About This Position
Hiring UM Genetic Counselor-Medical Reviewer- Remote
Location: California
Duration: 13 weeks contract with possible extension
Shift: 8am to 4:30pm
Weekly Hours: 40
Start Date: 9/28/2026
Requirements:
Requires a master’s degree in Genetic Counseling from a program accredited by the Accreditation Council for Genetic Counseling (ACGC).
Requires a current certification as a Genetic Counselor (ABGC or equivalent).
Requires the ability to provide proof of an active, unrestricted licensure as a Genetic Counselor in the State of California
Requires at least 5 years of prior relevant experience which includes a strong clinical understanding of molecular, cellular, and genetic medicine and somatic and germline genetic testing, carrier screening, prenatal testing, newborn testing, and neonatal ICU.
Requires working knowledge of utilization management principles, including medical necessity review, regulatory requirements, and accreditation standards (e.g., CMS, DHCS, NCQA, DMHC, URAC)
Requires strong computer skills related to Windows-based programs and applications
Requires strong analytical, clinical decision-making, and documentation skills in a managed care or clinical environment.
Prior experience in health plan, ASO, or IPA/MG setting, preferred.
Experience supporting development or interpretation of genetic testing medical policies, preferred.
Software Skills Required:
MS Office Suite apps, JIRA, EMR Systems, etc.
Pay: $62.00 - $65.00 per hour
Benefits:
Health insurance
Vision insurance
Experience:
molecular, cellular, and genetic medicine: 5 years (Required)
germline genetic,carrier screening,prenatal testing: 5 years (Required)
License/Certification:
Genetic Counselor in the State of California (Required)
Work Location: Remote
Experience
Experience working with neonates, Jira, Health screenings, Computer operation, Certified Genetic Counselor (CGC), NICU experience, Patient management software, Windows, Medical genetics and genomics, Master's degree, Neonatology, Pre-authorization review for utilization management, Genetic counseling, Utilization management, Decision making, Clinical information systems, Clinical documentation, Desktop applications, Resource utilization in healthcare, Digital project management boards, Productivity software, Defect tracking tools, Neonates
Benefits
Health insurance, Vision insurance
