South San Francisco, CA · On-site
$142K - $170K/yr
Help with pharmacy claims adjudication, benefit and formulary problems generated from external and internal inquiries. Act as preceptor for pharmacy interns. This person must: Communicate effectively ...
South San Francisco, CA · On-site
$142K - $170K/yr
Help with pharmacy claims adjudication, benefit and formulary problems generated from external and internal inquiries. Act as preceptor for pharmacy interns. This person must: Communicate effectively ...
$59.50 - $71.75/hr
The CPS is skilled at reviewing pharmacy and medical claims; interacting with, assessing and ... interns, and PGY-1/PGY-2 residents, participation in rotation of departmental responsibilities ...
$59.50 - $71.75/hr
The CPS is skilled at reviewing pharmacy and medical claims; interacting with, assessing and ... interns, and PGY-1/PGY-2 residents, participation in rotation of departmental responsibilities ...
Oklahoma City, OK · On-site
$14.25 - $17.50/hr
Pharmacy interns currently enrolled in a professional pharmacy program will have the opportunity to ... Reverses insurance claims and returns stock to inventory for prescriptions not picked up by ...
Oklahoma City, OK · On-site
$14.25 - $17.50/hr
Pharmacy interns currently enrolled in a professional pharmacy program will have the opportunity to ... Reverses insurance claims and returns stock to inventory for prescriptions not picked up by ...
Oklahoma City, OK · On-site
$14.25 - $17.50/hr
Pharmacy interns currently enrolled in a professional pharmacy program will have the opportunity to ... Reverses insurance claims and returns stock to inventory for prescriptions not picked up by ...
Oklahoma City, OK · On-site
$14.25 - $17.50/hr
Pharmacy interns currently enrolled in a professional pharmacy program will have the opportunity to ... Reverses insurance claims and returns stock to inventory for prescriptions not picked up by ...
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
$121K - $144K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Posted today
$121K - $144K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Posted today
Pearland, TX · On-site
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · Remote
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
Pearland, TX · Remote
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site +1
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
Pearland, TX · On-site +1
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
Pearland, TX · On-site
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Pearland, TX · On-site
$105K - $126K/yr
Monitors and evaluated claims for appropriate use by members, physicians and pharmacies. Conducts ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
$105K - $126K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
Mount Pleasant, SC · On-site
$16 - $19.75/hr
Job Type Internship Description Looking to turn your Pharm.D. education into real-world impact? At ... Process insurance claims * Maintain pharmacy cleanliness and organization Skills You'll Use & Build
Mount Pleasant, SC · On-site
$16 - $19.75/hr
Job Type Internship Description Looking to turn your Pharm.D. education into real-world impact? At ... Process insurance claims * Maintain pharmacy cleanliness and organization Skills You'll Use & Build
$121K - $144K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
$121K - $144K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
$121K - $144K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
$121K - $144K/yr
Assists in reviewing claims adjudicated by the PBM to ensure payment for formulary products are ... Provide training and oversight of program staff, pharmacy residents and assigned interns as needed.
New
Mount Pleasant, SC · On-site
$17 - $21/hr
At Sweetgrass Pharmacy, our Pharmacy Interns don't just observe -- they do . This is more than ... Process insurance claims * Maintain pharmacy cleanliness and organization Skills You'll Use & Build
Quick apply
Mount Pleasant, SC · On-site
$17 - $21/hr
At Sweetgrass Pharmacy, our Pharmacy Interns don't just observe -- they do . This is more than ... Process insurance claims * Maintain pharmacy cleanliness and organization Skills You'll Use & Build
Mount Pleasant, SC · On-site
$17 - $21/hr
At Sweetgrass Pharmacy, our Pharmacy Interns don't just observe - they do . This is more than ... Process insurance claims * Maintain pharmacy cleanliness and organization Skills You'll Use & Build
Mount Pleasant, SC · On-site
$17 - $21/hr
At Sweetgrass Pharmacy, our Pharmacy Interns don't just observe - they do . This is more than ... Process insurance claims * Maintain pharmacy cleanliness and organization Skills You'll Use & Build
$15.87 - $17.57
5% of jobs
$17.57 - $19.27
4% of jobs
$19.27 - $20.98
5% of jobs
$20.98 - $22.68
8% of jobs
$23.02 is the 25th percentile. Wages below this are outliers.
$22.68 - $24.39
11% of jobs
$24.39 - $26.09
12% of jobs
The median wage is $26.66 / hr.
$26.09 - $27.80
13% of jobs
$27.80 - $29.50
13% of jobs
$29.90 is the 75th percentile. Wages above this are outliers.
$29.50 - $31.21
14% of jobs
$31.21 - $32.91
9% of jobs
$32.91 - $34.62
5% of jobs
$15
$26
$34
| Aspect | Internship Pharmacy Claims | Pharmacy Claims Specialist |
|---|---|---|
| Credentials | Typically pursuing or recent graduate, no certification required | High school diploma or equivalent; certification in pharmacy billing preferred |
| Work Environment | Internship setting, training-focused, entry-level | Full-time, professional healthcare or insurance office |
| Responsibilities | Assisting with claims processing, learning billing procedures | Processing claims, resolving billing issues, ensuring compliance |
Internship Pharmacy Claims roles are entry-level positions designed for learning and gaining experience, often without requiring certifications. In contrast, Pharmacy Claims Specialists are experienced professionals responsible for managing claims efficiently and may hold relevant certifications. The internship serves as a stepping stone toward a full career in pharmacy billing and claims management.
Cities with the most Internship Pharmacy Claims job openings:
The most popular types of Pharmacy Claims jobs are:
States with the most job openings for Internship Pharmacy Claims jobs include:
The top searched job categories for Internship Pharmacy Claims jobs are:
$142K - $170K/yr
Full-time
Re-posted 19 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Provides pharmacotherapy expertise in support of the Pharmacy and Therapeutics (P&T) Committee, and drug formulary, prior authorization, drug utilization review, and physician education programs.
Prior Authorization Process: Perform clinical review of PAs/MRFs.
Pharmacy Review Committee: Prepare for bimonthly or monthly meetings (new drug reviews for CA and Medi-Cal formularies, drug class reviews for CA).
Clinical Pharmacy Program - CPOP, MTM-LTC, Pharmacy Case Review, CMS Star Rating Clinical Initiatives.
HPSM/UOP and HPSM/USC Managed Care Internship: Perform intern teaching/preceptor duties.
Give support for the development and maintenance of an internal Health Plan Drug Formulary for all product lines.
Provide pharmacist support for the drug prior authorization program and review drug treatment authorizations.
Provide clinical pharmacist expertise to the HPSM Clinical Pharmacy Program in the following clinical initiatives and intervention programs such as:
Clinical Pharmacy Outreach Program (CPOP)
MTM Program for Long Term Care Patients
Pharmacy Case Review of High Utilizers, Narcotic Utilizers, Adverse Drug Interaction Reports, Poor Medication Adherence Reports
Clinical Initiatives Related to CMS Part D Plan Star Rating
Help with pharmacy claims adjudication, benefit and formulary problems.
Act as preceptor for pharmacy interns.
Day to Day Duties:
Prior Authorization Process: Perform clinical review of PAs/MRFs.
Pharmacy Appeals Process: perform clinical review of appeals and redetermination requests.
Help with pharmacy claims adjudication, benefit and formulary problems generated from external and internal inquiries.
Act as preceptor for pharmacy interns.
This person must:
Communicate effectively, verbally and in writing.
Proficiently use computers and related software applications.
Provide effective customer service.
Demonstrate sound math, analytical, and problem solving skills.
License and Certificates:
Licensure as a Pharmacist in the State of California.
Education and Experience:
PharmD from an ACPE accredited college of pharmacy program is preferred.
Equivalent to two years of work in a clinical pharmacy.
Managed care and drug information center experience is a plus.
Knowledge of:
Therapeutic drug utilization.
Medicare Part D and Medi-Cal.
Are you an experienced Clinical Pharmacist looking for a new opportunity with a prestigious healthcare company as an Clinical Pharmacist? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
To be considered please apply to this job post!
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003
