Ready to redefine what's possible in molecular diagnostics?

Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At BillionToOne, 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.

BillionToOne is looking for a Senior Manager of Real Estate & Vendors to provide exceptional service and support to BillionToOne customers. The Senior Manager, Real Estate & Vendors holds a pivotal role in the organization as they will act as the face of BillionToOne for our customers including physicians, clinics, patients, and clinical and auxiliary staff. The candidate will be on the front lines of all internal and external customer inquiries supporting BillionToOne’s phlebotomy and logistics needs. The ideal candidate for this role is an ambitious and intelligent individual who is highly self-motivated and can effortlessly help drive and influence a positive patient and customer experience. 

This is a career-advancing opportunity within the company given this role will require versatility and autonomy for an extended period as product familiarity and demand grows in the US market.

Responsibilities:

• Ensures specimen integrity by non BTO phlebotomists using aseptic technique, following BillionToOne procedures.
• Tracks collected specimens both from internal and external parties drawing and shipping blood to BillionToOne.
• Maintains quality results by following BillionToOne procedures and test viability schedule; recording results in the quality-control log; identifying and reporting needed changes reporting KPIs to product management leadership on biweekly basis.
• Maintains safe, secure, and healthy work environment by following standards and procedures; complies with legal regulations.
• Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; and participating in professional organizations.
• Enhances BillionToOne’s phlebotomy reputation by accepting ownership for accomplishing new and different requests; and exploring opportunities to add value to job accomplishments.
• Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
• This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic), in order to perform the job.
• Report any SPI or CAPA or NCR issues to internal BillionToOne product management leadership team Assists with managing all phlebotomy equipment associated with the establishment and running of the patient service center[KC4] , may require heavy lifting of up to 50 pounds of supplies.
• Will require reimbursable travel up to 50% of the time.
• May include onboarding, training, and retraining of individual phlebotomists, as deemed necessary to support volume increases.
• Assists with managing Patient Service Center vendors.
• Assists with phlebotomy program management: Monitor distribution and claiming of blood draws, Monitor customer feedback, Manage small escalations as needed.
• Manage scheduling issues.
• Ensure continued and open communication regarding ongoing draw statuses.
• General phlebotomy knowledge for PSC’s location (per state regulations).
• Must maintain a current status on BillionToOne’s training requirements.

Requirements:

• Minimum of 5 years of phlebotomy experience
• 3+ years high-level logistics experience
• Managing/supervising phlebotomy operations and team experience preferred
• BS/BA degree (preferred) High School Diploma (or equivalent) required
• Previous financial and budgetary experience preferred
• Bilingual language skills preferred

Nice to Haves:

• Ability to serve and protect BillionToOne by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.
• General understanding of mobile phlebotomy and general phlebotomy services.
• Excellent communication skills.
• Ability to work with cross-functional teams.
• Ability to learn and embrace online tools for effective program management.

Benefits And Perks:

• Working with a team of ‘rockstars’ who bring out the best in everyone
• 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 plans, dependents covered at 80%
• Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
• Retirement savings program including a 4% Company match
• Free daily on-site lunches provided from top eateries
• Latest and greatest hardware (laptop, lab equipment, facilities)
• A variety of perks on campus (state of the art gym, restaurant)
• Free on-site EV charging (compatible with all EVs, including Tesla)

At BillionToOne, we are proud to offer a combination of a (1) base pay range (actual amount offered is based on experience and salary/equity options split that the candidate chooses), (2) generous equity options offering, (3) corporate bonus program, on top of (4) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.).

For this position, we offer a total compensation package of $284,381 per year, including a base pay range of $161,262 - $182,070 per year.

BillionToOne is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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About BillionToOne

BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Our revolutionary QCT molecular counting technology enhances disease detection resolution by over a thousandfold using cell-free DNA—a breakthrough that's already transformed the lives of over half a million patients worldwide.

Our Impact: We've pioneered game-changing diagnostic solutions that are redefining industry standards. Unity Complete™ stands as the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample. In oncology, our Northstar® liquid biopsy test uniquely combines treatment selection with real-time monitoring, giving oncologists unprecedented precision in cancer care.

Our Growth: From $0 to $125 million in Annual Recurring Revenue in just four years. We've raised close to $400 million in funding, including a $130 million Series D round in June 2024, achieving a valuation of over $1 billion. This backing comes from world-class investors including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest.

Our Recognition: Forbes recently named us one of America's Best Startup Employers for 2025, and we were awarded Great Place to Work certification in 2024—with an incredible 100% of our people reporting they are willing to give extra to get the job done. These honors recognize not just our innovation but the exceptional culture we've cultivated—one that remains authentically collaborative and transparent even as we've scaled.

Our Future: Headquartered in Menlo Park with facilities in Union City, California, we're continuing to push the boundaries of what's possible in molecular diagnostics. Recent clinical outcomes data for Unity Fetal Risk Screen and new advances in cancer diagnostics prove we're just getting started.

At BillionToOne, you'll join a diverse team of passionate innovators who believe that the best science happens when brilliant minds collaborate openly, think boldly, and never lose sight of the patients whose lives depend on our work.

Ready to help us change the world, one diagnosis at a time?

Learn more at www.billiontoone.com