Vice President of Sales, Oncology

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.

BillionToOne is a precision diagnostics company built on a proprietary molecular counting platform that detects and quantifies DNA with exceptional sensitivity. Our oncology portfolio, including Northstar®, our liquid biopsy test for comprehensive genomic profiling and treatment response monitoring, is a core pillar of our growth. We are scaling our commercial organization to bring Northstar to more oncologists and more patients.

The Vice President of Oncology Sales owns the commercial oncology sales function. You will lead a multi-layer field organization that has grown to nearly 100 representatives, working through Directors and the Managers beneath them. You will set the sales strategy and operating cadence and be accountable for revenue, test volume, market share, and the quality of the team we build.

You will be a member of the Executive Leadership Team and report directly to the Chief Executive Officer. You will partner closely with Marketing, Medical Affairs, Market Access and Reimbursement, Commercial Operations, Customer Experience and Finance to turn clinical differentiation into durable commercial results.

Responsibilities:

- Own the oncology revenue and volume plan. Deliver against annual and quarterly targets and forecast with discipline and accuracy.

- Lead, coach and develop a multi-layer sales team, including Directors and the Managers beneath them, Oncology Specialists, and any specialty or account-based roles.

- Design and continuously refine territory structure, segmentation, targeting and account coverage models across community oncology, academic centers, integrated health systems and key accounts.

- Build and operate a rigorous sales management system: pipeline reviews, KPIs, call-plan and activity standards, performance management and recognition programs.

- Set the hiring bar and run the talent strategy: recruit, onboard and retain top oncology diagnostics talent, and build leadership succession at the Director and Manager levels.

- Partner with Commercial Operations on incentive compensation, quotas, sales analytics, CRM and field enablement.

- Partner with Marketing and Medical Affairs on launch sequencing, messaging, KOL strategy and the clinical evidence that supports adoption.

- Partner with Market Access and Revenue Cycle teams to improve payer coverage, reimbursement outcomes and the customer experience.

- Build and maintain relationships with key opinion leaders, major cancer centers, health systems and strategic accounts.

- Track the liquid biopsy and MRD competitive landscape and turn market intelligence into winning plays.

- Report on market trends, competitive dynamics and sales performance to senior leadership, and represent BillionToOne at oncology conferences, customer events and advisory forums.

Qualifications:

- 15+ years of sales experience in diagnostics, with deep, hands-on oncology diagnostics experience (molecular, genomic profiling, liquid biopsy, MRD/mon