Optum · 13 hours ago
Pharmacist Intern - Prior Authorization and Appeals - Remote
United States
Internship
Remote
InternOptum is a leading health services and innovation company dedicated to improving the health system. As a Pharmacist Intern with OptumRx's Prior Authorization & Appeals team, you will work with clinical pharmacists to achieve performance objectives while providing customer service and adhering to regulatory standards.
EducationHealth CareMedicalPharmaceutical
No H1B
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 Department
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) standards
Qualification
Required
Currently enrolled in a Doctor of Pharmacy program, with first year (P1) completed before start of internship
Active licensure as a pharmacist intern or equivalent depending on state board of pharmacy regulations
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
Enrollment as a P2 or P3 student for the August 2026 academic year
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 skills
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
Founded in 2011
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
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