Medical Director – Medical Genetics & Genomics
New
United StatesFull-TimeDirector
Salary207,800 - 346,300 USD per year
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Job Details
- Experience
- Minimum of 3 years of post-residency or fellowship clinical experience.
Requirements
- M.D. or D.O. with active U.S. medical license and board certification (ABMS or AOA).
- Board certification in one or more of the following: Clinical Genetics and Genomics, Clinical Biochemical Genetics, Medical Biochemical Genetics, Clinical Cytogenetics and Genomics, or Molecular Genetic Pathology.
- Minimum of 3 years of post-residency or fellowship clinical experience.
- Ability to obtain additional state medical licensure as required.
- Strong clinical judgment with experience in evidence-based decision-making.
- Familiarity with utilization management, healthcare regulations, and accreditation standards (e.g., URAC, NCQA).
- Strong computer literacy and ability to work with digital case management systems independently.
- Excellent communication skills for structured clinical discussions.
- Ability to work a consistent Monday–Friday schedule.
Responsibilities
- Conduct evidence-based medical necessity reviews for genetic and genomic cases using structured case management systems.
- Participate in peer-to-peer consultations with referring providers to discuss clinical appropriateness and treatment options.
- Apply clinical expertise to evaluate requests and recommend alternative services when appropriate based on evidence-based guidelines.
- Ensure accurate, timely, and compliant decision-making aligned with medical policies and regulatory standards.
- Collaborate with a network of physician colleagues to support consistent, high-quality utilization management decisions.
- Stay current on advancements in genetics, genomics, and relevant clinical guidelines, laws, and accreditation standards.
- Contribute to improving care delivery by ensuring patients receive appropriate, evidence-based treatments.
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