Genetic Counselor Reviewer

Infinite Computer Solutions; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Infinite Computer Solutions is seeking a skilled Genetic Counselor to review genetic testing requests for medical necessity and policy alignment. You will educate healthcare providers and clients, manage authorization workflows in proprietary software, and ensure timely, compliant deliverables.

The ideal candidate holds a Master’s in Genetic Counseling or Human Genetics, board certification, and state licensure where applicable, with 2+ years of clinical experience and strong IT proficiency.

Qualifications

• Master’s degree in Genetic Counseling or Human Genetics required.
• Board certification or diplomate status and active state licensure where applicable.
• Minimum 2 years of clinical genetics experience or equivalent.
• Comfort with IT tools and proprietary platforms for case management.

Responsibilities

• Review genetic testing requests for medical necessity and policy alignment.
• Educate providers, medical directors, and clients on appropriate utilization.
• Utilize proprietary software to manage authorization requests accurately.
• Ensure timely client deliverables and regulatory compliance.
• Collaborate with team to meet division objectives and KPIs.
• Participate in meetings and contribute to process improvements.
• Respond to deadlines and maintain appropriate case volumes.

Skills

Genetic counseling

Communication skills

Time management

Adaptability

Education

Master’s degree in Genetic Counseling or Human Genetics

ABGC/ABMG diplomate

Licensed Genetic Counselor

Public health / policy / statistics / CS experience preferred

Tools

Genetic testing platforms

Healthcare compliance systems

Job description

Our team provides this specialized expertise via multiple modalities, including utilization management, policy writing and advising, general consulting, laboratory stewardship, and clinical algorithm and technological solutions. We employ evidence-based best practice standards to support the appropriate and responsible use of genetic testing within the healthcare system as a whole.

Essential Functions

• Use critical thinking skills and genetics expertise to review clinical genetic testing requests for medical necessity and alignment with health plan policies and professional society guidelines
• Provide education to healthcare providers, medical directors and clients regarding appropriate utilization of genetic testing
• Utilize and maintain proprietary content and software platforms for managing genetic testing authorization requests accurately and efficiently
• Ensure the timely completion of client deliverables while adhering to all regulatory and compliance requirements
• Work with direct supervisor and collaborate with other team members to meet overall division and company objectives
• Share knowledge and think critically about process improvement opportunities
• Participate in regular division and departmental meetings, where goals, processes, and strategies are communicated
• Contribute to a positive company culture
• Weekly attendance in team meetings
• Collaboration with team members on projects and/or cases
• Respond to all deadlines in a timely manner
• Maintain expected case volume and compliance according to key performance indicators (KPIs)

ABOUT YOU

Your Education & Experience

• Master’s degree in Genetic Counseling or Human Genetics
• Certified diplomate of the American Board of Genetic Counseling or American Board of Medical Genetics
• Licensed Genetic Counselor in the state in which he/she resides, if applicable
• A minimum of 2 years experience as a clinical genetic counselor or comparable professional experience
• Additional expertise in public health, public policy, statistics, business, or computer science preferred
• Confident and decisive, even when it requires taking risks
• Work well in a dynamic environment and quickly adaptive to change
• Proactive and invigorated by new challenges
• Above average IT skills; comfortable with new software, able to troubleshoot
• Efficient and effective at time management
• Compassionate and empathetic, excellent communication skills (oral and written), effective tele-communications skills
• Open to constructive feedback and motivated to achieve new goals
• Self-directed with the ability to maintain a balance between life and work