Medical Director, Genetic Testing Program | GenomeWeb

Medical Director, Genetic Testing Program

Organization
Carecore National
Job Location
Benefits

For those who love a challenge, we offer a casual, high-energy work environment that acknowledges work-life realities. CareCore National also operates in a remote work environment, which offers employees added flexibility.

We offer competitive salary and benefits, which include: health insurance, dental coverage, 401(k), paid vacations and holidays, life insurance coverage.

CareCore National is an Equal Opportunity Employer M/F/D/V and Drug-Free Workplace.

Job Description

*WORK FROM HOME* 

Our laboratory utilization management program develops coverage policy around molecular and genomic tests, performs pre- and post-service medical necessity reviews, and evaluates claims with the goal of ensuring that our health plan clients provide appropriate coverage and reimbursement for genetic and genomic tests.

The Medical Director will join a team of genetic counselors and physicians who evaluate medical necessity requests for molecular and genomic testing with a focus on cases that do not clearly meet clinical criteria. In addition, the Medical Director will engage in peer to peer discussions with requesting physicians to clarify clinical information and to explain review outcome decisions. The Medical Director will also participate in research and policy development for emerging genetic tests. 

Work Remote From Home!

Requirements

The successful candidate will be a board-certified pathologist with expertise in molecular diagnostics (subspecialty certificate in Molecular Genetic Pathology preferred) who holds a valid license to practice in the United States without restriction as a doctor of medicine. At least five years of clinical experience is preferred. Medical Geneticists are also encouraged to apply.

How to Apply
About Our Organization

CareCore National is committed to making sure that every patient receives exactly the health care they need. We know that every patient has a unique condition and medical history, so we manage tests and treatment to make sure they meet the latest standards of care to deliver the best possible outcomes.

As a specialty benefit management company, we manage the quality and use of outpatient diagnostic and cardiac imaging, cardiac implantable devices, oncology drugs and therapeutic agents, radiation therapy, sleep, pain and lab services. Our goal is to make sure that every treatment and test is medically necessary and absolutely appropriate for the individual patient.

By insisting that patients receive the most appropriate test or treatment the first time, we ensure they get the best care possible as quickly as possible. As a consequence, we help to eliminate the cost and time wasted with inappropriate tests or treatments, while ensuring the highest levels of patient safety.

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