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Humana Genetic Counselor 2 - Pre-Authorization/Utilization Management in Phoenix, Arizona

Description

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.

Responsibilities

Location: work from home anywhere

Work At Home Requirements:

  • Must have a separate room with a locked door that can be used as a home-office to ensure you and your members have absolute and continuous privacy while you work.

  • Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

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

Required Qualifications

  • 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)

  • Must have a separate room with a locked door that can be used as a home-office to ensure you and your members have absolute and continuous privacy while you work.

  • Must possess advanced telephonic and virtual communication skills.

  • Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Desired Qualifications

  • 3 or more years' experience in a clinical setting

  • Familiarity with CMS and/or Humana regulatory policies

  • Health plan experience

Additional Information

Working in the state of Arizona must comply with the Tobacco Free Hiring Policy and upon offer will be subjected to nicotine testing as part of a 10-panel drug test

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a text with interview questions and you will provide responses to each question. Your interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

Scheduled Weekly Hours

40

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