Intern (US)

Elevance Health • Richmond, VA

2d • Hybrid

About The Position

The Pharmacy Intern supports CarelonRx by interpreting and entering moderately complex prescriptions, processing prior authorizations, and troubleshooting adjudication issues. The role assists pharmacists and providers with prior authorization workflows and related pharmacy programs. The position enables virtually full-time work, except for required in-person training sessions, and candidates should live within a commutable distance of the applicable PulsePoint locations. The internship requires availability to work 20 hours per week for its duration.

Requirements

• Able to work 20 hours per week for the duration of the internship.
• Currently enrolled in a Pharmacy program at an accredited college or university.
• Current, active, unrestricted Pharmacist Intern license in applicable state(s).

Nice To Haves

• First- or second-year PharmD student preferred.
• Prior experience working in pharmacy retail strongly preferred.
• Familiarity with Microsoft Office products, including Word, Excel, and PowerPoint.
• Excellent written and oral communication skills.
• Excellent problem-solving, analytical, and organizational skills.
• Excellent public speaking and presentation skills.

Responsibilities

• Assist in developing and configuring prior authorization decision trees in the workflow tool.
• Participate in quality assurance feedback from pharmacists on prior authorization decision trees in the workflow tool.
• Assist in implementing clinical programs within the prior authorization space.
• Verify member, provider, and drug information and enter data for prior authorization pharmacists.
• Educate providers on pharmacy-based prescription rules and medication resources or assistance programs.
• Process prior authorization requests from physicians’ offices, ensure compliance with Medicare and Medicaid requirements, and inform relevant parties of determinations.
• Interpret and enter moderately complex prescriptions and troubleshoot adjudication issues.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase and 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Short- and long-term disability benefits.
• 401(k) match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Part-time
• Career Level: Intern
• Education Level: No Education Listed