Jobs
>
New York City

    Pharmacy Intern - New York, United States - Metroplus Health Plan Inc

    Metroplus Health Plan Inc
    Metroplus Health Plan Inc New York, United States

    3 weeks ago

    Default job background
    Description
    Pharmacy Intern

    Job Ref: 107033


    Category:
    Professional


    Department:

    PHARMACY ADMIN
    Location: 50 Water Street, 7th Floor, New York, NY 10004


    Job Type:
    Regular


    Employment Type:
    Full-Time


    Salary Range:
    $ $17.00

    Empower. Unite. Care.

    MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

    About NYC Health + Hospitals


    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.

    As a wholly owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics.

    For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

    Position Overview


    The Pharmacy Intern II is responsible for auditing and validating internal and external reports to ensure proper benefit configuration across all lines of business.

    The Pharmacy Intern II will also assist in all other Pharmacy department directives.

    Additionally, the Pharmacy Intern II is responsible for assisting the Clinical Pharmacy Manager with all aspects of formulary management, care management and utilization management strategies across all lines of business.

    The Pharmacy Intern II will be responsible for improving patient care through various clinical programs, medication reconciliation, counseling and care management in the form of rotations.

    The resident will have opportunities to develop evidence-based clinical decision making, project management, analytic and leadership skills.

    Job Description


    • Reviews daily claims reports of varying focuses across all lines of business to identify and report on the accuracy of the pharmacy benefit configuration.
    • Reviews daily rejection reports to identify and report on inconsistencies or concerns that may impact patient care.
    • Validates improper coding through verification between POS and UM platform systems.
    • Coordinates care between members, pharmacies, and providers to improve patient adherence for chronic medications and to promote other pharmacy initiatives including assisting with pharmacy case management activities.
    • Reviews daily reports to ensure all overrides are inputted correctly and claim adjudication is as intended.
    • Assists in preparing documentation for internal and external audits and regulatory submissions.
    • Reaches out to members, pharmacies, and prescribers to reconcile benefit inconsistencies.
    • Reviews external communications for accuracy and appropriateness.
    • Assists with prior authorization requests including, inputting, providing notification for and reviewing needed.
    • Complete core and elective rotations
    • Assists with formulary and utilization management for medications across all lines of business.
    • Develops drug monographs and coverage criteria upon request.
    • Completes retro utilization review for drugs of interest and provides in depth analysis.
    • Develops and maintains various pharmacy quality initiatives and generates regular monthly reports for key performance indicators.
    • Provides education to staff on new therapies, new criteria, new guidelines to ensure internal pharmacy staff are versed on up to date trends.
    • Assists in Pharmacy case management programs to improve quality of care and monitoring of MetroPlusHealth members.
    • Assists in organizational and departmental quality improvement initiatives
    Minimum Qualifications


    • Doctor of Pharmacy required.
    • Pharmacy experience in a managed care environment preferred.
    • Experience in auditing preferred.
    • Experience in Pharmacy management of government programs (Medicaid and Exchange) preferred.
    • Position requires excellent organizational, teamwork, interpersonal, time management, written and verbal communication skills.
    • Proficiency with MS Word, Excel, and PowerPoint is required. Experience in the evaluation and interpretation of pharmacy claims data and other clinical data is preferred.
    • Position requires excellent organizational, teamwork, interpersonal, time management, written and verbal communication skills
    • Eligible for licensure in the state of New York (active and not limited Pharmacy Intern License plus Doctor of Pharmacy Degree)
    Professional Competencies


    • Integrity and Trust
    • Customer Focus
    • Functional/Technical Skills
    • Position requires excellent organizational, teamwork, interpersonal, time management, written and verbal communication skills
    #LI-Hybrid
  • MetroPlusHealth

    Pharmacy Intern

    1 week ago

    MetroPlusHealth New York, United States Regular, Full time

    Position Overview · The Pharmacy Intern II is responsible for auditing and validating internal and external reports to ensure proper benefit configuration across all lines of business. The Pharmacy Intern II will also assist in all other Pharmacy department directives. Additional ...

  • NYC Health Hospitals

    Pharmacy Intern

    3 weeks ago

    NYC Health Hospitals New York, United States

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchan ...

  • Hospital for Special Surgery

    Pharmacy Intern

    2 days ago

    Hospital for Special Surgery New York, United States

    Overview · How you move is why we're here. Now more than ever. · Get back to what you need and love to do. · The possibilities are endless... · Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique wo ...

  • Hospital for Special Surgery

    Pharmacy Intern

    5 days ago

    Hospital for Special Surgery New York, United States

    How you move is why we're here. · Now more than ever. · Get back to what you need and love to do. · The possibilities are endless... · Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace ...

  • HSS

    Pharmacy Intern

    5 days ago

    HSS New York, United States

    Overview · How you move is why we're here. Now more than ever. · Get back to what you need and love to do. · The possibilities are endless... · Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique w ...

  • NYULMC

    Pharmacy Intern

    3 weeks ago

    NYULMC New York, United States

    Job Description · NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, ...

  • Duane Reade

    Pharmacy Intern

    3 weeks ago

    Duane Reade JERSEY CITY, United States

    **1405948BR** · **Title:** · Duane Reade Pharmacy Intern · **Job Description:** · **Job Objectives** · Learn to provide the best patient experience through assisting the pharmacist and pharmacy team members in accordance with state and federal regulations. · Responsible for using ...

  • The Brooklyn Hospital Center

    Pharmacy Intern

    3 weeks ago

    The Brooklyn Hospital Center Brooklyn, United States

    * Currently enrolled in an Accreditation Council for Pharmacy Education (ACPE) program or a graduate of an accredited pharmacy program · * Minimum of one (1) year experience at a hospital pharmacy is preferred. · * Current New York State Pharmacy Intern permit · * Knowledge of br ...

  • MetroPlus Health Plan

    Pharmacy Intern

    1 week ago

    MetroPlus Health Plan New York, United States

    · Pharmacy Intern · Job Ref: · Category: Professional · Department: PHARMACY ADMIN · Location: 50 Water Street, 7th Floor, · New York, · NY 10004 · Job Type: Regular · Employment Type: Full-Time · Salary Range: $ $17.00 · Empower. Unite. Care. MetroPlusHealth is c ...

  • TRUEPILL

    Pharmacy Intern

    3 weeks ago

    TRUEPILL Brooklyn, United States

    · At Truepill, we power the future of consumer healthcare. We started in 2016 with a vision to modernize healthcare. We provide the building blocks needed to launch and scale world-class healthcare experiences. · With millions of prescriptions shipped and millions of patients se ...

  • NYU Langone

    Pharmacy Intern

    2 weeks ago

    NYU Langone New York, United States

    Job Description · NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, ...

  • NYU Langone Health

    Pharmacy Intern

    2 weeks ago

    NYU Langone Health New York, United States

    NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hosp ...

  • Duane Reade

    Pharmacy Intern

    4 days ago

    Duane Reade WOODSIDE, United States

    **1384849BR** · **Title:** · Duane Reade Pharmacy Intern · **Job Description:** · **Job Objectives** · Learn to provide the best patient experience through assisting the pharmacist and pharmacy team members in accordance with state and federal regulations. · Responsible for using ...

  • CVS

    Pharmacy Intern

    5 days ago

    CVS Jackson Heights, United States

    As a Pharmacy Intern, you have a critical role at the forefront of delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. In addition to progression and development through our Experience. Rx program Pharmacy, Intern, Patient Care ...

  • NYU Langone Health

    Per Diem Pharmacy Intern

    2 days ago

    NYU Langone Health New York, United States

    NYU Langone Orthopedic Hospital at NYU Langone Health is one of the nation's leading orthopedic and rheumatologic, specialty hospitals dedicated to the prevention and treatment of musculoskeletal diseases. The hospital provides some of the most advanced orthopedic programs in the ...

  • Maxor

    Pharmacy Technician OR Intern

    2 weeks ago

    Maxor New York, United States

    Overview · Per Diem (PRN) Pharmacy Technician OR Pharmacy Intern - Callen Lorde Manhattan (SATURDAYS) · Maxor National Pharmacy Services is now accepting applications for a compassionate, caring, customer service focused Pharmacy Technician OR Licensed Pharmacy Intern to work per ...

  • Brooklyn Hospital Center

    Pharmacy Intern

    1 week ago

    Brooklyn Hospital Center Brooklyn, United States

    Requirements · • Currently enrolled in an Accreditation Council for Pharmacy Education (ACPE) program or a graduate of an accredited pharmacy program · • Minimum of one (1) year experience at a hospital pharmacy is preferred. · • Current New York State Pharmacy Intern permit ...

  • White Plains Hospital

    Pharmacy Intern

    3 weeks ago

    White Plains Hospital White Plains, United States Per Diem

    Summary · The Pharmacy Intern performs pharmacy functions under the direct supervision of a Registered Pharmacist. Duties include but are not limited to: Pharmacist support including answering phones and processing medication demands, filling patient specific medication, Cleanro ...

  • NewYork-Presbyterian Hospital

    Pharmacy Intern

    1 week ago

    NewYork-Presbyterian Hospital Flushing, United States

    Location · Queens, New York · Shift: · Day Flex (United States of America) · Description: · Shape the Future of Pharmacy · At NewYork-Presbyterian Hospital, we know that extraordinary careers in pharmacy come from the opportunity to do extraordinary work. That's why we're i ...

  • White Plains Hospital

    Pharmacy Intern

    3 weeks ago

    White Plains Hospital White Plains, United States

    White Plains Hospital Job Description · Title:Pharmacy Intern - Pharmacy Job Code:700242 Department/Location: Pharmacy FLSA Status: Non-exempt · Reportsto:Director of Pharmacy, · Assistant Director of Pharmacy, Pharmacy Manager, Registered Pharmacist · Position Summary · The Phar ...