Senior Manager of EMR Integrations & Interoperability

Senior Manager of EMR Integrations & Interoperability

Remote

Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At Billion To One , we've built something extraordinary—a culture where transparency fuels trust, collaboration drives breakthroughs, and every voice matters in our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we strive to build products that are 10x better than anything that exists today.

Our people are our greatest asset:talented scientists, engineers, sales professionals, and visionaries united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics. This is where cutting-edge science meets human compassion—every innovation you contribute helps remove fear of unknown from some of life's most critical medical moments.
If you're driven by purpose, energized by innovation, and ready to help build the future of precision medicine, this is where you belong.

Billion To One  is seeking a Senior Manager of EMR & Interoperability to own the strategy, execution, and scaling of our EMR connectivity across the business. This leader will enterprise the EMR function—building a high-performing team of analysts and project/program managers, standardizing intake and delivery, and ensuring reliable, compliant, and scalable integrations that improve provider workflows and accelerate order volume growth.

This role sits at the intersection of healthcare interoperability, operational excellence, and cross-functional leadership
. The ideal candidate combines deep expertise in HL7/FHIR and EMR integration ecosystems with strong program leadership, vendor management, and a track record of scaling integration operations in a fast-growing healthcare environment.

• Define and execute Billion To One ’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).
• Integration Delivery & Program Leadership
  • 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.
• Integration Operations & Reliability
  • 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.
• Cross-F…