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.

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.