Live opening · Posted 3 days ago

Geneticist

HealthHelp · United States (Remote)
Linkedin Yes
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At a glance

The key details from the original listing.

Posted 3 days ago
CompanyHealthHelp
LocationUnited States (Remote)
Work modeYes
SourceLinkedin
Listed3 days ago

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About the role

Description supplied by the original job listing.

WNS HealthHelp (A Capgemini Company) is seeking Board-Certified Geneticists, Pathologists, Oncologists, and Internal Medicine Physicians with specialized expertise in genetic testing and counseling for case review roles.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel and Hospitality. We bring together deep domain excellence – WNS’ core differentiator – with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience in a world defined by disruption.
Our purpose is clear: to enable lasting business value by designing intelligent, human-led solutions that deliver sustainable outcomes and a differentiated impact. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.
At WNS HealthHelp (A Capgemini Company), our mission is to collaborate with payors and providers to improve patient safety and deliver quality care through an evidence-based, educative, and collaborative model, focused on improving outcomes and reducing healthcare costs. We are revolutionizing healthcare delivery by ensuring patients receive the most appropriate, cost-effective care while supporting healthcare providers in their decision-making process.
Role Overview
As a Specialty Physician Reviewer, you’ll leverage your clinical expertise to make significant impact on patient care and healthcare efficiency. In this role, you will:
Conduct thorough reviews of complex genetic testing cases
Provide valuable peer-to-peer consultations with treating physicians, fostering collaborative relationships and knowledge sharing within the medical community
Ensure adherence to evidence-based guidelines and best practices, staying at the forefront of medical advancements in genetics
Contribute to the continuous improvement of our utilization management processes, helping shape the future of healthcare delivery
Exercise your clinical judgement to render well-reasoned decisions, based on evidence-based clinical criteria, including crafting comprehensive adverse determination rationales when medically necessary.
Requirements
MD, DO degree from an accredited school of medicine
Current, active, unrestricted license to practice medicine in a state or territory of the United States
Board certification in one of the following specialties:
Medical Genetics and Genomics (ABMGG)
Pathology (with demonstrated experience in genetic testing, molecular diagnostics, and test interpretation)
Oncology / Hematology-Oncology (with demonstrated experience in genetic testing, precision medicine, and hereditary cancer syndromes)
Internal Medicine (with demonstrated clinical experience in genetics, genomic medicine, or genetic testing interpretation)
Demonstrated clinical experience in genetic testing, interpretation, and application of genomic data to patient care
Active practice in genetics specialty in the United States
Meets HealthHelp credentialing requirements
Ability to make outbound calls to providers as part of the case review process
Ability to collaborate with HealthHelp nursing and administration staff members
Excellent negotiation, leadership, and communication skills
Proficiency in using digital platforms for case review and communication
Preferred Qualifications
Utilization Management case review experience
Academic affiliation
Participation in Interstate Medical Licensure Compact (IMLC)
Experience or familiarity with principles and procedures of utilization management in managed care
Ability to support flexible working hours
Experience and familiarity with government programs
Demonstrated ability to follow evidence-based practices in reviewing cases for medical appropriateness
Commitment to an educational model in discussing and sharing clinical evidence with peers
HealthHelp provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists.
Location - Remote
Schedule - Completely Flexible
Job Type - Contract
WNS HealthHelp (A Capgemini Company) provides cutting-edge technology to streamline the review process, including our proprietary HIPAA – compliant portal and Physician App, ensuring efficiency and ease of use for our specialists.
WNS HealthHelp (A Capgemini Company) is an Equal Opportunity Employer. At WNS HealthHelp, we celebrate diversity and are committed to creating an inclusive environment that extends to our suppliers and vendors. All qualified Independent Contractors will receive consideration without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected under federal, state, or local law.

Work arrangement
Yes

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