Strategic Account Manager

A Rare Opportunity to Shape the Future of Genomics

Join a team of brilliant, passionate innovators determined to transform healthcare. At BillionToOne, we've built a category-defining, publicly traded company on Nasdaq where transparency fuels trust, collaboration drives breakthroughs, and every contribution moves the needle on our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we build products that are 10x better than anything that exists today.

Our scientists, engineers, sales executives, and visionaries are 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, and every innovation you contribute helps remove the fear of the unknown from some of life's most critical medical moments.

If you're driven by purpose, energized by innovation, and ready to help shape the future of precision medicine at scale, this is where you belong.

The Strategic Account Manager is responsible for driving regional growth and expanding adoption of BillionToOne's UNITY™ prenatal screening platform across an assigned Region. Reporting to the Regional Sales Manager, this role focuses on developing and growing strategic customer relationships within assigned health systems, integrated delivery networks (IDNs), large physician groups, and key provider accounts.

The Strategic Account Manager partners closely with internal sales, clinical, medical affairs, customer success, and market access teams to identify growth opportunities, execute account plans, and support successful implementation and ongoing utilization of UNITY™. This is a remote field-based position with approximately travel throughout the assigned region.

Responsibilities:

• Develop and execute regional account plans to increase adoption and utilization of UNITY™ across assigned regional health systems.
• Build and maintain strong, impactful relationships with physicians, practice administrators, health system stakeholders, and other key decision-makers within the assigned health systems to secure UNITY utilization.
• Identify opportunities to expand existing customer relationships and secure new business within assigned regional accounts.
• Partner with Regional Sales Managers, Prenatal Account Executives, and cross-functional teams to support customer onboarding, and successful implementation across enablers such as EMR and phlebotomy.
• Conduct business reviews and maintain regular communication with customers to ensure satisfaction and identify opportunities for growth.
• Analyze account performance and territory data to prioritize opportunities and maximize regional sales results.
• Maintain an in-depth understanding of BillionToOne's products, competitive landscape, and market dynamics.
• Accurately maintain customer information, sales activities, and pipeline within CRM tools.
• Represent BillionToOne professionally at customer meetings, regional conferences, and industry events.
• Collaborate effectively with internal teams to resolve customer issues and deliver an outstanding customer experience.

Qualifications:

• Bachelor's degree required.
• Minimum of 5 years of successful sales or account management experience within diagnostics, genomics, molecular diagnostics or women's health.
• Experience calling on hospitals, health systems, IDNs, or large physician practices within assigned region preferred.
• Demonstrated track record of consistently achieving or exceeding sales goals.
• Strong problem-solving, relationship-building, communication, presentation, and consultative selling skills.
• Ability to analyze territory performance and prioritize opportunities to drive growth.
• Working knowledge of the diagnostic reimbursement and healthcare delivery environment is preferred.
• Excellent organizational, time management, and follow-up skills.
• Self-motivated, collaborative, and comfortable working in a fast-paced, high-growth environment.
• Willingness to travel approximately 50% throughout the assigned region.

Nice-to-Haves:

• Experience working in a high-growth startup environment.
• Experience in prenatal diagnostics, molecular diagnostics, women's health, or genomics.
• Clinical laboratory experience or familiarity with laboratory operations.
• Experience managing complex healthcare accounts and cross-functional customer relationships.
• 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 eligible employees (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)

At BillionToOne, we are proud to offer a combination of a (1) base pay + uncapped commissions (2) generous equity options offering, on top of (3) industry leading company benefits (free healthcare options, 401k match, very generous fully paid parental leave, etc.).

For this position, we offer a total compensation rate of $264,880 per year, including a base salary rate of $208,592 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.

For more information about how we protect your information, we encourage you to review our Privacy Policy .

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 has already transformed the lives of over half a million patients worldwide.

Our Impact

Unity Complete™ is the only non-invasive prenatal screen capable of assessing fetal risk for both common recessive conditions and aneuploidies from a single maternal blood sample.
Unity Confirm™ enables non-invasive confirmation for high-risk screening results through the capture of intact circulating fetal cells using BillionToOne’s Fetal Cell Capture™ Technology.
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 $400M+ annualized revenue run-rate in just 6 years. In 2025, we completed one of the most successful IPOs for a medical diagnostics company, building on nearly $400M in private funding,including our $130M Series D in 2024 and backed by world-class investors including Hummingbird, Adams Street Partners, Neuberger Berman, Baillie Gifford, and Premji Invest.

Our Recognition

Forbes named us one of America's Best Startup Employers for 2025 and we're Great Place to Work certified , with 100% of our people willing to go the extra mile, even as we've scaled to over 700 employees.

Our Future

Headquartered in Menlo Park with facilities in Union City, CA, and a new lab opening in Austin, TX in 2027, we're continuing to push the boundaries of what's possible in molecular diagnostics. We're just getting started.

Ready to help us change the world, one molecule at a time? Learn more at billiontoone.com