BillionToOne

Senior Manager – EMR Integrations, Interoperability

BillionToOne

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $168,961 - $195,361 per year

Job Level

Tech Stack

About the role

  • 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).
  • 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.
  • 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.
  • Manage strategic relationships with EMR vendors, integration partners (e.g., Redox), and implementation teams to improve integration capability and customer experience.
  • Negotiate and manage vendor performance against SLAs, delivery timelines, reliability targets, and roadmap commitments.
  • Partner directly with customer hospital/clinic IT teams to accelerate implementation and resolve technical or workflow barriers, maintaining a strong customer-first mindset and prioritizing an excellent customer experience throughout.
  • Serve as the executive point of contact for EMR interoperability across IT, Engineering, Product, Sales, Legal, and CS.
  • Partner with Sales and Customer Success to ensure smooth onboarding, including IT questionnaires, technical discovery, BAAs, and go-live readiness.
  • Collaborate with Product and Engineering to influence platform investments that improve scalability, integration tooling, and self-service enablement.
  • Ensure documentation, playbooks, and training are consistently maintained and adopted across teams.
  • Build, mentor, and lead a high-performing EMR team (analysts, integration specialists, program/project managers), setting a strong culture of accountability and operational excellence.
  • Establish clear roles, career paths, performance expectations, and operating rhythms to scale output and quality.
  • Drive continuous improvement across people, process, and technology to support rapid growth in clinic integrations.

Requirements

  • 7+ years of experience in EMR integrations, interoperability, healthcare IT, lab systems, or related domains.
  • 5+ years leading teams and scaling cross-functional programs (people leadership + program ownership).
  • Deep hands-on expertise with HL7 v2, FHIR, and integration engines/platforms (e.g., Redox, Mirth, etc.).
  • Proven track record delivering and scaling multiple EMR integrations (Epic Aura, Cerner/Oracle, Athenahealth, eClinicalWorks, NextGen, etc.) with measurable operational and business impact.
  • Strong program management skills: prioritization, governance, stakeholder communication, risk management, and execution at scale.
  • Experience partnering with Engineering/Product teams on integration tooling, automation, monitoring, and scalability improvements.
  • Strong understanding of privacy/security requirements in healthcare (HIPAA; preferred familiarity with SOC 2 and audit-ready processes).
  • Bachelor’s degree in Health Informatics, Information Systems, Engineering, or related field preferred (Master’s a plus).
Benefits
  • 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)
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
EMR integrationsinteroperabilityHL7 v2FHIRintegration enginesRedoxMirthprogram managementautomationrisk management
Soft Skills
leadershipcommunicationstakeholder alignmentaccountabilityoperational excellencecontinuous improvementcustomer-first mindsetmentoringcollaborationprioritization
Certifications
Bachelor’s degree in Health InformaticsBachelor’s degree in Information SystemsBachelor’s degree in EngineeringMaster’s degree (preferred)HIPAA complianceSOC 2 familiarity