Oncology Account Executive

Billion To One  is a next-generation molecular diagnostics company dedicated to developing powerful and accurate diagnostic tests that are accessible to all. Our innovative QCT molecular counting technology significantly enhances the resolution of disease detection using cell-free DNA by over a thousandfold. This groundbreaking technology is integral to our product offerings, including one of our flagship products, Unity Complete, the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample.

Leveraging the same molecular counting technology, we've expanded our impact into oncology in 2023 with a pioneering liquid biopsy test, Northstar, that combines treatment selection with monitoring. To date, over 500,000 patients have benefited from our innovative and precise diagnostic tests , and our Annual Recurring Revenue (ARR) has grown from $0 to $125 million in the last ~4 years.

Billion To One  has successfully raised close to $400 million in funding, with a notable $130 million Series D round completed in June 2024, resulting in a company valuation of over $1 billion. This funding has come from prestigious global institutional investors, including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest. Billion To One  has recently been recognized by Forbes as one of America's Best Startup Employers for 2025 , highlighting the company's exceptional work environment and commitment to innovation.

Our team has grown significantly and despite substantial growth, we have successfully maintained the unique culture that has defined Billion To One  from inception, continuing to cultivate a team that is not only diverse and passionate but also innovative. Headquartered in Menlo Park, California, with an additional facility in Union City, California, Billion To One  remains at the forefront of significant advances in molecular diagnostics, evidenced by the recent announcement of clinical outcomes data for its Unity Fetal Risk Screen and new advancements in cancer diagnostics.

For more detailed information about Billion To One  and its groundbreaking work, please visit our website at

We are looking for a field-based professional Oncology Account Executive, Sacramento with scientific and clinical expertise to support our oncology portfolio of liquid biopsy products. The position is responsible for driving sales volume for Billion To One 's Northstar Liquid biopsy products and services, while cultivating relationships with oncologists and other members of the extended cancer care community in the designated geography.

The Oncology Account Executive is a field based position and reports to a Regional Manager - Oncology.

Responsibilities :

• Increasing revenue and driving market development through direct sales to individual Oncologists
• Creating and implementing a strategic business plan to grow revenue quickly in your geography
• Sales efforts include effective prospecting and cultivating new business and maintaining key relationships

Requirements :

• Bachelor's Degree or equivalent experience
• Demonstrated successful sales track record (e.g., Presidents club, Chairman's club, Rookie of the Year, or a history of success - at or above goal for multiple quarters / years)
• Experience selling to medical providers
• Experience selling medical diagnostics, medical or surgical devices
• Lives within the defined territory and centrally located to defined accounts
• Commitment to travel within defined territory
• Excellent organizational and communication skills (written and verbal) with demonstrated ability to effectively present to both internal and external customers
• Effective time management skills required with a demonstrated ability to assess and prioritize opportunity required
• Exceptionally bright, flexible, self-motivated and results oriented with strong interpersonal and analytical skills and the ability to think strategically as well as execute tactically
• Must act with a sense of urgency, with a focus on closing business
• Ability to assess the needs of medical professionals and staff members with a focus on consultative sales, coordination of logistics, and problem solving
• Strong desire to work in a startup environment and must work independently with an internal drive to be successful

We will also consider candidates with the following backgrounds :

• Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ordering late stage cancer liquid biopsy tests
• 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 thousand patients
• Multiple medical benefit options; employee premiums paid 100% of select…