Job Information
Humana Genetic Counselor 2 - Pre-Authorization/Utilization Management in Washington, District Of Columbia
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