Intern (US)

Elevance Health•St. Louis, MO

3d•$16 - $32•Hybrid

About The Position

CarelonRx, part of Elevance Health, is seeking a Pharmacy Intern to interpret and enter moderately complex prescriptions, process prior authorizations, and troubleshoot adjudication issues. The role is described as virtually full-time, with required in-person training sessions; candidates should live within a commutable distance of PulsePoint locations. The job posting also states that associates generally follow Elevance Health’s hybrid workforce strategy, with onsite expectations discussed during hiring. The intern assists with developing and configuring prior authorization decision trees, participates in pharmacist quality-assurance feedback, helps implement clinical programs in the prior authorization space, verifies member, provider, and drug information, and enters data for prior authorization pharmacists. The intern also educates providers about pharmacy-related prescription rules and medication resources or assistance programs, and processes physician-office prior authorization requests while ensuring Medicare and Medicaid compliance and informing relevant parties of determinations.

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- or second-year PharmD student.
Prior experience working in pharmacy retail.
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

Interpret and enter moderately complex prescriptions, process prior authorizations, and troubleshoot adjudication issues.
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 rules related to prescriptions and on 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.