2018 Intern Pharmacy Services

With more than 7,000 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.

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: teamwork,management,quality assurance,claims,support,prepare,experience,environment,communication,knowledge,professional


Paid Internship

Overview: <ul> <li style="font-weight: 400;">Describe the BCBSM formulary process and the value of the BCBSM utilization management tools and how they are maintained from both a clinical and operational perspective</li> <li style="font-weight: 400;">Explain the Quality Rating System (QRS) and pharmacy-related quality measures</li> <li style="font-weight: 400;">Describe how prescription claims are processed and how BCBSM Pharmacy Services work with its claims processor to ensure correct claim processing</li> <li style="font-weight: 400;">Participate in the medication coverage review process, including the clinical review and rendering a coverage determination for medication requests (step-therapy, prior authorization, quantity limits override)</li> <li style="font-weight: 400;">Participate in development of utilization management criteria</li> </ul>
Responsibilities: <ul> <li style="font-weight: 400;">Assist in developing clinical rationale for medication use policies and/or utilization management tools for a particular drug or class of drugs</li> <li style="font-weight: 400;">Prepare clinical criteria documents for presentation at the P&amp;T committee meetings</li> <li style="font-weight: 400;">Support the Quality Rating System (QRS) for Health Insurance Marketplace plans, including patient counseling on medication adherence via telephone and participation in health fairs</li> </ul>
Requirements: <ul> <li>Current pharmacy students completing at least two years of a Pharm D program.</li> <li>Desired GPA: 3.0 or above</li> </ul> Desired skills and competencies:<br /> <ul> <li>Strong pharmacy &amp; therapeutics knowledge</li> <li>Effective verbal and written communication skills</li> <li>Ability to handle multiple projects and responsibilities simultaneously</li> <li>Interest in practicing pharmacy in a managed care environment</li> </ul> Preferred Work Experience: <br /><br />Upon completion of the internship, the intern will have gained experience relating to understanding managed care pharmacy and pharmacy benefit administration.&nbsp;