Jobs at BillionToOne

Leads daily operations and staff supervision in a high-complexity prenatal clinical laboratory. Oversees pre-analytical and analytical workflows, scheduling, troubleshooting, quality control, validations, training, tech transfers, recruiting, and process improvement. Manages licensed and unlicensed laboratory personnel while coordinating with stakeholders and executing company objectives. Requires a California Clinical Laboratory Scientist license, molecular biology experience, and at least 4–5 years of clinical laboratory experience.

Lead and supervise day-to-day CLIA laboratory operations for prenatal and cancer diagnostics. Manage and train licensed and unlicensed staff, oversee pre-analytical and analytical workflows, drive process improvements, troubleshoot reagents and instrumentation, coordinate cross-functional communication, support hiring, and help execute company objectives within a high-complexity molecular lab.

Field sales role selling prenatal genetic/diagnostic tests to OBGYNs, MFMs, and genetic counselors. Drive utilization of UNITY Fetal Risk Screen, develop KOL relationships, prospect and grow regional business, manage full sales lifecycle, create and execute strategic plans, and represent the company at local tradeshows and events.

Provides high-volume client support for prenatal diagnostic test orders. Responsibilities include proactive outreach to obtain missing information, managing follow-up queues, documenting communications in CRM and LIMS systems, updating customer and order records, responding to inquiries, collaborating with laboratory and business teams, resolving 40–60 cases daily, escalating recurring issues, and supporting process improvements.

The Director of IT will lead IT strategy, manage the IT team, oversee cloud infrastructure, ensure security compliance, and handle project management.

The Senior Software Engineer will design and manage scalable backend services, collaborate on cross-functional teams, and implement CI/CD pipelines, enhancing cloud infrastructure and ensuring system reliability.

The Senior Software Engineer will develop and maintain applications using modern technologies, collaborate with teams, and drive projects to enhance digital experiences in healthcare.

Conduct and troubleshoot molecular biology experiments and assays under senior scientist guidance. Analyze experimental results using analytical and computational methods, document findings, present scientific results, collaborate on laboratory and bioinformatics workflows, and help maintain the R&D lab. The role supports development of molecular diagnostic products for oncology and prenatal medicine using genomics, next-generation sequencing, and robotic laboratory technologies.

Lead software product management and engineering across oncology and prenatal products, defining product/platform strategy, driving an AI-first approach, partnering cross-functionally, and building scalable, high-quality provider, patient, and internal operational software platforms.

Manage monthly, quarterly, and annual revenue close processes including ASC 606 revenue recognition, collaboration accounting, journal entries, AR reconciliations, and revenue analysis. Maintain revenue policies, SOX controls, and support internal/external audits. Partner with FP&A and Reimbursement to improve revenue reporting, systems, and processes, and prepare workpapers for financial statements and tax provisions.

Lead UX Designer will define and execute the end-to-end UX vision for a prenatal diagnostic platform, applying systems thinking to translate complex genomics and clinical workflows into intuitive, trustworthy experiences. Responsibilities include research, prototyping, design systems, accessibility and regulatory compliance, content strategy, user testing, and mentoring designers while partnering cross-functionally with product, engineering, clinicians, and marketing.

Build and lead commercial strategy and operations for a 250-person prenatal field organization: set strategy, territory design, quota and comp plans, sales analytics and dashboards, partner with commercial data science, deploy AI to scale insight, and program-manage cross-functional initiatives to drive revenue and account expansion.

Implement and support EMR solutions that provide healthcare providers access to diagnostic functionality. Collaborate with sales teams, healthcare systems, IT teams, and technical analysts on workflow assessments, rollout planning, training, go-live support, troubleshooting, and post-implementation relationship management. Serve as the EMR subject matter expert, identify interoperability opportunities, evaluate vendor partnerships, and improve customer onboarding. The role is remote with travel of up to 50% throughout the United States.

The Prenatal Account Executive drives sales of prenatal diagnostic products to OBGYNs and MFMs, managing client relationships and developing market opportunities.

Lead and grow a regional sales organization selling prenatal molecular diagnostics to OBGYNs, MFMs, and genetic counselors across Northern Los Angeles. Develop data-driven territory strategy, recruit/train/manage sales reps, deliver clinical information to customers and internal teams, analyze sales data and competition, and drive market adoption and revenue.

Lead strategy and execution of BillionToOne's event marketing across national, regional, and experiential programs to drive pipeline, revenue, and brand. Own portfolio investment, KPIs, vendor relationships, and cross-functional alignment. Build and scale the team, operating processes, and reporting to optimize ROI and commercial outcomes while partnering with Sales, Product Marketing, Medical Affairs, and executive leadership.

Design, deliver, and scale prenatal sales training programs including onboarding, ongoing skill development, product launches, and meeting programming. Build competency-based learning journeys, digital learning, role-plays, playbooks, and assessments; leverage AI and data to measure gaps and improve performance; facilitate in-person and virtual trainings; manage LMS content and training logistics; travel ~30%.