Intern (US)

Elevance Health; Richmond (VA); Hybrid; USD 23,000 - 44,000; Full time

Job summary

CarelonRx, part of the Elevance Health family, seeks a Pharmacy Intern to support interpretation and data entry of prescriptions, plus prior authorization work. The role offers virtual full-time work with required in-person training, within commuting distance of PulsePoint locations.

You will help configure prior authorization decision trees, participate in QA feedback, and assist in clinical program implementation, while verifying information and educating providers on rules.

Qualifications

• Enrolled in an accredited Pharmacy program.
• Currently hold an active Pharmacist Intern license in applicable state(s).
• Able to work 20 hours per week for the duration of the internship.

Responsibilities

• Interpret and enter moderately complex prescriptions and process prior authorizations.
• Troubleshoot adjudication issues and assist in developing authorization decision trees.
• Verify member, provider and drug information for prior authorizations.
• Educate providers on pharmacy rules and available resources or assistance programs.
• Process prior authorization requests and ensure compliance with Medicare/Medicaid requirements.

Job description

Pharmacy Intern

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

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx 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

• 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.

Minimum Requirements

• Ability to work 20 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

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $16.34 to $31.94

Locations: Virginia

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.