Pharmacy Intern: Prior Authorization & Data Entry (Hybrid)

Elevance Health, Inc.; Atlanta (GA); Hybrid; USD 23,000 - 44,000; Full time

Job summary

Elevance Health’s CarelonRx division is seeking a Pharmacy Intern who will interpret and enter moderately complex prescriptions, process prior authorizations, and help troubleshoot adjudication issues. The role offers flexible virtual work with in-person training and requires residency within commuting distance of PulsePoint locations.

Responsibilities include developing prior authorization decision trees, QA feedback, implementing clinical programs, data verification, provider education, and

Qualifications

• Enrolled in a Pharmacy program at an accredited college or university.
• Currently licensed Pharmacist Intern in applicable state(s) required.
• Able to work 20 hours per week during the internship.
• Must reside within commutable distance from PulsePoint locations.

Responsibilities

• 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.

Skills

Communication skills

Analytical thinking

Organizational skills

Public speaking

Pharmacy knowledge

Education

Pharmacy student enrolled

Active Pharmacist Intern license

Tools

Microsoft Office

Word

Excel

PowerPoint

Job description

Elevance Health’s CarelonRx division is seeking a Pharmacy Intern who will interpret and enter moderately complex prescriptions, process prior authorizations, and help troubleshoot adjudication issues. The role offers flexible virtual work with in-person training and requires residency within commuting distance of PulsePoint locations.

Responsibilities include developing prior authorization decision trees, QA feedback, implementing clinical programs, data verification, provider education, and