Remote Oncogenetic Quality Consultant

NHSHP; Dallas, Northern (TX, KY); Hybrid; USD 113,000 - 193,000; Full time

Benefits offered by this job

Remote work within US

Comprehensive benefits

Career development opportunities

Job summary

UnitedHealth Group is seeking a Clinical Quality Consultant for the Oncogenetic Program to guide evidence‑based decision making and optimize patient outcomes in oncology genomics. The role supports remote work from anywhere in the U.S.

and requires deep molecular pathology and oncogenetics expertise. The position emphasizes collaboration with multidisciplinary teams, regulatory compliance, and interpretation of complex genomic data to enhance care and efficiency in a fast‑paced tech‑driven

Qualifications

• PhD in molecular pathology, genetics, or similar.
• 5+ years of clinical experience in oncology or genetic medicine.
• Experience with genomic data interpretation software (e.g., NextGen sequencing analysis tools).
• Knowledge of regulatory and compliance standards (CMS, NCCN, ASCO guidelines) for genetic testing and oncology care.
• Familiarity with molecular diagnostic coding systems and claims platforms.
• Proficiency in interpreting next‑generation sequencing (NGS) and other advanced molecular diagnostic technologies.
• Proven ability to work effectively in a fast‑paced, technology‑driven environment.
• Proven ability to review work performed by others and provide recommendations.

Responsibilities

• Work to improve quality and promote evidence‑based medicine.
• Ensure the right service is provided at the right time for each member.
• Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review.

Skills

Molecular pathology

Oncogenetics

Genomic data interpretation

Regulatory compliance

NGS analysis tools

Collaboration

Education

PhD in molecular pathology or genetics

Tools

NextGen sequencing tools

Job description

UnitedHealth Group is seeking a Clinical Quality Consultant for the Oncogenetic Program to guide evidence‑based decision making and optimize patient outcomes in oncology genomics. The role supports remote work from anywhere in the U.S.

and requires deep molecular pathology and oncogenetics expertise. The position emphasizes collaboration with multidisciplinary teams, regulatory compliance, and interpretation of complex genomic data to enhance care and efficiency in a fast‑paced tech‑driven