Content Solutions Analyst II – Genetic Testing, Laboratory SME

This is a fully remote position, open to applicants in United States.

📋 Description

• Take initiative to create and refine payment integrity rules by converting medical policies and coding standards into adaptable rule logic.

• Perform intricate claims and data analyses to uncover policy opportunities and improve rule accuracy.

• Work in collaboration with Product, Engineering, and Operations teams to facilitate the rollout of new rules and policy improvements.

• Guide junior analysts and offer peer review assistance for rule development and analysis.

⛳️ Requirements

• Master’s degree in Genetic Counseling or a related discipline (e.g., Molecular Genetics).

• Board certification is preferred (ABGC or equivalent).

• 6-8+ years of experience in genetic counseling, molecular diagnostics, and/or laboratory utilization management.

• Extensive knowledge of CPT/HCPCS coding for laboratory and genetic testing.

• Proficient in translating clinical nuances into organized, scalable rule logic.

🏝️ Benefits

• Medical, dental, vision, disability, and life insurance coverage.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays per year.

• 17-27 days of Paid Time Off (PTO) annually, depending on specific role and tenure with Cotiviti.