Contract Clinical Services Support Technician

Prescryptive Health, Inc.; Wisconsin; Remote; USD 28,000 - 55,000; Full time

Job summary

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists, PA documents, and client materials. You will own recurring maintenance and reporting, with pharmacist review at quality checkpoints.

This hands-on role is 9–12 months long. Responsibilities include synchronizing Medispan lists, updating PA criteria, resolving related queries, and preparing disruption analyses for business reviews.

Qualifications

• High school diploma or equivalent with CPhT certification.
• About 2 years of PBM experience with clinical services support.
• Experience with mail order and specialty pharmacy operations.
• Hands-on with formulary or drug information databases and PBM platforms.
• Strong Excel and PowerPoint skills to prepare reports.
• Attention to detail and accuracy in claims data and client materials.
• Clear written and verbal communication with cross-functional teams.
• Willingness to learn new technology, automation, and AI tools.

Responsibilities

• Synchronize Medispan drug lists in the drug list management platform.
• Update prior authorization coverage criteria with formulary updates.
• Investigate claim rejections related to drug list platform configuration.
• Establish quality control checkpoints for PA updates and printing with review.
• Analyze, generate, and distribute medication lists and client materials.
• Coordinate with pharmacists and operations to meet deadlines.
• Identify opportunities to improve accuracy and efficiency via technology.

Skills

Attention to detail

Clear written and verbal communication

Strong follow-through

Willingness to learn

Education

High school diploma or equivalent

CPhT certification (PTCB or ExCPT)

Tools

Medispan

MMIT platform

RxLogic

Excel

PowerPoint

Job description

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.