Pharmacy Intern

Elevance Health • St. Louis, MO

3d • $16 - $32 • Hybrid

About The Position

The Pharmacy Intern at CarelonRx, part of Elevance Health, interprets and enters moderately complex prescriptions, processes prior authorizations, and troubleshoots adjudication issues. The position assists with developing and configuring prior authorization decision trees, participates in pharmacist quality-assurance feedback, and helps implement clinical programs in the prior authorization space. The intern verifies member, provider, and drug information; educates providers about pharmacy rules and medication resources or assistance programs; and processes requests from physicians’ offices while ensuring compliance with Medicare and Medicaid requirements and communicating determinations to relevant parties.

The role is described as virtually full-time, except for required in-person training sessions. Candidates should live within a commutable distance of the relevant PulsePoint location. The internship requires working 20 hours per week for its duration. The listed salary range for Virginia is $16.34 to $31.94.

Requirements

• Ability 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- and second-year PharmD students are preferred.
• Prior experience working in pharmacy retail is 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 within 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, process prior authorizations, and troubleshoot adjudication issues.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical, dental, and vision benefits.
• 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