Genetic Counselor Clinical Reviewer - EviCore - Remote

The Genetic Counselor is responsible for the following:

• Laboratory molecular and genetic testing clinical case review activities.
• Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols; and authorizing coverage of services or referring requests for expert clinical review as appropriate.
• Be available as an expert advisor for physicians and labs on the appropriate use of genetic testing, including new and cutting-edge tests entering the market.

Minimum Education, Licensure and Professional Certification Requirement:

• Master’s degree in genetic counseling.
• Board certified American Board of Genetic Counseling or American Board of Medical Genetics.
• Licensure (if available) in state of residence.

Minimum Experience required:

• 2+ years of experience as a Genetic Counselor.
• Experience with computer data entry, customer service, and managed care beneficial.

Required Skills:

• Strong interpersonal skills with the ability to clearly explain complex medical information in both verbal and written form.
• Ability to work independently, be flexible and adaptable.
• Comfort and familiarity with pediatric, adult, and perinatal genetics and related genetic tests.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 73,200 - 122,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.