Genetic Counselor Clinical Reviewer - EviCore - Remote

About the Role

The day-to-day responsibilities of this role will include evaluating requests for authorization of coverage of molecular and genetic laboratory tests, comparing these requests against established clinical protocols, and authorizing coverage of services or referring requests for expert clinical review as needed. You will also serve as an expert advisor for physicians and labs on the appropriate use of genetic testing, including new and cutting-edge tests entering the market.

Cigna is committed to supporting the whole health of its employees, and this role offers a unique opportunity to be part of a team that is shaping the future of healthcare. With a focus on innovation and customer-centricity, Cigna is an exceptional place to grow your career and make a meaningful impact.

What You Will Do

• Evaluate requests for authorization of coverage of molecular and genetic laboratory tests
• Compare requests against established clinical protocols
• Authorize coverage of services or refer requests for expert clinical review as needed
• Serve as an expert advisor for physicians and labs on the appropriate use of genetic testing
• Provide guidance on new and cutting-edge genetic tests entering the market
• Collaborate with cross-functional teams to ensure effective and efficient use of genetic testing
• Develop and maintain knowledge of current genetic testing trends and technologies
• Participate in quality improvement initiatives to optimize genetic testing processes
• Communicate complex medical information to healthcare professionals and patients

What We Are Looking For

• Master's degree in genetic counseling
• Board certified by the American Board of Genetic Counseling or the American Board of Medical Genetics
• Licensure in the state of residence (if available)
• At least 2 years of experience as a Genetic Counselor
• Strong interpersonal skills with the ability to clearly explain complex medical information
• Ability to work independently and as part of a team
• Excellent written and verbal communication skills
• Comfort and familiarity with pediatric, adult, and perinatal genetics and related genetic tests
• Experience with computer data entry and customer service

Nice to Have

• Experience with managed care
• Familiarity with electronic health records
• Knowledge of current genetic testing trends and technologies
• Certification in a related field, such as medical genetics

Benefits and Perks

• Competitive salary range
• Comprehensive benefits package, including medical, vision, dental, and well-being programs
• 401(k) with company match
• Tuition reimbursement
• Minimum of 18 days of paid time off per year and paid holidays
• Opportunity to work with a leader in the health services industry
• Remote work options with flexible scheduling
• Professional development opportunities to enhance your skills and knowledge

• Make sure your resume and cover letter are tailored to the specific requirements of the Genetic Counselor role, highlighting your experience with genetic testing and counseling.
• Develop a strong understanding of the current genetic testing trends and technologies to stand out as a candidate.
• Be prepared to provide examples of your experience working with electronic health records and computer data entry systems.
• Brush up on your communication skills, as the ability to clearly explain complex medical information is crucial for success in this role.
• Research Cigna's company culture and values to demonstrate your enthusiasm for the organization and its mission.
• Prepare to discuss your experience with remote work and your ability to work independently, as this is a remote position.
• Consider creating a portfolio or examples of your work, such as case studies or presentations, to showcase your skills and experience as a Genetic Counselor.