Pharmacist Intern PA and Appeals

UnitedHealth GroupHouston, TX
297d$25 - $29Remote

About The Position

Internships at Optum. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. Optum, part of the UnitedHealth Group family of companies, is a leading health services and innovation company dedicated to helping make the health system work better for everyone. With more than 94,000 people collaborating worldwide, Optum combines people, technology, data and action to improve the delivery, quality and efficiency of health care. Our internship opportunities provide a view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. Here, you'll work with some of the smartest people in the business on assignments that matter. Join us to start Caring. Connecting. Growing together. As a Pharmacist Intern with OptumRx's Prior Authorization & Appeals team, you will get the opportunity to work with a team of clinical pharmacists to achieve overall performance objectives to the satisfaction of clients, regulatory bodies, and the organization standards.

Requirements

  • Currently enrolled in a Doctor of Pharmacy program, with first year completed before start of internship
  • Active pharmacist intern license
  • Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization

Nice To Haves

  • Enrollment as a P2 or P3 student for the August 2025 academic year
  • 3.5 or higher cumulative GPA
  • Knowledge of medical and pharmacy terminology
  • Proven solid oral and written communication skills
  • Proven adequate mathematical, analytical, and critical thinking skills

Responsibilities

  • Provide input on decisioning and processing member prescriptions or prior authorizations through various computer systems ensuring the accuracy of all data and updating as necessary
  • Navigate across multiple computer systems to respond to questions or to provide specific medication details / clinical information
  • Receive incoming calls from members or providers; conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc.
  • Clarify and explain pharmaceutical benefits and procedures
  • Gain insight into the different areas within the Prior Authorization Department
  • Consistently exhibit behavior and communication skills that demonstrate the company's commitment to superior customer service, including quality care and concern with internal and external customers
  • Adhere to having a safe and secure workspace and communicate with their leadership when that safety (equipment, system, information) is compromised
  • Comply with policies, rules and regulations set forth by the Board of Pharmacy, and other applicable regulatory bodies
  • Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

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What This Job Offers

Job Type

Full-time

Career Level

Intern

Industry

Insurance Carriers and Related Activities

Education Level

Ph.D. or professional degree

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