Senior Manager – EMR Integrations, Interoperability

Job Description: • 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) Apply tot his job