BillionToOne

CLIA Laboratory Supervisor, Oncology

BillionToOne$158K — $179K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active California CLS or CGMBS license for high-complexity testing compliance
  • Bachelor's degree in relevant scientific field
  • Minimum 4 years clinical lab experience, including molecular diagnostics
  • Qualified CLIA General Supervisor under applicable regulations
  • Hands-on experience with molecular biology techniques like PCR
  • Strong knowledge of LIMS and quality systems
  • Proficient in Google Docs, Excel, and statistical analysis

Responsibilities

  • Supervise high-complexity testing operations as a designated CLIA General Supervisor
  • Manage daily lab personnel and workflow during all testing phases
  • Serve as primary escalation point for technical and personnel matters
  • Oversee laboratory operations and ensure instrument functionality
  • Review and verify test and quality control results
  • Ensure strict adherence to compliance and regulatory standards
  • Lead training and continuous improvement initiatives for lab staff

Benefits

  • Collaborative culture with dedicated colleagues focused on transformative diagnostics
  • Open communication with regular Town Hall meetings
  • Opportunity to impact the lives of many patients
  • Comprehensive medical benefits with dependent coverage
  • Generous paid Family Bonding Leave
  • Supplemental coverage for fertility benefits
  • Retirement savings with company match
  • Additional paid time off with tenure
  • Modern equipment and facilities provided
  • Daily catered lunches from local restaurants
  • On-site amenities like a state-of-the-art gym and restaurant
Full Job Description
BillionToOne is seeking a Clinical Laboratory General Supervisor (GS) to support our Oncology product, Northstar, in a high-complexity CLIA laboratory environment. This role provides general supervision of personnel and daily laboratory operations, ensuring regulatory compliance, quality, and operational excellence across end-to-end cancer blood sample processing.

This is a hands-on leadership role in a fast-growing, high-throughput molecular diagnostics lab. The General Supervisor will serve as a key operational leader and first point of escalation for CLS and CLA, partnering closely with the Technical Supervisor, Laboratory Director, and Quality team.

This is an onsite position supporting the Monday-Friday Mid Shift (11:30 AM - 8:00 PM), with a planned transition to a PM shift (3:00 PM - 11:30 PM) later this year.

Responsibilities:
  • General Supervision & Leadership
    • Serve as a designated CLIA General Supervisor for high-complexity testing in accordance with 42 CFR Part 493 and CAP accreditation standards
    • Provide day-to-day supervision of laboratory personnel, including CLSs and CLAs, during the pre-analytic, analytic, and post-analytic phases of testing
    • Act as the primary escalation point for technical, operational, and personnel issues during assigned shifts
    • Oversee staffing, scheduling, shift handoffs, and workload distribution to ensure operational continuity
  • Laboratory Operations & Testing
    • Perform and oversee high-complexity molecular oncology assays, supporting diagnostic testing for patient care
    • Ensure proper instrument operation, calibration, maintenance, and troubleshooting
    • Review, interpret, and verify test results and quality control data
    • Identify, investigate, and resolve deviations that may impact test performance or result integrity
  • Quality & Compliance
    • Ensure compliance with CLIA, CAP, state, and local regulatory requirements
    • Perform, review, and document quality control, corrective actions, and preventive maintenance
    • Participate in inspection readiness, audits, and regulatory responses
    • Lead or support SOP development, review, and biennial updates
  • Training & Continuous Improvement
    • Lead training, onboarding, and competency assessments for new and existing laboratory staff
    • Provide hands-on and theoretical training for new assays, processes, and instrumentation
    • Support process improvement initiatives, including assay validation, tech transfer, and troubleshooting
    • Partner cross-functionally with Quality, R&D, and Operations to drive continuous improvement

Qualifications:
  • Active California Clinical Laboratory Scientist (CLS) license (or CGMBS/generalist license) meeting CLIA requirements for high-complexity testing
  • Bachelor's degree in chemical, biological, physical, clinical laboratory science, or a related field
  • Minimum 4 years of clinical laboratory experience, including molecular and/or high-complexity testing
  • Meets CLIA General Supervisor qualifications under 42 CFR [redacted], including appropriate education, training, and experience
  • Demonstrated hands-on experience with molecular biology techniques (e.g., DNA extraction, PCR, automated liquid handlers)
  • Strong working knowledge of LIMS, quality systems, and laboratory documentation
  • Proficiency with Google Docs, Excel, Word, and basic statistical analysis
  • Excellent attention to detail, organizational skills, and ability to perform under time-sensitive conditions
  • Strong written and verbal communication skills and a collaborative leadership style

Nice-To-Haves:
  • Prior experience serving as a CLIA General Supervisor
  • Startup or high-growth laboratory experience
  • Background in medical genetics or oncology diagnostics
  • Experience working with cell-free DNA (cfDNA) or next-generation sequencing workflows

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)
  • 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 $217,805 per year, including a base pay range of $158,401 - $179,521 per year.

About BillionToOne

BillionToOne is a biotechnology company that develops molecular diagnostics for genetic diseases. The company's platform, called the QCT molecular counter, uses a proprietary technology to detect rare mutations in DNA samples. BillionToOne's technology is used in prenatal testing, cancer diagnostics, and other applications. The company was founded in 2016 and is headquartered in San Francisco, California.
Learn more about BillionToOne
Size
10 employees
Industry
Founded
2016

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