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Genetic Counselor Clinical Reviewer - Remote

Posted 2 days ago
All others
Full Time
USA
71,100 - 118,500 USD/year

Overview

The Genetic Counselor is responsible for reviewing clinical cases related to laboratory molecular and genetic testing, authorizing coverage of services, and providing expert advice to physicians and labs.

In Short

  • Evaluate requests for authorization of genetic testing coverage.
  • Compare requests against clinical protocols.
  • Authorize coverage or refer for expert review.
  • Advise on the appropriate use of genetic testing.
  • Requires a Master’s degree in genetic counseling.
  • Must be board certified.
  • 2+ years of experience as a Genetic Counselor.
  • Strong interpersonal and communication skills required.
  • Comfort with pediatric, adult, and perinatal genetics.
  • Eligible for annual bonus plan.

Requirements

  • Master’s degree in genetic counseling.
  • Board certification from relevant boards.
  • 2+ years of Genetic Counseling experience.
  • Experience with customer service and managed care is beneficial.
  • Strong verbal and written communication skills.
  • Ability to work independently and adapt to changes.
  • Familiarity with genetic tests.
  • Reliable internet connection required for remote work.

Benefits

  • Comprehensive health benefits including medical, dental, and vision.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement.
  • Minimum of 18 days of paid time off per year.
  • Paid holidays.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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