Pharmacy Intern (Part time) at Elevance Health

Wilmington, Delaware, United States

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Not SpecifiedCompensation

InternshipExperience Level

InternshipJob Type

UnknownVisa

Healthcare, PharmacyIndustries

Requirements

Ability to work 20 hours 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)

Responsibilities

Interpretation and data entry of moderately complex prescriptions
Prior authorization processing
Troubleshooting adjudication issues
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

Prior Authorization

Data Entry

Pharmacy

Quality Assurance

Medicare Compliance

Medicaid Compliance

Workflow Tools

Clinical Programs

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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