appro

Benefits

Additional Information

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. The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFR CT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMap™Analysis), assess coronary blood flow (FFR CT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). Our pipeline of products is growing and so is our team; join us in helping to revolutionize precision heartcare. Heartflow is a publicly traded company (HTFL) that has received international recognition for exceptional strides in healthcare innovation, is supported by medical societies around the world, cleared for use in the US, UK, Europe, Japan and Canada, and has been used for more than 500,000 patients worldwide.

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at heartflowinc? Share your experience