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)

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