Senior IT Desktop Support Technician

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.

We are seeking a Senior IT Desktop Support Technician with strong experience supporting end users in a fast-paced, dynamic environment. The ideal candidate will have hands-on expertise in Google Workspace,macOS, Iru, Intune, and Jira Service Management, as well as a strong understanding of lab and regulated environments.

This role is critical to ensuring operational excellence, leading IT support initiatives, maintaining compliance with HIPAA and security standards, and designing exceptional end-user experiences. The successful candidate will play a key role in managing IT inventory, improving support workflows, and ensuring seamless and secure IT operations across the organization.

Responsibilities:

• Provide advanced desktop support for a diverse end-user environment, primarily focused on macOS and Google Workspace.
• Provide advanced desktop support for a lab environment, primarily focused on Windows laptop and desktops.
• Manage and administer device management platforms such as Iru, and Microsoft Intune to maintain system security and compliance.
• Leverage Jira Service Management (JSM) to manage IT support workflows, automate ticket handling, and track performance metrics.
• Support biotech lab environments, ensuring uptime and reliability of IT systems that enable scientific operations.
• Implement and monitor HIPAA compliance initiatives across IT systems, safeguarding sensitive data and patient information.
• Design, document, and continuously optimize IT support processes to enhance service efficiency and customer satisfaction.
• Create and maintain comprehensive IT documentation, including system configurations, troubleshooting guides, and operational procedures.
• Manage the full lifecycle of IT assets and inventory, including procurement, tracking, and auditing.
• Collaborate cross-functionally to support new technology rollouts, system upgrades, and process improvements.

Qualifications:

• Bachelor’s degree in Computer Science, Information Technology, or a related field.
• 5+ years of experience in IT desktop support or a similar technical role.
• Proven expertise in macOS and Google Workspace support within a professional environment.
• Strong proficiency with Kandji, Microsoft Intune, and Jira Service Management (JSM) — including request queues, automation rules, SLAs, and dashboards.
• Solid understanding of biotech lab IT environments and associated systems.
• Deep knowledge of HIPAA compliance and how to implement security best practices in IT operations.
• Demonstrated ability to create and maintain clear, high-quality documentation.
• Experience leading IT operations or support initiatives in a high-growth organization.
• Strong problem-solving skills and a focus on designing exceptional end-user experiences.
• Excellent communication and interpersonal skills, with the ability to collaborate across technical and non-technical teams.

Nice-to-Haves:

• Experience configuring and automating workflows in Jira Service Management (custom forms, automation, integrations).
• Experience supporting CLIA-certified laboratory environments or other regulated scientific operations.
• Ability to plan, test, execute, and document technical projects.
• Experience working in biotech, healthcare, or regulated industries.
• Familiarity with security frameworks, incident response, and best practices for protecting sensitive data.

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 thousand 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)
• Free 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 $145,591 per year, including a base pay range of $84,066 - $105,083 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.

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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.

Ready to help us change the world, one molecule at a time? Learn more at billiontoone.com