Senior Manager of EMR Integrations & Interoperability at BillionToOne

, , United States -

Full Time

Start Date

Immediate

Expiry Date

30 Apr, 26

Salary

195361.0

Posted On

30 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

EMR Integrations, Interoperability, Healthcare IT, HL7, FHIR, Program Management, Vendor Management, Integration Operations, Project Governance, Stakeholder Communication, Risk Management, Automation, Privacy Requirements, Team Leadership, Operational Excellence, Cross-Functional Leadership

Industry

Biotechnology Research

Description

Ready to redefine what's possible in molecular diagnostics? Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At BillionToOne, we've built something extraordinary—a culture where transparency fuels trust, collaboration drives breakthroughs, and every voice matters in our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we strive to build products that are 10x better than anything that exists today. Our people are our greatest asset: talented scientists, engineers, sales professionals, and visionaries united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics. This is where cutting-edge science meets human compassion—every innovation you contribute helps remove fear of unknown from some of life's most critical medical moments. If you're driven by purpose, energized by innovation, and ready to help build the future of precision medicine, this is where you belong. BillionToOne is seeking a Senior Manager of EMR & Interoperability to own the strategy, execution, and scaling of our EMR connectivity across the business. This leader will enterprise the EMR function—building a high-performing team of analysts and project/program managers, standardizing intake and delivery, and ensuring reliable, compliant, and scalable integrations that improve provider workflows and accelerate order volume growth. This role sits at the intersection of healthcare interoperability, operational excellence, and cross-functional leadership. The ideal candidate combines deep expertise in HL7/FHIR and EMR integration ecosystems with strong program leadership, vendor management, and a track record of scaling integration operations in a fast-growing healthcare environment. Responsibilities: EMR Strategy & Operating Model Define and execute BillionToOne’s enterprise EMR interoperability strategy across business units, aligned with growth targets and customer needs. Establish the operating model, standards, and “golden paths” for EMR delivery (intake, prioritization, implementation, validation, go-live, and post-launch support). Build a scalable roadmap to increase integration throughput while reducing time-to-go-live and operational burden. Develop executive-level metrics and reporting for EMR performance (volume impact, delivery velocity, reliability, and customer satisfaction). Integration Delivery & Program Leadership Lead end-to-end execution of EMR integrations across the portfolio, ensuring predictable delivery, strong communication, and stakeholder alignment. Own intake and prioritization of new integration requests in partnership with Sales, Product, Clinical Ops, and Engineering. Standardize project governance across integrations (RACI, timelines, risk management, RAID logs, go/no-go readiness). Drive adoption of repeatable integration patterns (hub-based approaches, templates, automation) to scale delivery. Integration Operations & Reliability Ensure accurate and timely transmission of orders and results across partner systems, with appropriate controls and monitoring. Oversee HL7/FHIR connectivity via Redox and other vendors, including implementation, testing, validation, and ongoing monitoring. Own triage and resolution processes for integration issues (missing/misrouted orders/results, compendium/configuration errors, interface failures), ensuring clear SLAs and escalation paths. Reduce manual touchpoints through automation (order association/matching, exception handling, monitoring) and continuous process improvement. Vendor & Partner Management Manage strategic relationships with EMR vendors, integration partners (e.g., Redox), and implementation teams to improve integration capability and customer experience. Negotiate and manage vendor performance against SLAs, delivery timelines, reliability targets, and roadmap commitments. Partner directly with customer hospital/clinic IT teams to accelerate implementation and resolve technical or workflow barriers, maintaining a strong customer-first mindset and prioritizing an excellent customer experience throughout. Cross-Functional Leadership Serve as the executive point of contact for EMR interoperability across IT, Engineering, Product, Sales, Legal, and CS Partner with Sales and Customer Success to ensure smooth onboarding, including IT questionnaires, technical discovery, BAAs, and go-live readiness. Collaborate with Product and Engineering to influence platform investments that improve scalability, integration tooling, and self-service enablement. Ensure documentation, playbooks, and training are consistently maintained and adopted across teams. Team Leadership & Scaling Build, mentor, and lead a high-performing EMR team (analysts, integration specialists, program/project managers), setting a strong culture of accountability and operational excellence. Establish clear roles, career paths, performance expectations, and operating rhythms to scale output and quality. Drive continuous improvement across people, process, and technology to support rapid growth in clinic integrations. Qualifications: 7+ years of experience in EMR integrations, interoperability, healthcare IT, lab systems, or related domains. 5+ years leading teams and scaling cross-functional programs (people leadership + program ownership). Deep hands-on expertise with HL7 v2, FHIR, and integration engines/platforms (e.g., Redox, Mirth, etc.). Proven track record delivering and scaling multiple EMR integrations (Epic Aura, Cerner/Oracle, Athenahealth, eClinicalWorks, NextGen, etc.) with measurable operational and business impact. Strong program management skills: prioritization, governance, stakeholder communication, risk management, and execution at scale. Experience partnering with Engineering/Product teams on integration tooling, automation, monitoring, and scalability improvements. Strong understanding of privacy/security requirements in healthcare (HIPAA; preferred familiarity with SOC 2 and audit-ready processes). Bachelor’s degree in Health Informatics, Information Systems, Engineering, or related field preferred (Master’s a plus). Benefits And Perks: Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients Open, transparent culture that includes weekly Town Hall meetings The ability to indirectly or directly change the lives of hundreds of thousands patients Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80% Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%) Supplemental fertility benefits coverage Retirement savings program including a 4% Company match Increase paid time off with increased tenure Latest and greatest hardware (laptop, lab equipment, facilities) At BillionToOne, we are proud to offer a combination of (1) competitive base pay, (2) the opportunity for professional growth, and (3) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave etc.). For this position, we offer a total compensation package of up to $309,665 per year, including a base pay range of $168,961 - $195,361 per year. BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. For more information about how we protect your information, we encourage you to review our Privacy Policy. About BillionToOne BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Our revolutionary QCT molecular counting technology enhances disease detection resolution by over a thousandfold using cell-free DNA—a breakthrough that's already transformed the lives of over half a million patients worldwide. Our Impact: We've pioneered game-changing diagnostic solutions that are redefining industry standards. Unity Complete™ stands as the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. In oncology, our Northstar® liquid biopsy test uniquely combines treatment selection with real-time monitoring, giving oncologists unprecedented precision in cancer care. Our Growth: From $0 to $125 million in Annual Recurring Revenue in just four years. We've raised close to $400 million in funding, including a $130 million Series D round in June 2024, achieving a valuation of over $1 billion. This backing comes from world-class investors including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. Our Recognition: Forbes recently named us one of America's Best Startup Employers for 2025, and we were awarded Great Place to Work certification in 2024—with an incredible 100% of our people reporting they are willing to give extra to get the job done. These honors recognize not just our innovation but the exceptional culture we've cultivated—one that remains authentically collaborative and transparent even as we've scaled. Our Future: Headquartered in Menlo Park with facilities in Union City, California, we're continuing to push the boundaries of what's possible in molecular diagnostics. Recent clinical outcomes data for Unity Fetal Risk Screen and new advances in cancer diagnostics prove we're just getting started. At BillionToOne, you'll join a diverse team of passionate innovators who believe that the best science happens when brilliant minds collaborate openly, think boldly, and never lose sight of the patients whose lives depend on our work. Ready to help us change the world, one diagnosis at a time? Learn more at www.billiontoone.com

Responsibilities

The Senior Manager will define and execute the EMR interoperability strategy, ensuring reliable and scalable integrations. They will lead the execution of EMR integrations, manage vendor relationships, and oversee integration operations.