Vice President of Sales, PrenatalCentral or Western US

Vice President of Prenatal Sales

Join a team of brilliant, passionate innovators who wake up every day determined to transform healthcare. At BillionToOne, we've built something extraordinarya 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 compassionevery 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.

We are seeking an experienced Vice President of Prenatal Sales to lead, scale and continue to develop our sales team for our flagship product, Unity Complete. This position will have significant responsibility and impact within the organization and will be considered part of the Extended Leadership Team (ELT). The VP of Prenatal Sales will have full P&L / budget responsibility and will oversee a large team of 150+ reps, managers, and area directors, generating $200M+ in annual revenue, revenue that is continuing to grow exponentially YoY.

Responsibilities :

• Develop and execute comprehensive sales strategies to drive adoption of Unity Complete and related prenatal testing solutions
• Responsible for building and scaling the sales team structure, including; hiring and developing sales representatives, managers, and directors.
• Lead, mentor, and support Sales Directors and their regional teams to drive performance and growth.
• Drive revenue growth and consistently meet or exceed quarterly and annual sales targets
• Design and implement territory expansion plans to maximize market coverage and sales efficiency
• Collaborate cross-functionally with Marketing, Product, Operations, and other departments to ensure alignment and seamless execution of go-to-market strategies
• Build and maintain relationships with key opinion leaders, major healthcare systems, and strategic accounts
• Provide regular reporting and insights to Executive Leadership Team on market trends, competitive landscape, and sales performance
• Continuously refine sales processes, tools, and methodologies to increase effectiveness and scalability
• Foster a culture of excellence, accountability, and continuous improvement within the sales organization
• Represent BillionToOne at industry conferences, trade shows, and other external events

Qualifications :

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Benefits And Perks :

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, the base salary is $260,100 per year with $125,000 of commissions at plan and stock options valued at $187,500 per year ($750,000 over 4 years), for a total compensation of $572,600 per year. Commissions are 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.

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 DNAa 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 2024with 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 cultivatedone 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