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.
- 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.
- 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
Minimum requirements:
Preferred Skills, Capabilities and Experiences:
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success \- for our consumers, our associates, our communities and our business.
We offer a range of market\-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) \+match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member\-facing roles to become vaccinated against COVID\-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 \| Florida Agency for Health Care Administration.