Senior Software Engineer, Oncology

We are currently looking for a high-performing Senior Software Engineer to join our dynamic software engineering Oncology team. Software engineers at BillionToOne work in highly collaborative and interdisciplinary teams of clinicians, computational biologists, and other engineers to robustly scale personalized genomic medicine to millions of patients. If you have experience performing in a full life-cycle development, love seeing your work positively affect your colleagues and patients, and thrive in a fast-paced entrepreneurial environment, this could be a great opportunity for you. In this role, you can have an impact both through many small tools and large product development. This role is a hybrid (onsite 2-3 days/week) position.

Projects you may work on include:

• Build a seamless digital experience so clinicians and patients across a diversity of care centers and socioeconomic status can have access to BillionToOne’s highly complex genetic testing
• Help digitize laborious and error-prone paper-based workflows at busy Oncology clinics
• Enable better transfer of care through portable electronic medical records

Technologies We Use:

Python, Django, Flask, Postgres, AWS, Alpine.js, HTMX, Salesforce, and emerging AI-assisted coding environments (e.g., Cursor, GitHub Copilot, OpenAI).

Responsibilities:

• Collaborate with talented engineers to design and develop our backend services, data processing pipelines, and interfaces, driving innovation and efficiency
• Build user-facing features to optimize performance and reliability, enhancing overall user experience
• Elevate BTO Oncology’s backend systems, including the test order record database, third-party integrations, test scheduling and reports management software, and distributed systems architecture, to ensure they meet the highest standards
• Demonstrate a creative and out-of-the-box mindset, offering innovative solutions and approaches to complex technical challenges
• Prioritize quality by writing comprehensive unit / integration / end-to-end tests and ensuring superior test coverage across all components and modules. Highly skilled in writing technical documentation and validation reports that assure correct functionality of medical informatics systems
• Demonstrate a strong sense of ownership and take responsibility for end-to-end project delivery. The ideal candidate will thrive in an environment where they have the autonomy to make informed decisions and take the initiative to drive projects forward
• Collaborate cross-functionally, actively seeking input from team members and fostering a positive and inclusive work environment

Qualifications:

• 5+ years of professional software development experience with a proven track record of delivering complex projects and adhering to best practices
• Expertise in Python backend frameworks (e.g., Django or Flask), delivering high-quality, scalable code
• Strong foundation in cloud services, preferably AWS, including ECS, S3, AWS Batch, EC2, and AWS Lambda, enabling effective architecture and management of complex systems
• Familiarity with modern AI-driven development practices and tools
• Excellent communication and collaboration skills, with the ability to work effectively in a team-oriented environment
• Proven track record of building products and features from conception to deployment, showcasing your ability to innovate and deliver results

Nice-to-haves:

• Experience in healthcare-related software or a passion for improving healthcare systems
• Experience working at a fast-paced startup or high-growth company
• Familiarity with healthcare data standards, such as FHIR and HL7
• Experience with medical software and authoring technical verification / validation reports
• Experience leveraging AI-assisted coding and debugging tools
• Experience building AI agents, fine-tuning machine learning models, or deploying LLM-based applications

If you’re passionate about creating technology that transforms healthcare and thrive in a collaborative, fast-paced environment, we’d love to hear from you.

Benefits And Perks:

• 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 new parents (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)
• Daily on-site lunches provided from top eateries
• 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 $307,321 per year, including a base pay range of $190,081- $211,201 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.