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,