Genetic Counselor 2 - Pre-Authorization/Utilization Manageme
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Portland, ME 04104
The Genetic Counselor 2 responsible for evaluating and understanding member’s risk of inherited medical condition. The Genetic Counselor 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Location: work from home anywhere
Be a part of our Clinical Space – Provide guidance to facilitate interaction or services that connect people with lifelong well-being. Humana is seeking a Genetic Counselor, you will be accountable for developing and maintaining key relationships and work with assigned area to optimize business results.
In this role you will:
+ Perform genetic testing preauthorization/utilization management across a broad range of disease states
+ Assist in development and provision of genetic/molecular testing education to internal associates, healthcare providers, and members
+ Serve as the expert in medical and health administration research for the Clinical Programs
+ Master’s Degree of Science in Genetic Counseling
+ Active license in the state requiring licensure
+ Board Certified Genetic Counselor
+ 3 -5 years or more of experience in genetic counseling
+ Proven successful experience in completing efficient health-related research, with associated analysis and conclusions
+ Excellent organizational skills desired with ability to handle multiple tasks and deadlines with attention to detail
+ Self-starter with the ability to work independently
+ Excellent written and oral communication skills required
+ Excellent PC skills (including MS Word & Excel)
+ 3 or more years’ experience in a clinical setting
+ Familiarity with CMS and/or Humana regulatory policies
+ Health plan experience
Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms -when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
Equal Opportunity Employer
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