Pharmacy Network Management Intern - Schaumburg, IL
January 14, 2018
Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. And even better? Join us and you may end up staying for a career in which you can do your life's best work. (sm) **Housing and relocation assistance is not available for this position** **This full-time intern position will be available for the summer starting in June 2018** **UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position** Primary Responsibilities: CMS Government Client Directed AuditAnalyze and monitor claims that have been selected for CMS Gov't Client Directed Audits, for various types of audits Gather data elements required by CMS for the specific audit type PDE –prescription drug event, outreach efforts initiated internally by Government Programs. Auditors are tasked with outreach effort to all network retail chain and independent providers as well as Long Term Care Facility providers within the audit sample set Work closely and develop relationships with pharmacy third party administrators and directly with pharmacy staff/management, which requires developing an understanding of the specific laws and prescription requirements from multiple governmental agencies and certain State specific requirements Work in conjunction with management and ensure that audits are completed accurately and within CMS or internal due date Provider ManualTake part in a Project Management update Understanding the relevant updates and changes, considering/comparing to other industry manuals in turn giving recommendations for updates and revisionsCredentialing Assist with the new credentialing process using updated industry standards Assist with credentialing programs in specialized areas of pharmacy practice; Home Infusion, Specialty, Long Term CareAnalyticsAnalyze pharmacy data and help with detecting pharmacies that are acting out of compliance with contractual terms or industry standard
Required Qualifications: Currently pursuing a degree in Pharmaceutical Sciences or another related field from an accredited college/university Must be actively enrolled in an accredited college/university during the duration of the internship. Internships are not intended for graduating seniors Minimum 3.00 cumulative GPA 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: Junior class level PTCB - Pharmacy Technician Certification UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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.
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.