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Genetic Counselor Solution Sr.

Location:

  • IL, Chicago

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Description

Build the Possibilities. Make an extraordinary impact.

The Genetic Counselor Solutions Sr. is responsible for providing telehealth genetic counseling services to members for genetic testing. Involved in building, constructing, and writing clinical policy. Serves as a key contact for the government lines of business. Ensures lab tests accurately reflect appropriate test codes.

How you will make an impact:

  • Provides telehealth genetic counseling services for providers and members for complex genetic testing.

  • Researches, authors, and maintains clinical guidelines.

  • Advises internal and external clients on program related genetic testing coverage.

  • Advises government teams regarding application of CMS medical policies and guidelines.

  • Works with coding team to develop test menu configuration.

  • Works with Solution directors to perform customer audits for utilization and areas requiring additional investigation.

  • Develops thought leadership for enterprise publications.

  • Supports business activities such as test menu maintenance from laboratory submissions and updates client CPT code sets.

  • Maintains test menus for online portal.

  • Reviews quarterly AMA CPT code releases to determine applicability to clinical guidelines.

  • Answers client and provider questions.

  • Provides training and answers questions for operations teams related to clinical content.

  • Provides clinical support for client implementations.

Minimum Requirements:

  • Requires MA/MS and a minimum of 5 years of clinical genetic counseling experience; or any combination of education and experience, which would provide an equivalent background.

  • Experience in clinical guideline development and/or authoring of publications is also required.

  • Active, unrestricted genetic counselor license is required in applicable states.

  • ABGC (American Board of Genetic Counseling) board certification required.

Preferred Skills, Capabilities and Experiences:

  • MA/MS or PhD in Human Genetics, Molecular Biology or equivalent experience preferred.

  • Clinical genetic counseling experience for diverse indications preferred.

  • Leadership experience in genetics and/or professional societies preferred.

  • Knowledge of CPT coding and test menu interpretation of results preferred.

  •  Experience related to clinical program design preferred.

  • Experience working with physicians from multiple medical specialties preferred.

  • Experience in medical review and/or utilization management preferred.

  • Experience with oncology preferred.


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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