We are seeking an experienced and hands-on Manager / Senior Manager of EMR Integrations & Interoperability to lead the delivery and ongoing improvement of our EMR integration capabilities. This role plays a key part in supporting our provider-facing technology, helping improve clinical workflows, operational efficiency, and client satisfaction.

In this role, you will manage EMR integration projects end-to-end—from implementation planning to production support—while ensuring solutions meet business and technical requirements. You’ll collaborate closely with Product, Engineering, Clinical Operations, and Commercial teams to align integration work with organizational priorities.

This is a hands-on leadership position for someone with strong healthcare IT and EMR systems experience, who enjoys managing teams and projects while contributing directly to technical execution.

Responsibilities:

• Strategic Leadership
  • Define and execute the enterprise-wide EMR integration strategy, aligning with clinical, commercial, and product goals.
  • Develop and own the long-term roadmap for scalable, secure, and interoperable EMR integration infrastructure.
  • Serve as a thought leader on EMR interoperability, standards (e.g., HL7, FHIR, SMART), and vendor ecosystems.
• Team Leadership & Organizational Development
  • Manage and mentor a team of EMR integration engineers, analysts, and/or project managers.
  • Support hiring, onboarding, and development of team members.
  • Foster a collaborative, accountable, and high-performance team culture.
  • Establish and evolve team processes, performance standards, and professional development frameworks.
• Technical & Operational Execution
  • Oversee the full lifecycle of EMR integrations across Epic, Cerner, Athena, and other major platforms—from initial scoping to go-live and long-term support.
  • Lead the team in designing, configuring, and optimizing EMR workflows, data exchange protocols, and custom interfaces.
  • Set and enforce best practices for security, scalability, and compliance (e.g., HIPAA, HITRUST).
  • Develop proactive monitoring, alerting, and incident response protocols for production environments.
• Cross-Functional Collaboration & Communication
  • Partner closely with Product, Engineering, Sales, and Clinical teams to align integration efforts with broader business objectives.
  • Represent the EMR integration function in executive meetings, client engagements, and industry conferences.
  • Provide regular updates to executive leadership, including KPIs, integration performance metrics, and risk assessments.

Qualifications:

• 6+ years of experience in healthcare IT, EMR integration, or clinical interoperability, including at least 2–3 years in a people or project leadership role.
• Solid technical expertise in major EMR platforms and interoperability standards (e.g., HL7, FHIR, CDA, SMART on FHIR, APIs).
• Proven track record in delivering complex integration projects on time and within scope.
• Experience managing small-to-mid-sized technical teams.
• Strong communication and stakeholder management skills across technical and non-technical groups.
• Familiarity with agile project management and SDLC best practices.
• Bachelor’s degree in Computer Science, Health Informatics, Biomedical Engineering, or related field preferred.

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 $147,841 - $195,361 per year.