Remote Contract Clinical Services & PA Specialist

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

Benefits offered by this job

Laptop provided

Remote work

Job summary

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists, PA documents, and client materials. This hands-on, operational contract role focuses on recurring maintenance, reporting, and quality checkpoints with pharmacists or clinical teams.

Expected contract duration is 9 to 12 months. The role supports claims, formulary updates, and client-facing materials, with remote work option and equipment provided for the contract period.

Qualifications

• High school diploma and active Certified Pharmacy Technician (CPhT).
• ~2 years of PBM clinical services experience.
• Experience with mail order and specialty pharmacy operations.
• Hands-on experience with formulary or drug information databases and PBM platforms.
• Strong Excel and PowerPoint skills to compare drug list data and prepare reports.
• Attention to detail and accuracy in maintaining claims adjudication data.
• Clear written and verbal communication to coordinate with pharmacists and teams.
• Openness to technology, automation, and AI-enabled tools.

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.

Skills

Excel

PowerPoint

Attention to detail

Communication

Automation

AI tools

Education

CPhT certification

Pharmacy tech licensure

Tools

MMIT

Medispan

RxLogic

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists, PA documents, and client materials. This hands-on, operational contract role focuses on recurring maintenance, reporting, and quality checkpoints with pharmacists or clinical teams.

Expected contract duration is 9 to 12 months. The role supports claims, formulary updates, and client-facing materials, with remote work option and equipment provided for the contract period.