Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The ideal candidate will reside within a commutable distance from our PulsePoint locations. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Pharmacy Intern will be responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. How you will make an impact: Assists in developing and configuring prior authorization decision trees in the workflow tool Participates in quality assurance feedback from pharmacists of prior authorization decision trees within the workflow tool Assists in implementing clinical programs within the prior authorization space Verifies member, provider, and drug information and inputs data for the prior authorization pharmacists. Educates providers on pharmacy-based rules related to prescriptions and medication resources or assistance programs. Processes prior authorization requests from physicians’ offices and ensures compliance with Medicare and Medicaid requirements; inform relevant parties of all prior authorization determinations.
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Job Type
Full-time
Career Level
Intern
Education Level
No Education Listed