Pharmacy Intern II

7 days ago


New York, New York, United States NYC Health Hospitals Full time
Job Title: Pharmacy Intern II

At NYC Health + Hospitals, we are committed to providing high-quality healthcare services to our patients. As a Pharmacy Intern II, you will play a critical role in ensuring the accuracy of pharmacy benefits configuration across all lines of business.

Responsibilities:
  • Review daily claims reports to identify and report on the accuracy of pharmacy benefit configuration.
  • Validate improper coding through verification between POS and UM platform systems.
  • Coordinate care between members, pharmacies, and providers to improve patient adherence for chronic medications.
  • Assist in preparing documentation for internal and external audits and regulatory submissions.
  • Reach out to members, pharmacies, and prescribers to reconcile benefit inconsistencies.
Requirements:
  • High school diploma/GED, required.
  • Two years' experience as a Pharmacy Technician, preferred.
  • Pharmacy experience in a managed care environment preferred.
  • Experience in auditing preferred.
  • Experience in government programs (Medicare, Medicare Part D, and Medicaid) preferred.
What We Offer:
  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.

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