Director, Government Affairs (Home-Based)

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 VC-backed company 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 400,000 patients worldwide.  

The Director of Government Affairs will play a critical role in advancing Heartflow's business objectives by developing and executing strategies to engage government stakeholders, shape public policy, and secure fair and adequate reimbursement for Heartflow’s current and future products and services. This position is responsible for building and nurturing relationships with key policymakers, including legislative and executive branches, and ensuring that Heartflow's interests are effectively represented at the federal level. The Director will manage the company's lobbying efforts, track legislative and regulatory developments, and ensure compliance with all relevant lobbying laws and regulations. This role requires a strategic leader with a deep understanding of the healthcare policy landscape, particularly in the medtech, diagnostics, and digital health sectors. This role is home-based in Washington, D.C., or within driving distance.

Key Responsibilities:

• Stakeholder Engagement & Relationship Management

• Build and maintain strong relationships with key legislative and executive branch stakeholders to understand and advocate for Heartflow’s business and policy priorities.
• Engage with policymakers, regulatory bodies, and other government stakeholders to promote Heartflow’s interests, focusing on securing favorable policy and reimbursement outcomes.
• Work with Heartflow lobbying team to access political influences into HHS/CMS

• Reimbursement Strategy Development

• Develop and manage comprehensive strategies to advocate for Heartflow’s product reimbursement, working closely with the lobbying, legal, and regulatory teams to engage with CMS (Centers for Medicare & Medicaid Services) and HHS (Department of Health and Human Services).
• Collaborate with internal teams to create advocacy materials such as one-pagers, slide decks, and economic analyses that effectively communicate Heartflow’s clinical and economic value to key stakeholders.
• Develop and maintain an in-depth understanding of clinical and economic data to tailor messaging to diverse government stakeholders.

• Legislative & Regulatory Monitoring:

• Monitor proposed legislation and regulatory changes, assessing their potential impact on Heartflow, its products, customers, and patients.
• Provide strategic insights and recommendations to senior leadership on emerging policy risks and opportunities.

• Advocacy Strategy and Execution

• Develop and implement comprehensive government relations strategies that align with the organization's objectives.
• Manage Heartflow meetings and execution with lobbying and DC team including preparing agenda, managing follow up tasks to completion, recording minutes, etc.
• Research and propose rate setting methodologies that could be utilized for Heartflow’s products and keep abreast of CMS policies and trends to maintain or improve Heartflow product reimbursement
• Coordinate with commercial team and Heartflow customers to advocate for reimbursement through public comment periods and via Congressional members for Heartflow reimbursement

• Compliance: Ensure the organization's compliance with all relevant lobbying laws and regulations, including managing political contribution strategies.

Educational Requirements & Work Experience: 

• Education: Bachelor's degree in health policy, public health, business, or a related field required; advanced degree (MPH, MPP, MBA, or JD) preferred.
• 8+ years in health policy, market access, reimbursement, or government affairs within medtech, diagnostics, or digital health. Experience in the federal government a plus.
• Skills:
• Strong understanding of US government functions, policies, and legislation including an understanding of US coding, coverage, and payment system and the organizations of HHS/CMS and Congress
• Strong analytical and interpersonal skills with the ability to interpret legislation and policy.
• Strong interpersonal skills to develop relationships with stakeholders
• Self-starter with strong organization skills to track and manage interactions with many different stakeholders
• Established relationships with government officials and regulatory bodies are a plus.

A reasonable estimate of the yearly base compensation range is $180,000-$240,000, cash bonus, and stock options.