About the role#
As a Pharmacy Intern at Elevance Health, you will join the CarelonRx team to support pharmacy operations and clinical programs. This role involves managing complex prescription data, handling prior authorizations, and assisting with workflow tool configurations. You will work in a remote capacity, though you must reside within a commutable distance of a company location to attend required in-person training sessions.
What you'll do#
- Interpret and enter moderately complex prescriptions into the system.
- Process prior authorization requests from physician offices while ensuring compliance with Medicare and Medicaid requirements.
- Troubleshoot and resolve adjudication issues.
- Develop and configure prior authorization decision trees within the workflow tool.
- Participate in quality assurance feedback regarding decision trees with pharmacists.
- Assist in the implementation of clinical programs within the prior authorization space.
- Verify member, provider, and drug information for pharmacy staff.
- Educate providers on pharmacy-based rules, medication resources, and assistance programs.
- Inform relevant parties of prior authorization determinations.
What you'll need#
- Current enrollment in a Pharmacy program at an accredited college or university.
- A current, active, unrestricted Pharmacist Intern license in the applicable state.
- Availability to work 20 hours per week for the duration of the internship.
- 1st or 2nd year PharmD students are preferred.
- Prior experience in pharmacy retail is strongly preferred.
- Proficiency with Microsoft Office products is preferred.
- Strong written and oral communication skills.
- Analytical, organizational, and problem-solving abilities.
- Public speaking and presentation skills.
Location & details#
- This is a part-time, paid internship.
- The role is remote, with the requirement to live within a commutable distance of one of the following locations: Richmond, VA; Atlanta, GA; Indianapolis, IN; Mason, OH; Cincinnati, OH; St. Louis, MO; or Winston-Salem, NC.
- You must be able to attend required in-person training sessions.
About Elevance Health
Elevance Health operates as a public company within the hospital and health care industry. It provides health benefits and services to over 118 million people. The organization maintains a workforce of nearly 100,000 associates. Its headquarters are located in Indianapolis, Indiana.
How to get in at Elevance Health
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