Senior Manager of EMR Integrations and Interoperability

Ready to redefine what's possible in molecular diagnostics? Join a team of brilliant, passionate innovators determined to transform healthcare. At BillionToOne, we've built a category-defining, publicly traded company on Nasdaq where transparency fuels trust, collaboration drives breakthroughs, and every contribution moves the needle on our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we build products that are 10x better than anything that exists today. With over 700 employees, half a million patients helped, and one of the most successful IPOs in medical diagnostics history behind us, we're just getting started. Our scientists, engineers, sales executives, and visionaries are 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, and every innovation you contribute helps remove the fear of the unknown from some of life's most critical medical moments. If you're driven by purpose, energized by innovation, and ready to help shape the future of precision medicine at scale, this is where you belong. BillionToOne is seeking a Senior Manager of EMR and 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. Negoti ... (truncated, view full listing at source)