Remote Genetic Testing Physician – Genomics Expert

Gainwell Technologies; California (MO); Hybrid; USD 194,000 - 276,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies seeks a Genetic Testing Physician to provide senior clinical oversight for genetics programs and testing services, supporting medical necessity determinations, policy development, and quality initiatives. The advisor acts as a trusted clinical expert for clients, providers, and internal teams to promote evidence-based, cost-effective care.

This remote, 9–12 month assignment partners with Medicaid programs across the U.S.

Qualifications

• MD or DO with an active, unrestricted US medical license.
• California license to practice medicine is required.
• Board Certification in Medical Genetics and Genomics or a related specialty.
• Minimum 5+ years of post-residency clinical experience in genetics/genomics.
• Strong knowledge of molecular diagnostics, genomic testing, and pharmacogenomics.
• Experience with Medicaid programs, utilization management, prior authorization, or medical review.

Responsibilities

• Serve as physician SME for genetics, genomics and genetic testing services.
• Review complex authorization requests and medical necessity determinations.
• Peer-to-peer consultations with providers applying evidence-based criteria.
• Provide clinical guidance to utilization management and quality teams.
• Interpret Medicaid regulations and genetic testing guidelines for compliance.
• Collaborate with clients and internal stakeholders to improve outcomes and utilization.

Skills

Clinical genetics expertise

Genomics knowledge

Medicaid utilization management

Analytical skills

Communication skills

Education

MD/DO degree

California medical license

Board Certification in Medical Genetics and Genomics

Job description

Gainwell Technologies seeks a Genetic Testing Physician to provide senior clinical oversight for genetics programs and testing services, supporting medical necessity determinations, policy development, and quality initiatives. The advisor acts as a trusted clinical expert for clients, providers, and internal teams to promote evidence-based, cost-effective care.

This remote, 9–12 month assignment partners with Medicaid programs across the U.S.