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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.
Job Responsibility:
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
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
Lead triage of EMR order management issues, including missing results, order mismatches, or compendium misconfigurations
Coordinate with Engineering, Account Executives, and vendors (e.g., Redox, LK) to investigate and implement corrective actions
Manage the EMR Slack triage channel, responding to internal team questions, order transmission failures, and troubleshooting requests
Partner with Sales to manage client onboarding workflows, including IT questionnaires, legal contract coordination, and BAA execution
Act as the central point of communication between IT, Engineering, Sales, Legal, and Clinical Operations for all EMR-related processes
Maintain and improve internal documentation and playbooks for EMR operations and troubleshooting
Requirements:
Bachelor’s degree in Health Informatics, Information Systems, or related field preferred
5+ years of experience in lab systems, EMR integration, interoperability, or healthcare IT operations
5+ years of experience with clinical systems, LIMS, and Salesforce
Hands-on experience with HL7, FHIR, and integration platforms (Redox, Mirth, or similar)
Proven ability to manage integration projects end-to-end, including planning, testing, and production support
Excellent problem-solving, organizational, and communication skills
What we offer:
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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