Clinical Science Liaison: Medical necessity reviews and Appeals

Ambry GeneticsAliso Viejo, CA
289d$100,000 - $110,000Remote

About The Position

The primary role of the Clinical Science Liaison is to provide real-time clinical support and interpretation of results to Ambry's clients. The clinical science liaison will remain up to date regarding Ambry's clinical offerings and technology and be subject matter experts for clients calling in to discuss testing results, ordering options, or technology across all of Ambry's product offerings. In addition, the clinical science liaison will help support exome medical necessity reviews and appeals.

Requirements

  • Master's degree or higher in genetic counseling, human genetics, or other healthcare field
  • Strong understanding of the current state of clinical genetic testing, the advantages and limitations of genetic testing, and a desire to educate community providers about the utility of clinical genetics
  • Robust organizational skills
  • Basic knowledge of various lab techniques, such as next generation sequencing, Sanger sequencing, exome sequencing, etc.
  • Skilled collaboration skills for working with both clients and internal teams
  • Ability to work well independently and prioritize tasks
  • Excellent communication and interpersonal skills

Nice To Haves

  • Master's in Genetic Counseling
  • Board certification in Genetic Counseling
  • Exome experience
  • At least 2 years' experience in a genetic testing laboratory or clinic site strongly preferred

Responsibilities

  • Provide complex clinical judgement in determining medical necessity and drafting denial appeal letters as needed by the clinical data curation team
  • Facilitating peer to peer reviews
  • Work cross functionally with Patient Finance Services team in regards to claims and appeals
  • Other duties as assigned

Benefits

  • $100,000 - $110,000 per year
  • Eligible for a Short-Term Incentive with the target at 7.5% of your annual earnings; terms and conditions apply

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What This Job Offers

Job Type

Full-time

Industry

Ambulatory Health Care Services

Education Level

Master's degree

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