BillionToOne Green Card Visa Sponsorship Jobs USA
BillionToOne, a genomics diagnostics company in the Medical Devices space, does sponsor Green Cards for qualifying roles. Sponsorship is most common in technical and scientific positions. It's an emerging sponsor rather than a high-volume one, so competition for sponsored roles is real.
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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 Prenatal Account Executive, San Jose/South Bay is an outstanding prenatal sales executive with experience in diagnostic/genetic testing product sales, who will bring the first and only single-gene NIPT supported carrier and aneuploidy screen to OBGYN clinics & MFMs practices. You will deliver clinical information to both external clients throughout your territory and internal teams. You will have significant influence over how the test is communicated to physicians and patients, and how it should evolve to better serve market needs. This is a field sales position and reports to a Regional Manager - Prenatal.
Responsibilities:
- Increasing utilization of UNITY Fetal Risk Screen and driving market development through direct sales to individual OBGYNs, MFMs, and Genetic Counselors
- Identifying, developing, and managing commercial relationships with key opinion leaders in medicine and other key healthcare professionals
- Effectively prospecting and cultivating new business and maintaining key relationships
- Identifying and capitalizing on commercial opportunities for growth within a specific region or geography – predominately in OBGYN, MFM, and GC clinics, as well as hospital systems and Federally Qualified Health Centers
- Creating and implementing a strategic business plan to grow utilization quickly in your geography
- Managing the full lifecycle of the product sales process, including new business development and lead generation
- Attending local tradeshows, industry conferences and networking events
Qualifications
- Minimum three (3) years of outside field sales experience within the healthcare sector, directly calling upon providers in specified geographic territory
- Demonstrated successful sales track record, understanding of buyer/decision maker types, exhibit effective selling, listening, presentation skills, and ability to assess and respond to customer needs (National awards a plus)
- Excellent organizational and communication skills (written and verbal) with demonstrated ability to effectively present to both internal and external customers
- Effective time management skills required with a demonstrated ability to assess and prioritize opportunity required
- Exceptionally bright, flexible, self-motivated and results oriented with strong interpersonal and analytical skills and the ability to think strategically as well as execute tactically
- Must act with a sense of urgency, with a focus on closing business
- Ability to assess the needs of medical professionals and staff members with a focus on consultative sales, coordination of logistics, and problem solving
- Strong desire to work in a startup environment and must work independently with an internal drive to be successful
- Working knowledge and application of HIPAA laws, privacy, and ethics surrounding patient privacy and information
- Demonstrated values and ethics that support BillionToOne's mission, goals, and professional code of conduct
- Ability to use discretion and professionalism as it relates to handling patient and physician information and documentation
Nice-to-Haves:
- Experience in a start-up environment
- Women's Health Background
- Clinical laboratory experience
- Convertible book of business
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 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.).
Positions: Prenatal Account Manager, Prenatal Specialist, Senior Prenatal Specialist
For this position, we offer a total compensation range of $184,569 - $248,269 per year (at plan), including a base salary range of $136,869 - $163,269 per year. Commission potential is uncapped and can be significant.
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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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.
Job Roles at BillionToOne
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Get Access To All JobsTips for Finding BillionToOne Green Card Jobs
Target technical and scientific roles first
Green Card sponsorship at BillionToOne is most likely for roles requiring specialized expertise in genomics, molecular biology, software engineering, or medical device development. These positions are hardest to fill domestically, making sponsorship more defensible under PERM labor market requirements.
Understand the PERM process before your interview
BillionToOne's Green Card path runs through PERM labor certification, where the company must demonstrate no qualified U.S. workers are available. Knowing this process shows hiring managers you're a serious candidate who understands the commitment involved.
Start the Green Card conversation at the offer stage
Don't wait until you're on the job to raise Green Card sponsorship. Negotiating sponsorship commitment during the offer process, while the company is most motivated to secure you, gives you the clearest path to a formal agreement before you start.
Connect your credentials to a hard-to-fill role
BillionToOne operates in a specialized diagnostics niche within Medical Devices. Candidates with credentials in areas like next-generation sequencing, CLIA-regulated lab workflows, or rare disease diagnostics are stronger Green Card sponsorship candidates because their skills are genuinely scarce in the U.S. labor market.
Use Migrate Mate to verify current sponsorship activity
BillionToOne's sponsorship posture can shift as the company grows. Migrate Mate surfaces verified sponsors so you can filter by real sponsorship history and confirm BillionToOne is actively filing before you invest time in the application process.
Plan for a multi-year timeline
Green Card sponsorship at any Medical Devices company involves PERM filing, I-140 petition, and potentially years of priority date waiting depending on your country of birth. Aligning your employment contract and visa status maintenance with this timeline is essential from day one.
BillionToOne Green Card Visa Sponsorship: Frequently Asked Questions
Does BillionToOne sponsor Green Card visas?
Yes, BillionToOne does sponsor Green Cards for qualifying employees. Sponsorship is more selective than at large enterprise employers, so it tends to be concentrated in roles where the company has a genuine need for specialized talent it cannot easily source from the domestic workforce. Confirming sponsorship intent during the hiring process is the recommended approach.
Which roles at BillionToOne are most likely to receive Green Card sponsorship?
Roles in genomics research, molecular diagnostics, bioinformatics, software engineering, and regulatory affairs within the Medical Devices space are the most common candidates for Green Card sponsorship at BillionToOne. These positions require niche credentials that support the PERM labor certification requirement of demonstrating no qualified U.S. workers are readily available.
How does the Green Card application process work at BillionToOne?
BillionToOne typically sponsors Green Cards through the employment-based preference categories, most commonly EB-2 or EB-3, starting with PERM labor certification filed with the Department of Labor. Once PERM is approved, the company files an I-140 immigrant petition with USCIS. If your priority date is current, you can then file for adjustment of status or pursue consular processing.
How long does the Green Card process take at BillionToOne?
The timeline depends on your country of birth and the preference category your role qualifies under. PERM and I-140 processing alone can take one to two years before you even reach the visa queue. For applicants born in India or China, priority date backlogs can extend the total wait significantly beyond that. Starting the process as early as possible after joining is advisable.
How do I improve my chances of getting Green Card sponsorship at BillionToOne?
Raise sponsorship expectations clearly during the offer negotiation, before you accept. Candidates who demonstrate expertise in BillionToOne's core Medical Devices focus areas are better positioned because their skill set strengthens the PERM case. Migrate Mate can help you identify open roles at BillionToOne where sponsorship has been verified, so you're applying with accurate information from the start.
What is the prevailing wage for Green Card sponsorship at BillionToOne?
Employers sponsoring a Green Card through the PERM labor certification process must pay at least the prevailing wage for the role. The Department of Labor determines this rate based on the specific job title, location, and experience level. The prevailing wage is locked in during the PERM filing and applies through the entire Green Card process. You can look up current rates using the DOL's OFLC Wage Search tool.