Contract Clinical Services Support Technician

Prescryptive Health, Inc.; Orangeburg (SC); Teletrabalho; USD 28 000 - 55 000; Tempo integral

Resumo da oferta

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain drug lists, PA documents, and client materials. The role emphasizes recurring maintenance and QA checkpoints with pharmacist oversight, in a hands-on operational setting.

This contract, 9–12 months, requires PBM experience, formulary expertise, and strong Excel/PowerPoint skills. Remote work is available with a provided laptop and schedule Monday–Friday, 8:00 a.m.–6:00 p.m. local time.

Qualificações

• High school diploma or equivalent required.
• Certified Pharmacy Technician (CPhT) certification active and in-state licensure if required.
• Approximately 2 years experience at a PBM supporting clinical services.
• Experience with mail-order and specialty pharmacy operations, formulary knowledge, and NDC identifiers.
• Hands-on experience with formulary or drug information databases and PBM platforms.
• Strong Excel and PowerPoint skills for data comparison and reporting.

Responsabilidades

• Maintain clinical drug lists and PA documents.
• Resolve drug list and benefit setup questions; prepare client materials.
• Own recurring maintenance and reporting with QA review points.
• Publish coverage policies files and client drug lists.
• Coordinate with pharmacists and internal teams to meet deadlines.
• Identify opportunities to improve accuracy through automation and AI tools.

Conhecimentos

Pharmacy technician (CPhT)

PBM experience

Medispan / drug lists

RxLogic

Excel & PowerPoint

Attention to detail

Communication

Formação académica

High school diploma or equivalent

CPhT certification (PTCB/ExCPT)

Ferramentas

Medispan

MMIT platform

RxLogic

Descrição da oferta de emprego

Prescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com .

As the Contract Clinical Services Support Technician at Prescryptive, you will maintain clinical drug lists and prior authorization documents, resolve drug list and benefit setup questions, and prepare reports and client business review materials. You will own recurring maintenance and reporting, with pharmacist or clinical team review at defined quality checkpoints. This is a contract opportunity for individuals looking for a hands-on, operational role. The expected contract timeframe is 9 to 12 months, subject to business need.

Responsibilities

• Synchronize Medispan drug lists in drug list management platform.
• Update prior authorization (PA) coverage criteria documents with formulary updates and client customizations.
• Investigate claim rejections related to drug list platform configuration and resolve clinical drug list and benefit setup questions. Prepare and publish coverage policies files and printed client drug lists under clinical quality assurance review.
• Establish quality control checkpoints for PA updates, QL cleanup, and PA printing, with pharmacist or clinical team review before finalization.
• Analyze, generate, and distribute medication lists and reports, and prepare client-facing clinical materials, including disruption analyses for annual and quarterly business reviews.
• Coordinate with pharmacists, operational teams, and other internal stakeholders to meet deadlines.
• Identify opportunities to improve accuracy and efficiency through technology, automation, and AI-enabled tools.

Qualifications

• High school diploma or equivalent and active Certified Pharmacy Technician (CPhT) certification through PTCB or ExCPT, with state registration or licensure where required.
• ~2 years of experience at a pharmacy benefit manager (PBM) supporting clinical services, such as utilization management, coverage review, or prior authorization resolution.
• ~ Demonstrated experience with mail order and specialty pharmacy operations, prior authorization support, formularies, drug lists, and National Drug Code (NDC) identifiers.
• ~ Hands-on experience with formulary or drug information databases and PBM platforms.
• ~ Strong Microsoft Excel and PowerPoint skills to compare drug list data and prepare reports and presentations.
• ~ Attention to detail and accuracy in maintaining claims adjudication data and preparing client-facing materials, including disruption analyses, benefit summaries, and business review presentations.
• ~ Strong follow-through and clear written and verbal communication to coordinate with pharmacists, Operations teams, and internal stakeholders and meet deadlines in a high-volume environment.
• ~ Motivation to learn and grow, with openness to technology, automation, and AI-enabled tools.

Experience

• Experience directly maintaining formularies or drug lists, updating prior authorization criteria, and configuring coverage or benefits.
• Experience with Managed Markets Insight & Technology (MMIT) platform and Medispan
• Experience using RxLogic for pharmacy benefit administration or claims processing.

Contract Details

• Length of Contract: up to 9 to 12 months (subject to business need)
• Schedule: Must be available to work an 8-hour shift between Monday-Friday, 8:00 a.m.-6:00 p.m. local time.
• Pay Range: $20 - 40 per hour
• Remote (U.must have reliable internet and a suitable private workspace.
• Equipment: Prescryptive will provide a laptop for the duration of the contract.
• Benefits: This is a contract role and therefore not eligible for Prescryptive employee benefits.

Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability.