Geneticist

HealthHelp, LLC; United States; Remote; USD 150,000 - 210,000; Part time

Job summary

WNS HealthHelp (A Capgemini Company) seeks board-certified Geneticists, Pathologists, Oncologists, and Internal Medicine Physicians for remote, contract-based case review roles focused on genetic testing and counseling. Engage in reviews, peer consultations, and evidence-based decision making to improve patient care and manage utilization.

Ideal candidates hold ABMGG or equivalent board certification, active US licenses, and robust experience in genetics with strong communication and

Qualifications

• MD/DO degree from an accredited medical school.
• Active, unrestricted medical license in a U.S. state or territory.
• Board certification in Medical Genetics and Genomics (ABMGG) or Pathology/Oncology/Internal Medicine with genetics experience.
• Clinical experience in genetic testing, interpretation, and genomic data application.
• Active genetics practice in the United States.
• Credentialing requirements with HealthHelp.
• Ability to make outbound provider calls during reviews.
• Collaboration with HealthHelp nursing and administration staff.
• Strong negotiation, leadership, and communication skills.
• Proficiency using digital platforms for case review and communication.

Responsibilities

• Conduct thorough reviews of complex genetic testing cases.
• Provide peer-to-peer consultations to treating physicians.
• Ensure adherence to evidence-based genetics guidelines.
• Contribute to utilization management processes and case review efficiency.
• Render well-reasoned decisions based on evidence-based criteria.

Skills

Medical communication

Outreach calls

Leadership

Negotiation

Digital platforms

Education

MD/DO

Job description

WNS HealthHelp (A Capgemini Company) is seeking Board-Certified Geneticists, Pathologists, Oncologists, and Internal Medicine Physicians with specialized expertise in genetic testing and counseling for case review roles.

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence – WNS’ core differentiator – with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption.

Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.

At WNS HealthHelp (A Capgemini Company), our mission is to collaborate with payors and providers to improve patient safety and deliver quality care through an evidence-based, educative, and collaborative model, focused on improving outcomes and reducing healthcare costs. We are revolutionizing healthcare delivery by ensuring patients receive the most appropriate, cost-effective care while supporting healthcare providers in their decision-making process.

Role Overview

As a Specialty Physician Reviewer, you’ll leverage your clinical expertise to make significant impact on patient care and healthcare efficiency. In this role, you will:

• Conduct thorough reviews of complex genetic testing cases
• Provide valuable peer-to-peer consultations with treating physicians, fostering collaborative relationships and knowledge sharing within the medical community
• Ensure adherence to evidence-based guidelines and best practices, staying at the forefront of medical advancements in genetics
• Contribute to the continuous improvement of our utilization management processes, helping shape the future of healthcare delivery
• Exercise your clinical judgement to render well-reasoned decisions, based on evidence-based clinical criteria, including crafting comprehensive adverse determination rationales when medically necessary.

Requirements

• MD, DO degree from an accredited school of medicine
• Current, active, unrestricted license to practice medicine in a state or territory of the United States
• Board certification in one of the following specialties:
• Medical Genetics and Genomics (ABMGG)
• Pathology (with demonstrated experience in genetic testing, molecular diagnostics, and test interpretation)
• Oncology / Hematology-Oncology (with demonstrated experience in genetic testing, precision medicine, and hereditary cancer syndromes)
• Internal Medicine (with demonstrated clinical experience in genetics, genomic medicine, or genetic testing interpretation)
• Demonstrated clinical experience in genetic testing, interpretation, and application of genomic data to patient care
• Active practice in genetics specialty in the United States
• Meets HealthHelp credentialing requirements
• Ability to make outbound calls to providers as part of the case review process
• Ability to collaborate with HealthHelp nursing and administration staff members
• Excellent negotiation, leadership, and communication skills
• Proficiency in using digital platforms for case review and communication

Preferred Qualifications

• Academic affiliation
• Participation in Interstate Medical Licensure Compact (IMLC)
• Experience or familiarity with principles and procedures of utilization management in managed care
• Ability to support flexible working hours
• Experience and familiarity with government programs
• Demonstrated ability to follow evidence-based practices in reviewing cases for medical appropriateness
• Commitment to an educational model in discussing and sharing clinical evidence with peers

HealthHelp provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists.

Location - Remote

Schedule - Completely Flexible

Job Type - Contract

WNS HealthHelp (A Capgemini Company) provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists.

WNS HealthHelp (A Capgemini Company)is an Equal Opportunity Employer. At WNS HealthHelp, we celebrate diversity and are committed to creating an inclusive environment that extends to our suppliers and vendors. All qualified Independent Contractors will receive consideration without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law.