Pharmacy Intern

Job Description

CarelonRx, a proud member of the Elevance Health family of companies, pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.

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

• 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 input data for the prior authorization pharmacists.
• Educate providers on pharmacy-based rules related to prescriptions and medication resources or assistance programs.
• Process prior authorization requests from physicians' offices and ensure compliance with Medicare and Medicaid requirements; inform relevant parties of all prior authorization determinations.

Minimum 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.
• A current, active, unrestricted Pharmacist Intern license in applicable state(s) required.

Preferred Skills, Capabilities and Experiences

• 1st and 2nd year PharmD students are preferred.
• Prior experience working in pharmacy retail strongly preferred.
• Familiarity with Microsoft Office Products (Word, Excel, PowerPoint, etc.).
• Excellent communication skills, both written and oral.
• Excellent problem-solving, analytical, and organizational skills.
• Excellent public speaking and presentation skills.

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. 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.