Genetic Counselor Clinical Reviewer - EviCore - Remote

Cigna Healthcare•Pennsylvania Work at Home, PA

1d•$73,200 - $122,000•Remote

About The Position

The Genetic Counselor is responsible for the following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols; and authorizing coverage of services or referring requests for expert clinical review as appropriate. Be available as an expert advisor for physicians and labs on the appropriate use of genetic testing, including new and cutting-edge tests entering the market.

Requirements

Master’s degree in genetic counseling.
Board certified American Board of Genetic Counseling or American Board of Medical Genetics.
Licensure (if available) in state of residence.
2+ years of experience as a Genetic Counselor.
Experience with computer data entry, customer service, and managed care beneficial.
Strong interpersonal skills with the ability to clearly explain complex medical information in both verbal and written form.
Ability to work independently, be flexible and adaptable.
Comfort and familiarity with pediatric, adult, and perinatal genetics and related genetic tests.
Internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Responsibilities

Laboratory molecular and genetic testing clinical case review activities.
Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices.
Compare requests against established clinical protocols.
Authorize coverage of services or refer requests for expert clinical review as appropriate.
Be available as an expert advisor for physicians and labs on the appropriate use of genetic testing, including new and cutting-edge tests entering the market.