Senior Manager, EMR Integrations

At Adaptive, we’re Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are diagnosed and treated.

As an Adapter, you’ll have the opportunity to make a difference in people’s lives. With Adaptive, you’ll create a career highlight through collaboration with bright, curious colleagues working at the apex of innovation and application.

It’s time for your next chapter. Discover your story with Adaptive.

Position Overview

At Adaptive, we are revolutionizing diagnostic testing by delivering precise, timely, and actionable insights to healthcare providers and their patients. Our mission is to harness cutting-edge technology and data integration to ensure MRD results drive better clinical outcomes. As part of that mission, we are seeking a Senior Manager, EMR Integrations to lead the strategy and execution oversight of EMR and LIS integrations across our clinical network.

This role is responsible for driving cross-functional alignment, executing program direction, and ensuring seamless delivery of integration initiatives that scale with our business. The ideal candidate brings a combination of technical fluency, healthcare systems expertise, and strong program leadership to oversee project execution, manage stakeholder engagement, and deliver integrations that are compliant, efficient, and clinically impactful.

Leaders at Adaptive demonstrate behaviors consistent with Adaptive’s Core Values and Leadership Principles. Critical functions of your role include helping establish individual team member goals, aligning those individual goals with broader team objectives, and ensuring those objectives drive the achievement of company goals. Providing thoughtful coaching and consistent feedback to your team members will drive performance excellence and accountability, as well as support your team members’ growth and development. Leaders at Adaptive create an environment of belonging, respect, and open and honest communication every day.

Key Responsibilities and Essential Functions

• Execute on the EMR Integration Strategy: Own and evolve the roadmap for scalable, high-impact EMR and LIS integrations across diverse healthcare systems
• Oversee Cross-Functional Execution: Coordinate efforts across engineering, product, compliance, lab operations, and commercial teams to deliver integrations on time and aligned with clinical workflows.
• Ensure Compliance & Security: Maintain rigorous standards for HIPAA, CLIA/CAP, and data security across all integrations and documentation.
• Manage Key Vendor Relationships: Lead engagement with interface engine providers, middleware vendors, and third-party integration partners to ensure reliability and performance.
• Support Commercial Success: Partner closely with Sales and Client Success to tailor integration strategies to customer needs, support pre-sales conversations, and deliver a differentiated onboarding experience.
• Enable Post-Go-Live Success: Monitor integration performance, resolve issues, and lead enhancement efforts that drive long-term customer value.
• Translate Voice of Customer: Capture client feedback and collaborate with Product & Tech teams to inform roadmap decisions and improve integration capabilities.
• Standardize & Scale Delivery: Develop and maintain best practices, documentation, and KPIs to drive consistency, efficiency, and quality across all integration efforts.
• Foster Continuous Improvement: Use retrospectives, data insights, and client input to optimize internal processes and elevate the integration program over time.
• Act as a Technical Advisor: Provide guidance to both clients and internal teams on integration design, data standards, and troubleshooting complex issues.
• All other duties as assigned

Position Requirements (Education, Experience, Other)

Required

• Bachelors Degree and 12+ years' experience in health-IT integration programs with deep knowledge of HL7, FHIR, APIs, interface engines, and LIS platforms.
• Strong expertise with Epic (Aura experience a plus) and other major EHRs; able to map clinical workflows into technical build and configuration.
• Proven ability to juggle multiple concurrent projects while maintaining rigorous documentation (workflows, test plans, go-live artifacts).
• Track record of troubleshooting interface issues and optimizing post-go-live performance in diagnostic-lab or clinical environments.
• Exceptional communication skills—translate complex technical concepts for non-technical audiences and mentor client staff
• Cross-functional leadership and customer-success orientation, ensuring high stakeholder satisfaction and quality outcomes
• Strict adherence to HIPAA, CLIA/CAP, and cybersecurity standards throughout the integration lifecycle
• 2 years of supervisory experience

Preferred

• History of leading technical teams and providing on-site go-live “elbow” support while driving continuous improvement via KPIs and retrospectives
• Advanced analytical/problem-solving skills and strong documentation practices that capture decisions and drive scalability
• High emotional intelligence and ability to thrive in fast-paced, ambiguous environments while balancing competing priorities
• Proven partner to Sales/Product teams, translating voice-of-customer into roadmap inputs and tailored integration strategies
• Passion for world-class service and intrinsic motivation to exceed client expectations in a high-growth diagnostics or health-IT setting

Working Conditions

• Primarily remote with infrequent travel (up to 5%) for client engagements, go-lives, and/or training.
• May require occasional work during evenings or weekends to support critical implementations.
• Daily use of a computer and virtual communication tools; must be able to read, write, and communicate clearly in digital formats

Compensation

Salary Range: $143,200 - $214,800

Possible “other compensation” elements to include:

• equity grant
• bonus eligible

ALERT: Malicious groups posing as Adaptive employees have recently used fraudulent email aliases to extend employment offers, provide fake documents, and request sensitive personal and financial information. Legitimate Adaptive employment opportunities are initiated through our careers page and extended after multiple interviews with verified employees. Adaptive does not ask new hires to purchase anything out-of-pocket, including home office supplies and equipment.

Interested in this position, but don’t meet all the requirements? Adaptive is committed to building diverse, equitable, and inclusive teams across our organization. Please consider applying even if your experience doesn’t match all the qualifications; you may be the exact candidate we’re searching for!

Adaptive is not currently sponsoring candidates requiring work authorization support for this position.

Adaptive’s posted compensation information includes a base salary (or hourly rate) range and summary of other available total compensation. The base salary range represents a minimum-to-maximum salary (or hourly rate) available to candidates upon extension of offer. Base salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate’s ability to meet minimum qualifications (skills/experience/education), a candidate’s ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. Listed base salary is exclusive of bonus, commission, equity, differential pay, benefits, and other incentives.

Adaptive's benefits at-a-glance.

Adaptive Biotechnologies is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Please refer the “Know Your Rights: Workplace Discrimination is Illegal” Poster for more information. If you’d like to view a copy of the company’s affirmative action plan or policy statement, please email work@tuhustle.com.

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NOTE TO EMPLOYMENT AGENCIES: Adaptive Biotechnologies values our relationships with our Recruitment Partners and will only accept resumes from those partners who have active agreements with Adaptive. Adaptive Biotechnologies is not responsible for any fees related to resumes that are unsolicited or are received by any employee of Adaptive Biotechnologies who is not a member of the Human Resources team.