Lindsay Zetzsche

Lindsay Zetzsche

Lindsay Zetzsche

Partnering to Promote High-Value, Patient-Centered Genetic Medicine.

Partnering to Promote High-Value, Patient-Centered Genetic Medicine.

Partnering to Promote High-Value, Patient-Centered Genetic Medicine.

Business and Life Coach - Free Framer Template
Business and Life Coach - Free Framer Template

About Me

Lindsay Zetzsche is a motivated genetics professional with over 20 years of experience in clinical, laboratory, and payer settings. She has a strong professional interest in promoting the delivery of genetic medicine through innovative, patient-centered approaches.

Her work spans key roles at institutions like Mayo Clinic and UnitedHealthcare, where she implemented strategies to enhance access to quality genetic testing and contributed to medical policy changes that shaped the future of genetic medicine.

Experience in Payer Operations with Prior Authorization

Collaborative with Clinical, Laboratory, and Payer Stakeholders

Knowledge of CPT Coding Guidelines, Payment Integrity, and Claims Systems

Expertise in Genetic Testing Landscape in U.S.

Knowledgeable of Medicare LCDs/NCDs, Z-codes, CLFS, and PAMA

Understanding of Medical Policy Development

Work History

July 2021 – September 2024

Genetics Director, Clinical and Medical Operations

• Leveraged clinical knowledge and industry experience to manage the implementation and operational needs of affordability initiatives across multiple lines of business

• Supported the creation and implementation of innovative solutions to improve access to quality genetic testing

• Collaborated with clinical medical directors, Networks, Payment Integrity, Medical Policy, and other internal and external partners to support organizational programs

Aug 2020 – July 2021

Senior Clinical Genetics Program Consultant

UnitedHealthcare - Rochester, MN

• Supported development of clinically sound medical policies, program procedures, and guidelines for genomics prior-authorization program

• Provided clinical consultation for clinical review of genetic testing claims and appeals/grievances

Nov 2017 - Aug 2020

Medical Policy Manager

Mayo Clinic - Rochester, MN

• Created medical policy rules for clinical decision support tool and analytics platform, CareSelect Lab, for complex laboratory testing

• Provided expertise on commercial genetic testing and payer medical policies in the United States Promoted laboratory stewardship efforts for genetic testing and delivery of medicine through innovative methods

• Served as Co-chair of Patient-centered Laboratory Utilization Guidance Services (PLUGS) Insurance Alignment committee from 2017-2019; involved with creation of Preauthorization Toolkit and submission of new CPT code for epilepsy gene panel by AMA

Jan 2012 - Oct 2017

Genetic Counselor - UM/Biochemical Genetics Lab

Mayo Clinic - Rochester, MN

• Served as customer liaison for Biochemical Genetics Laboratory, answered client questions including testing strategy, sample requirements, management of priority cases

• Member of Neurology Disease Oriented Group, Mayo Clinic Laboratories Referrals Team, and DLMP CPC Practice Optimization Subcommittee

• Developed and implemented Utilization Management (UM) program for review of genetic sendout testing at Mayo Clinic-Rochester

Nov 2017 - Aug 2020

Genetic Counselor

University of Wisconsin Hospital and Clinics - Madison, WI

• Responsible for coordination and case management in the General Genetics Clinic, the Craniofacial Anomalies Clinic, outreach clinics, and the Biochemical Genetics Clinic

• From December 2004 to May 2007, served as Clinical Diagnosis & Management Coordinator for the Region 4 Genetics Collaborative; focus areas included telemedicine and transitions to adulthood for individuals with special health care needs

Education

MBA

University Of Wisconsin - Eau Claire | Eau Claire, WI Online

MBA Report's Business Leaders of Tomorrow - 2020

Master of Science: Medical Genetics

University Of Wisconsin - Madison | Madison, WI

Bachelor of Arts: Neuroscience, Psychology

Brandeis University | Waltham, MA

Graduated summa cum laude with Highest Honors in Neuroscience; Phi Beta Kappa

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Lindsay Zetsche © 2024. Designed by Tarku Digital

Lindsay Zetsche © 2024. Designed by Tarku Digital

Lindsay Zetsche © 2024. Designed by Tarku Digital