Genetic Counselor Board Certified Remote US

Profile

Description

Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S.

Responsibilities

As a Board Certified Genetic Counselor you will assist in the detecting and the investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This is an inward facing role, with no direct member interaction. The daily assignment capsule includes reviewing of medical records for fraud, waste or abuse as well as review of Humana Medical Coverage Policies, CMS regulations, peer reviewed literature, and professional society's publications for applicable regulations.

Required Qualifications


Master's Degree of Science in Genetic Counseling
Active license in the state requiring licensure
Board Certified Genetic Counselor
3 years of experience in genetic counseling or related role
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


Work at Home/Remote Requirements


Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required


Preferred Qualifications


3 or more years' experience in the health industry, to include knowledge of CPT code billing.
Experience with research, analysis and root cause identification
Development of clinical and /or coding concepts and processes
Proficiency with Excel


Additional Information

At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:


Work-Life Balance
100% Work-At-Home/Remote
Generous PTO package
Health benefits effective day 1
Annual Incentive Plan
401K - Immediate company match
Well-being program
Paid Volunteer Time Off
Student Loan Refinancing


If you share our passion for helping people, we likely have the right place for you at Humana.

Scheduled Weekly Hours

40

Company info

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