Pharmacy Intern
Core
Interpret and data entry moderately complex prescriptions, process prior authorizations, troubleshoot adjudication issues, and implement clinical programs within the prior authorization space.
Role type
Pharmacy Intern (Clinical Operations)
Builds
Prior authorization workflows and clinical programs for health plan members
Domain
Healthcare / Pharmacy Benefit Management
Required skills
Prescription interpretation, Data entry, Prior authorization processing, Medicare/Medicaid compliance, Provider education, Workflow configuration
Preferred skills
Retail pharmacy experience, Microsoft Office proficiency, Analytical skills, Public speaking
Technologies
Workflow tools, Microsoft Office
Responsibilities
Interpret and data entry moderately complex prescriptions; Process prior authorization requests from physicians' offices; Verify member, provider, and drug information; Educate providers on pharmacy-based rules; Assist in developing prior authorization decision trees; Ensure compliance with Medicare and Medicaid requirements.