Summary
This proposal outlines the creation and integration of a Laboratory Genetic Counselor (LGC) role supporting precision medicine in laboratory services to improve test appropriateness, result interpretation, provider support, patient outcomes, and operational efficiency. By embedding a board-certified genetic counselor within laboratory workflows, the organization can reduce downstream costs, improve turnaround time and report clarity, support precision medicine initiatives across the lifespan, and strengthen compliance with evolving guidelines and payer requirements. Primary Responsibilities
Test Utilization & Order Optimization
Review genetic test orders for appropriateness, completeness, and guideline alignment Recommend optimal testing strategies (e.g., germline vs somatic vs paired testing; screening vs diagnostic prenatal testing) Develop reflex testing pathways and testing algorithms aligned with NCCN, ASCO, ACOG, SMFM, ACMG, and CAP guidelines Reduce redraws, reorders, and inappropriate or duplicative testing
Variant Interpretation & Reporting Support
Collaborate with molecular pathologists, laboratory directors, and variant scientists Provide clinical context for variant classification and report language Support interpretation of VUS, secondary findings, and incidental germline results Assist with nuanced prenatal findings (e.g., low fetal fraction, mosaicism, CNVs, and incidental maternal findings) Improve clarity, consistency, and clinical actionability of reports
Provider & Client Support
Serve as a genetics subject matter expert for oncologists, OB/GYNs, MFMs, midwives, APPs, pathologists, and laboratory clients Address pre- and post-test clinical questions Provide consultative guidance for complex genetic cases Support tumor boards, molecular case conferences, and prenatal diagnostic review meetings Assist with preauthorization of testing from insurance
Quality, Compliance & Risk Reduction
Ensure laboratory practices align with professional guidelines and regulatory standards Support informed consent and opt-in/opt-out workflows where applicable Reduce patient harm from misordered or misinterpreted oncology and prenatal tests Assist with audit readiness, quality improvement initiatives, and payer policy alignment
Education & Program Development
Develop provider-facing educational materials and test decision tools Train laboratory staff on oncology and prenatal genetics concepts and workflows Contribute to new test development, validation, and launch planning across service lines
Knowledge - Skills - Abilities
Excellent communication (written and verbal) and interpersonal skills. Ability to effectively communicate with a variety of people under stressful circumstances with diplomacy and tact. Ability to work well in a team environment. Ability to work independently and make patient care decisions. Excellent organizational and presentation skills. Strong problem solving and analytical skills. Intermediate computer skills including the use of computer applications, including Microsoft Office. Experience documenting in Epic is preferred.
QualificationsMinimum Required Education: Master's Degree. Graduate program must be accredited by The Accreditation Preferred Experience: 1 year of progressively responsible experience in clinical genetics; Medical/patient care counseling experience preferred Required Certification/Licensure(s): Certification as a Genetic Counselor granted by the American Board of Medical Genetics or American Board of Genetic Counseling or to be obtained within two years of hire. Work Requirements
Works in a biohazard environment, handling infectious biological specimens and practicing good safety habits, including wearing personal protective equipment (PPE) when appropriate. Ability to sit or stand for long periods. Frequently lifts up to 10 lbs. Physical Requirements
Work requires occasionally lifting moderate weight materials, standing, or walking continuously. Work Environment
Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment. Sensory Acuity
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects. #LI-NK1
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options 403B Retirement Package Competitive Vacation and Paid Holidays offered Tuition Reimbursement Paid Parental Leave Employee & Family Assistance Program (EFAP) Pet Insurance On campus Fitness Facility, offering onsite classes Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.
For a brief overview of our benefits see: Benefits Overview For a full list of positions see: MCW Careers
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:
The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.
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Medical College of Wisconsin
parental leave, paid holidays, tuition reimbursement, 403(b)
May 09, 2026