Utilization Review Manager- Genetic Counselor
Company: Variantyx
Location: Framingham
Posted on: February 26, 2026
|
|
|
Job Description:
Job Description We are transforming precision medicine.
Variantyx is a technology-driven precision medicine company
providing state-of-the-art diagnostic solutions for the rare
genetic disorders and reproductive genetics markets, and treatment
optimization in oncology. Our proprietary whole genome analysis
platform allows us to better understand a person’s genetic makeup,
leading to unmatched diagnostic capabilities and improved
personalized treatment recommendations. Role Description: This is a
full-time role for a Utilization Review Manager- Revenue Cycle
Management at Variantyx. The role is responsible for managing the
claim denials and appeals for the revenue cycle management team.
This position reports to the Director of Revenue Cycle Management.
Responsibilities: Assist in the development of the Claim rejection
and denial Workflows and Standard Operation Procedures (SOPs)
Establish appeal protocols or delegate appropriate follow-up
Develop and maintain templates for appeals Assist in the
development and maintenance of a Payor Guide for the Company
focusing on payor policies for medical necessity. Develop and send
a monthly revenue cycle management newsletter for the company
Compile and disseminate reports to demonstrate reimbursement of
clients and payors Provide direct management to Claim Specialist
Provide training and support to Prior authorization and Benefits
investigation team as needed Work with Utilization Review Managers
to establish team goals and performance metrics Meet regularly with
the Utilization Management team to ensure clean claim submissions
Present eternally and externally regarding billing and
reimbursement of genetic testing. Seek out training opportunities
for yourself and your team Qualifications and Experience:: Masters
in Genetic Counseling or equivalent training and clinicals
experience Leadership Attention to detail and organization At least
1 year of clinical experience in genetics Board Certified/Board
Eligible Genetic Counselor
Keywords: Variantyx, Haverhill , Utilization Review Manager- Genetic Counselor, Healthcare , Framingham, Massachusetts
