30 days old

Genetic Counselor (Board Certified) (Remote US)

Humana
Colorado Springs, CO 80932 Work Remotely
  • Jobs Rated
    1st
Description Humana is seeking a Genetic Counselor to assist in the detecting and 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 societys publications for applicable regulations. Responsibilities Humana is seeking a Genetic Counselor to assist in the detecting and 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 societys publications for applicable regulations. Required Qualifications + Masters 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 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 its important to us too. Thats why were 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. 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 Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humanas secure website. Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. California Residents If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here: CA Resident Privacy Policy <>

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Posted: 2020-09-28 Expires: 2020-11-04

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Genetic Counselor (Board Certified) (Remote US)

Humana
Colorado Springs, CO 80932

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Genetic Counselor
1st2018 - Genetic Counselor
Overall Rating: 1/220
Median Salary: $74,120

Work Environment
Very Good
7/220
Stress
Very Low
14/220
Growth
Very Good
15/220
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