Clinical Services & Data Automation Specialist

Prescryptive Health, Inc.; United States; Remote; USD 65,000 - 95,000; Full time

Job summary

Prescryptive Health, Inc. is seeking a team member to maintain clinical drug lists and prior authorization documents, ensuring accuracy and timely updates.

You will resolve drug list and benefit setup questions and prepare reports and client business review materials. You will investigate claim rejections related to the drug list platform configuration, coordinating with pharmacists and operational teams to meet deadlines, and identify opportunities to improve efficiency through automation and

Responsibilities

• Maintain clinical drug lists and prior authorization documents, resolve drug list and benefit setup questions, and prepare reports and client business review materials.
• Investigate claim rejections related to drug list platform configuration and coordinate with pharmacists and operational teams to meet deadlines.
• Identify opportunities to improve accuracy and efficiency through technology, automation, and AI-enabled tools.

Job description

Prescryptive Health, Inc. is seeking a team member to maintain clinical drug lists and prior authorization documents, ensuring accuracy and timely updates.

You will resolve drug list and benefit setup questions and prepare reports and client business review materials. You will investigate claim rejections related to the drug list platform configuration, coordinating with pharmacists and operational teams to meet deadlines, and identify opportunities to improve efficiency through automation and