Senior Manager

BillionToOne
Summary
Join BillionToOne, a molecular diagnostics company, as a Manager/Senior Manager of EMR Integrations & Interoperability. Lead the delivery and improvement of EMR integration capabilities, supporting provider-facing technology and enhancing clinical workflows. Manage EMR integration projects from planning to support, ensuring solutions meet business and technical needs. Collaborate with various teams to align integration work with organizational priorities. This hands-on leadership role requires strong healthcare IT and EMR systems experience, managing teams and projects while contributing to technical execution. Define and execute the enterprise-wide EMR integration strategy, aligning with clinical, commercial, and product goals. Develop and manage a team of EMR integration engineers, analysts, and/or project managers.
Requirements
- 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
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
Preferred Qualifications
Bachelor’s degree in Computer Science, Health Informatics, Biomedical Engineering, or related field preferred
Benefits
- Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered at 80%
- Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
- Retirement savings program including a 4% Company match
- Free daily on-site lunches provided from top eateries
- Latest and greatest hardware (laptop, lab equipment, facilities)
- A variety of perks on campus (state of the art gym, restaurant)
- Free on-site EV charging (compatible with all EVs, including Tesla)