Remote Pharmacy Intern: Prior Authorization

Elevance Health, Inc.; St. Louis (MO); Hybrid; USD 23,000 - 44,000; Part time

Job summary

Elevance Health, Inc. is seeking a Pharmacy Intern to support interpretation and data entry of prescriptions, prior authorization processing, and issue resolution.

The role provides virtual full-time work with mandatory in-person training when required. The intern will assist in building and refining prior authorization decision trees, participate in QA with pharmacists, and help implement clinical programs within the prior authorization space.

Qualifications

• Must work 20 hours per week for the duration of the internship.
• Currently enrolled in an accredited Pharmacy program.

Responsibilities

• Interpret and data entry of moderately complex prescriptions.
• Handle prior authorization processing and troubleshoot adjudication issues.
• Assist in developing and configuring prior authorization decision trees.
• Participate in QA feedback from pharmacists on prior authorization trees.
• Educate providers on pharmacy rules and resources.
• Process prior authorization requests and ensure Medicare/Medicaid compliance.

Skills

Communication

Public speaking

Problem solving

Analytical thinking

Organizational skills

MS Office

Education

Pharmacy program enrollment

Pharmacist Intern license

Tools

Microsoft Office

Job description

Elevance Health, Inc. is seeking a Pharmacy Intern to support interpretation and data entry of prescriptions, prior authorization processing, and issue resolution.

The role provides virtual full-time work with mandatory in-person training when required. The intern will assist in building and refining prior authorization decision trees, participate in QA with pharmacists, and help implement clinical programs within the prior authorization space.