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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing prior authorizations and interpreting prescriptions while ensuring compliance with Medicare and Medicaid requirements. Strong communication and problem-solving skills are essential for educating providers and troubleshooting adjudication issues.
Highest-signal resume keywords
Pharmacist Intern LicensePrior Authorization ProcessingPrescription InterpretationMicrosoft Office ProficiencyPharmacy Retail Experience
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 ProcessingData EntryQuality AssuranceClinical Program Implementation
Soft Skills
Excellent Communication SkillsProblem-Solving SkillsAnalytical SkillsOrganizational SkillsPublic Speaking Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPoint
Certifications & Qualifications
Pharmacist Intern License
Industry Keywords
Medicare ComplianceMedicaid CompliancePharmacy ProgramPharmacy RetailPrior Authorization Decision Trees
About the role
Key responsibilities & impact- Interpret and enter moderately complex prescriptions
- Process prior authorizations
- Troubleshoot adjudication issues
- Assist in developing and configuring 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 and enter 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
- A current, active, unrestricted Pharmacist Intern license in applicable state(s) required
- 1st and 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
- Ability to work within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k 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) match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Required COVID-19 and Influenza vaccination for certain patient/member-facing roles