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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in interpreting and processing prior authorizations, ensuring compliance with Medicare and Medicaid requirements, and effectively communicating pharmacy-based prescription rules to providers. Proficient in developing decision trees and troubleshooting adjudication issues within the prior authorization workflow.
Highest-signal resume keywords
Pharmacist Intern LicensePrior Authorization ProcessingPharmacy Retail ExperienceMicrosoft Office ProficiencyExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prescription InterpretationPrior Authorization Decision TreesAdjudication TroubleshootingData Entry for PharmacistsClinical Program Implementation
Soft Skills
Problem-Solving SkillsAnalytical SkillsOrganizational SkillsPublic Speaking SkillsPresentation Skills
Certifications & Qualifications
Pharmacist Intern License
Industry Keywords
Medicare ComplianceMedicaid CompliancePharmacy ProgramsMedication ResourcesPatient/Member-Facing Roles
About the role
Key responsibilities & impact- Interpret and enter moderately complex prescriptions
- Process prior authorizations
- Troubleshoot adjudication issues
- Develop and configure prior authorization decision trees in the workflow tool
- Participate in pharmacist quality assurance feedback on prior authorization decision trees
- Assist in implementing clinical programs within the prior authorization space
- Verify member, provider, and drug information
- Input data for prior authorization pharmacists
- Educate providers on pharmacy-based prescription rules and medication resources or assistance programs
- Process prior authorization requests from physicians’ offices
- Ensure compliance with Medicare and Medicaid requirements
- Inform relevant parties of prior authorization determinations
Requirements
What you’ll need- 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
- Current, active, unrestricted Pharmacist Intern license in applicable state(s) required
- 1st or 2nd year PharmD students preferred
- Prior experience working in pharmacy retail strongly preferred
- Familiarity with Microsoft Office Products (Word, Excel, PowerPoint, etc.)
- Excellent written and oral communication skills
- Excellent problem-solving, analytical, and organizational skills
- Excellent public speaking and presentation skills
- Candidates must reside within a commutable distance from the posting location(s), unless an accommodation is granted as required by law
- Candidates working in certain patient/member-facing roles may be required to be vaccinated against COVID-19 and Influenza
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) matching
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual work flexibility
- Required in-person training sessions