Clinical & Laboratory Genetic Counselor

About 3billion

3billion is a leading genetic diagnostic company dedicated to ending the diagnostic odyssey for children and other patients with rare genetic diseases. We are a global pioneer in AI-driven genetic diagnostics, leveraging our proprietary bioinformatics pipeline to deliver rapid, accurate Exome (ES) and Genome Sequencing (GS) tests. Having successfully served patients and physicians in over 75 countries, we are now entering a new chapter: launching our first US clinical laboratory in Austin, Texas. Joining now means founding-team ownership: you will help build our US lab's people, processes, and culture from day one, backed by a platform already delivering results worldwide. We are looking for a Genetic Counselor to be the clinical link between our laboratory and the providers and families we serve, from reviewing incoming orders and gathering phenotype information to explaining results and helping families navigate insurance coverage. If you are passionate about patient advocacy and want to help children and families get answers, join us. Discover more about our global impact at https://3billion.io/ (opens in a new tab)

Role Overview

As our Clinical & Laboratory Genetic Counselor, you will serve as the vital communication bridge between our laboratory operations, ordering physicians, and the patients and families we serve. You will ensure that every provider knows how to best utilize our ES/GS tests, and that every patient and family feels supported throughout their diagnostic journey. This is a highly versatile role that keeps our clinical pipeline functioning efficiently. You will perform test utilization management and order review, provide expert clinical consultation to physicians, support Variant Scientists in clinical phenotype gathering, and navigate the complex landscape of US health insurance and prior authorizations.

Core Responsibilities

• • Clinical Liaison & Consultation: Act as the primary clinical contact for ordering physicians and patients. Answer pre- and post-test inquiries, guide providers on appropriate test selection, and help interpret complex genomic results, variant reclassifications, and test limitations.
• • Utilization Management & Order Screening: Review incoming high-complexity ES/GS test requests for clinical appropriateness, medical necessity, and alignment with professional society guidelines. Recommend appropriate test modifications when necessary to optimize clinical yield and cost efficiency.
• • Clinical Data & Variant Coordination: Work closely with Variant Scientists, Bioinformaticians, and the Laboratory Director to support the diagnostic pipeline. Proactively contact clinics to gather missing clinical history or detailed HPO (Human Phenotype Ontology) phenotypic data required to resolve Variants of Uncertain Significance (VUS) and support clinical report generation.
• • Insurance Navigation & Patient Support: Guide patients and clinics through the complexities of US medical billing and insurance coverage for genetic testing. Assist with prior authorizations, draft Letters of Medical Necessity (LMNs), and handle patient inquiries regarding out-of-pocket costs and billing.
• • Education & Advocacy: Collaborate with our marketing and laboratory teams to develop educational materials for patients and healthcare providers that clearly explain 3billion's technology, testing processes, and the value of ES/GS in rare disease diagnosis.

Required Qualifications

• • Education: Master's degree in Genetic Counseling from an ACGC-accredited program.
• • Certification & Licensure: Certified Genetic Counselor (CGC) through the American Board of Genetic Counseling (ABGC), or genetic counseling certification through the American Board of Medical Genetics and Genomics (ABMGG). Must hold, or be able to obtain, genetic counselor licensure in states where required; willingness to obtain additional state licenses as the patient and provider base expands.
• • Experience: Minimum of 1 year of clinical genetic counseling experience in a clinical diagnostic laboratory, health system, or telehealth setting (postgraduate experience preferred).
• • Communication: Exceptional interpersonal and communication skills. Ability to translate highly complex genetic concepts into clear, empathetic language for medical professionals, patients, and families, including parents of children undergoing testing. Working knowledge of ACMG/AMP variant classification guidelines and the ability to review and explain variant evidence to providers.
• • Core Traits: A strong sense of patient advocacy and a proactive, problem-solving approach to supporting physicians, clinics, and internal laboratory operations.

Preferred Qualifications

• • Commercial Lab Experience: Previous experience in a commercial clinical diagnostic laboratory or utilization management setting.
• • Reimbursement & Billing: Strong working knowledge of US healthcare insurance, CPT coding, prior authorization workflows, and health plan coverage policies for genomic sequencing.
• • Genomic Interpretation: Experience with phenotype-driven ES/GS case analysis.
• • Bilingual: Fluency in English and Spanish is a strong plus for supporting diverse patient populations in Texas and beyond.
• • Pediatric Experience: Pediatric, prenatal, or rare disease genetic counseling experience, including counseling parents about trio testing.

Why Join Us? (Compensation & Benefits)

We offer a competitive compensation package and, through a US Professional Employer Organization (PEO), comprehensive benefits:

• • Medical, Dental, and Vision coverage for you and your family
• • 401(k) retirement plan
• • PTO, paid sick leave, and company holidays
• • Full-coverage medical malpractice (professional liability) insurance

3billion US, Inc. is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

If you need a reasonable accommodation to apply or interview, contact jobs@3billion.io.

Employment offers are contingent on a background check, conducted after a conditional offer and in accordance with applicable law, including the Fair Credit Reporting Act. The check includes verification of education, licensure, and certifications.