EMR Integrations Manager

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 EMR Integrations Manager to lead the operational delivery and continuous improvement of our EMR connectivity across both business units. This role ensures reliable, compliant, and high-performing EMR integrations that enhance provider workflows and patient access to care.

This hands-on position requires an understanding of HL7 integrations, interoperability, and vendor connectivity, combined with excellent project management and stakeholder coordination and communication skills. The ideal candidate enjoys balancing technical problem-solving with process improvement and cross-functional leadership.

Responsibilities:

• Integration Operations
• Manage day-to-day EMR integration operations, ensuring accurate and timely order and result transmissions across partner systems.
• Oversee HL7 integrations, including setup, validation, testing, and ongoing monitoring of connections through Redox and other vendors.
• Lead manual EMR order associations and triage—investigating and resolving missing or misrouted orders and results.
• Improve and maintain automation processes (bots) for EMR order matching and reduce manual touchpoints.
• Coordinate manual testing workloads for EMR integrations, ensuring end-to-end data validation and compliance.
• Work with Software engineering to ensure the scalability of our EMR integrations.
• Project & Stakeholder Management
• Serve as the project manager for EMR integrations across all business units, coordinating between Sales, Engineering, Product, and external partners.
• Manage the intake and approval process for new EMR integration requests, ensuring alignment with business priorities and feasibility.
• Represent EMR Operations on hospital and clinic integration calls, providing technical and workflow expertise.
• Collaborate with Engineering and Product teams to resolve issues, drive continuous improvement, and manage release readiness.
• Troubleshooting & Triage
• Lead triage of EMR order management issues, including missing results, order mismatches, or compendium misconfigurations.
• Coordinate with Engineering, Account Executives, and vendors (e.g., Redox, LK) to investigate and implement corrective actions.
• Manage the EMR Slack triage channel, responding to internal team questions, order transmission failures, and troubleshooting requests.
• Cross-Functional Collaboration
• Partner with Sales to manage client onboarding workflows, including IT questionnaires, legal contract coordination, and BAA execution.
• Act as the central point of communication between IT, Engineering, Sales, Legal, and Clinical Operations for all EMR-related processes.
• Maintain and improve internal documentation and playbooks for EMR operations and troubleshooting.
• Manage day-to-day EMR integration operations, ensuring accurate and timely order and result transmissions across partner systems.
• Oversee HL7 integrations, including setup, validation, testing, and ongoing monitoring of connections through Redox and other vendors.
• Lead manual EMR order associations and triage—investigating and resolving missing or misrouted orders and results.
• Improve and maintain automation processes (bots) for EMR order matching and reduce manual touchpoints.
• Coordinate manual testing workloads for EMR integrations, ensuring end-to-end data validation and compliance.
• Work with Software engineering to ensure the scalability of our EMR integrations.
• Serve as the project manager for EMR integrations across all business units, coordinating between Sales, Engineering, Product, and external partners.
• Manage the intake and approval process for new EMR integration requests, ensuring alignment with business priorities and feasibility.
• Represent EMR Operations on hospital and clinic integration calls, providing technical and workflow expertise.
• Collaborate with Engineering and Product teams to resolve issues, drive continuous improvement, and manage release readiness.
• Lead triage of EMR order management issues, including missing results, order mismatches, or compendium misconfigurations.
• Coordinate with Engineering, Account Executives, and vendors (e.g., Redox, LK) to investigate and implement corrective actions.
• Manage the EMR Slack triage channel, responding to internal team questions, order transmission failures, and troubleshooting requests.
• Partner with Sales to manage client onboarding workflows, including IT questionnaires, legal contract coordination, and BAA execution.
• Act as the central point of communication between IT, Engineering, Sales, Legal, and Clinical Operations for all EMR-related processes.
• Maintain and improve internal documentation and playbooks for EMR operations and troubleshooting.

Qualifications:

• Bachelor’s degree in Health Informatics, Information Systems, or related field preferred.
• 5+ years of experience in lab systems, EMR integration, interoperability, or healthcare IT operations.
• 5+ years of experience with clinical systems, LIMS, and Salesforce.
• Hands-on experience with HL7, FHIR, and integration platforms (Redox, Mirth, or similar).
• Proven ability to manage integration projects end-to-end, including planning, testing, and production support.
• Excellent problem-solving, organizational, and communication skills.

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 a (1) base pay range (actual amount offered is based on experience and salary/equity options split that the candidate chooses), (2) generous equity options offering, (3) corporate bonus program, on top of (4) 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 $255,857 per year, including a base pay range of $147,841 - $168,961 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.

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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