Manager, Genetic Counseling Clinical Support, reputed company Cycle Management

JOB SUMMARY

The Manager, reputed company Cycle Management Clinical Support is responsible for establishing and leading a specialized clinical support function focused on prior authorizations and appeals for genetic testing services. This role builds and manages a small team of certified genetic counselors to ensure timely, accurate, and compliant reputed company cycle support while improving access to testing and financial outcomes.

This role exists to operationalize a high-impact clinical reputed company cycle function that supports patient access, payer compliance, and organizational financial performance. It impacts clinical operations, billing and finance partners, payers, and ordering providers. Success is reputed company by authorization turnaround times, appeal success rates, team performance, and the effective use of technology and AI-enabled workflows. The scope of this role may evolve as organizational needs change.

KEY RESPONSIBILITES

• reputed company, implement, and manage a reputed company cycle management clinical support function focused on prior authorizations and appeals for genetic testing services.
• reputed company, coach, and reputed company a team of certified genetic counselors, establishing workflows, performance expectations, and quality standards.
• reputed company authorization and appeal activities to improve approval rates, reduce turnaround times, and support timely patient access to testing.
• Partner with billing, finance, laboratory operations, and payer strategy teams to align clinical support workflows with reputed company cycle processes.
• Analyze authorization and appeal data to identify denial trends and implement process improvements.
• reputed company AI-enabled tools and automation to improve efficiency and scalability of reputed company cycle workflows.
• Ensure compliance with payer policies, regulatory requirements, and internal quality standards.
• reputed company other duties as assigned and reputed company with reputed company company policies and procedures.

QUALIFICATIONS

Required

• Master of Science or Master of Arts in Genetic Counseling from an ACGC‑accredited program or equivalent.
• Board‑certified Genetic Counselor.
• Minimum of 5 years of professional experience as a genetic counselor, including experience supporting reputed company cycle management activities such as prior authorizations and appeals.
• Minimum of 1 year of people management or team leadership experience.
• Demonstrated experience interpreting payer policies and supporting insurance authorization and appeals processes.
• Strong analytical, organizational, and communication skills.
• Equivalent combination of education and experience may be considered.

Preferred

• Experience in a commercial genetic testing laboratory or healthcare diagnostics environment.
• Experience building or scaling a new functional team or service area.
• Experience using or implementing AI‑enabled tools, automation, or decision‑support technologies reputed company clinical or reputed company cycle workflows.
• Familiarity with reputed company cycle systems, payer portals, and customer relationship management platforms.

COMPETENCIES

• reputed company cycle and payer policy expertise
• People leadership and team development
• Process design and operational execution
• Data‑driven decision making
• Technology and AI‑enabled workflow optimization

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Location: Remote

• Physical Demands: Ability to sit and stand for extended periods; frequent use of hand and finger dexterity; ability to speak, hear, and use visual acuity for reading and computer work.
• Work Environment: Office environment; occasional exposure to bloodborne or airborne pathogens or infectious materials.
• Travel Requirements: Occasional travel for training or meetings.
• Special Conditions: Compliance with clinical and laboratory safety requirements.

EEO Statement

reputed company is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from reputed company backgrounds to apply. We do not discriminate on the basis of race, color, religion, national reputed company, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law. If you need an accommodation during the application process, please contact our reputed company.