2018 Summer Intern - Pharmacy

<p><strong>With more than 8,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust. Interested in joining us?</strong></p>

Detroit, MI

Blue Cross Blue Shield of Michigan (Internships)

Our Mission: We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health. Our Customer Commitment: We aspire to be clear and simple, to help you make the right choices, to offer valuable coverage, and help you get quality health care for you and those you love. Our Commitment to our Social Mission: Increasing access to affordable health care Enhancing the quality of care patients receive Improving the health of Michigan&rsquo;s citizens and communities.&nbsp; <p><br />Our employees are eligible for several great perks:</p> <ul> <li>Comprehensive medical, dental and vision insurance</li> <li>401(k) with company match</li> <li>Annual bonuses</li> <li>Tuition assistance</li> <li>Paid parking</li> </ul> http://www.bcbsm.com

keywords: analysis,intern objectives,special activities planned,communication,experience,technology,communication,retail,professional

Internship

Paid Internship

Overview: This position will offer insight into pharmacy contracting and networks, pharmacy credentialing process, pharmacy claim adjudication process, and customer service with pharmacy providers and vendors.<br /><br /><strong>Intern Objectives:<br /></strong><br />Learn and understand BCBSM/BCN pharmacy contracts and pharmacy credentialing process; how they work and are maintained<br />Gain understanding of the retail pharmacy claim adjudication process<br />Understand relationships between BCBSM/BCN Pharmacy Services and internal/external customers (i.e. BCBSM Audit area, Retail MI pharmacies, Marketing, Mail Order Pharmacies, Specialty Mail Order Pharmacies, etc.)
Responsibilities: Job Assignments and Responsibilities: Assisting in pharmacy provider contracting efforts, pharmacy credentialing and continuing participation verification (CPV) processes Annual Billing Incorrectly article for publication in BCBSM provider communication Annual Pharmacy Survey &agrave; will be involved in the development, execution, analysis of results and putting together of presentation Involved in reviewing/investigating pharmacy network issues and/or claim issues &agrave; communicating with pharmacies and/or chain headquarters Pharmacy Projects (pharmacy/pharmacist license review, review closed pharmacy list, development of job aids for new processes, etc.) Assist with day to day tasks as needed <br /><br /><strong>Special Activities Planned:</strong><br /> <ul> <li>Review prior/current disciplinary action reports and update pharmacy network database</li> <li>Work with chain headquarter pharmacy contacts to obtain updated annual reports</li> <li>Go on a Field Audit</li> </ul>
Requirements: <strong>Preferred Major(s):</strong> <br /> <ul> <li>Pharmacy</li> </ul> <strong>Preferred and Minimum Candidate Standing:</strong> <br /> <ul> <li>Preferably Pharm.D. student with at least 2 year of pharmacy program completion; some experience in retail pharmacy setting preferred; previous experience as a retail pharmacy technician/intern with customer service skills ideal; experience working with the public and phone skills ideal.</li> <li>Desired GPA:&nbsp;<u>&gt;</u>&nbsp;3.0</li> </ul> <p><strong>Desired skills and competencies:&nbsp;</strong></p> <ul> <li>Intermediate level of skill with Microsoft Office (Outlook, Word, Excel and Access)</li> <li>Effective communication skills/Customer Service experience</li> <li>Demonstrate ability to work independently or with little direction, handle multiple projects simultaneously and assume responsibility for meeting deadlines.</li> </ul> <p><strong>&nbsp;Preferred Work Experience:</strong></p> <ul> <li>&nbsp;At least one year of Retail Pharmacy experience</li> </ul>