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Clinical Quality Consultant - Oncogenetic Program - RemoteTexas Health Institute • Houston, Texas, United States
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Clinical Quality Consultant - Oncogenetic Program - Remote

Texas Health Institute
  • US
    Houston, Texas, United States
  • US
    Houston, Texas, United States
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À propos

The Clinical Quality Consultant for the Oncogenetic Program provides guidance and support for utilization management related to advanced molecular and genetic testing in oncology. This role ensures evidence-based decision-making, compliance with regulatory standards, and optimal patient outcomes through expert interpretation of genomic data and collaboration with multidisciplinary teams. The position requires experience in molecular pathology and oncogenetics, combined with demonstrated collaboration skills and the ability to thrive in a fast‑paced, technology‑driven environment.
You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
Work to improve quality and promote evidence‑based medicine
Ensure the right service is provided at the right time for each member
Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
Required Qualifications
PhD degree in molecular pathology, genetics, or similar
5+ years of clinical experience in oncology or genetic medicine
Experience with genomic data interpretation software (e.g., NextGen sequencing analysis tools)
Knowledge of regulatory and compliance standards (CMS, NCCN, ASCO guidelines) for genetic testing and oncology care
Familiarity with molecular diagnostic coding systems and claims platforms
Proficiency in interpreting next‑generation sequencing (NGS) and other advanced molecular diagnostic technologies
Proven ability to work effectively in a fast‑paced, technology‑driven environment
Proven ability to review work performed by others and provide recommendations
Preferred Qualifications
Hands‑on utilization and/or quality management experience
Experience in using electronic clinical systems
Proven to serve as a key resource on complex molecular diagnostic cases
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $112,700 to $193,200 annually based on full‑time employment. We comply with all minimum wage laws as applicable.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
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  • Houston, Texas, United States

Compétences linguistiques

  • English
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