Contract Clinical Services Support Technician

Prescryptive Health, Inc.; Yuma (AZ); À distance; USD 28 000 - 55 000; Plein temps

Avantages offerts par ce poste

Laptop provided

Remote work option

Résumé du poste

Prescryptive Health, Inc. seeks a Contract Clinical Services Support Technician to maintain drug lists, PA documents, and client materials. You will handle recurring maintenance and reporting with QA review by pharmacists or clinical staff.

This is a hands-on contract role for 9–12 months, with a set 8-hour shift, Monday–Friday, local time. The position requires CPhT certification, PBM experience, and proficiency in Excel and PowerPoint to prepare client reports and coverage analyses under QA

Qualifications

• High school diploma or equivalent and active CPhT certification.
• ~2 years experience at a PBM supporting clinical services: utilization management, coverage review, or PA resolution.
• Hands-on experience with formulary or drug info databases and PBM platforms.
• Experience with mail order and specialty pharmacy operations and drug lists.
• Strong Excel and PowerPoint skills for reports and presentations.

Responsabilités

• Synchronize Medispan drug lists in drug list management platform.
• Update PA coverage criteria docs with formulary updates and client customizations.
• Investigate claim rejections related to drug list platform configuration and resolve questions.
• Establish QA checkpoints for PA updates and printing with pharmacist/clinical review.
• Analyze and publish medication lists and reports, including disruption analyses for reviews.
• Coordinate with pharmacists and internal teams to meet deadlines.
• Identify opportunities to improve accuracy and efficiency via tech and AI tools.

Connaissances

CPhT certification

PBM experience

MMIT experience

Medispan

RxLogic

Excel

PowerPoint

Attention to detail

Communication

Cross-functional coordination

Formation

High school diploma

Active CPhT certification

Outils

Medispan

MMIT

RxLogic

Description du poste

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.