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