OptumRx Prior Authorization and Appeals Pharmacist Intern - Remote
Company: UnitedHealth Group
Location: Minnetonka
Posted on: November 16, 2023
Job Description:
You'll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges. -**This is a
full-time paid internship position and will be available starting
June 2024****UnitedHealth Group is not able to offer visa
sponsorship now or in the future for this position**Internships at
Optum. If you want an intern experience that will dramatically
shape your career, consider a company that's dramatically shaping
our entire health care system. Optum, part of the UnitedHealth
Group family of companies, is a leading health services and
innovation company dedicated to helping make the health system work
better for everyone. With more than 94,000 people collaborating
worldwide, Optum combines people, technology, data and action to
improve the delivery, quality and efficiency of health care. Our
internship opportunities provide a view of a rapidly evolving,
incredibly challenging marketplace of ideas, products and services.
Here, you'll work with some of the smartest people in the business
on assignments that matter. Join us to start Caring. Connecting.
Growing together. -For your internship, you'll be placed within one
of our pharmacy business lines to perform professional duties and
responsibilities associated with the practice of pharmacy. Duties
are designed to develop knowledge base and competency level while
performing pharmacy functions under the direct supervision of a
pharmacist.Each intern will have the responsibility to: -
- Consistently exhibit behavior and communication skills that
demonstrate the company's commitment to superior customer service,
including quality care and concern with internal and external
customers
- Adhere to having a safe and secure workspace and communicate
with their leadership when that safety (equipment, system,
information) is compromised
- Comply with policies, rules and regulations set forth by the
Board of Pharmacy, and other applicable regulatory bodies
- Use, protect, and disclose patients' protected health
information (PHI) only in accordance with Health Insurance
Portability and Accountability Act (HIPAA) standardsPrimary
Responsibilities:
- Provide input on decisioning and processing member
prescriptions or prior authorizations through various computer
systems ensuring the accuracy of all data and updating as
necessary
- Navigate across multiple computer systems to respond to
questions or to provide specific medication details / clinical
information
- Receive incoming calls from members or providers; conduct
outgoing calls as needed to provide follow-up or consultation such
as prior authorization requirements, appeals, etc.
- Apply benefit plan criteria in making decisions (approvals /
denials) or recommendations; clarify and explain pharmaceutical
benefits and procedures
- Gain insight into the different areas within the Prior
Authorization DepartmentYou will be rewarded and recognized for
your performance in an environment that will challenge you and give
you clear direction on what it takes to succeed in your role as
well as provide development for other roles you may be interested
in.Required Qualifications:
- Currently enrolled in a Doctor of Pharmacy program, with first
year completed before start of internship
- Active Licensure as a pharmacist intern in state of employment
before start of internship
- Must be eligible to work in the U.S. without company
sponsorship, now or in the future, for employment-based work
authorization (F-1 students with practical training and candidates
requiring H-1Bs, TNs, etc. will not be considered)Preferred
Qualifications:
- 3.5 or higher cumulative GPA
- Knowledge of medical and pharmacy terminology
- Proven solid oral and written communication skills
- Proven adequate mathematical, analytical, and critical thinking
skillsAt UnitedHealth Group, our mission is to help people live
healthier lives and make the health system work better for
everyone. We believe everyone-of every race, gender, sexuality,
age, location and income-deserves the opportunity to live their
healthiest life. Today, however, there are still far too many
barriers to good health which are disproportionately experienced by
people of color, historically marginalized groups and those with
lower incomes. We are committed to mitigating our impact on the
environment and enabling and delivering equitable care that
addresses health disparities and improves health outcomes - an
enterprise priority reflected in our mission. - -Diversity creates
a healthier atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. - - -UnitedHealth Group is a
drug - free workplace. Candidates are required to pass a drug test
before beginning employment. - -
Keywords: UnitedHealth Group, Minnetonka , OptumRx Prior Authorization and Appeals Pharmacist Intern - Remote, Healthcare , Minnetonka, Minnesota
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