Remote Contract Clinical Services Specialist

Prescryptive Health, Inc.; California; Remote; USD 28,000 - 55,000; Part time

Job summary

Prescryptive is seeking a Contract Clinical Services Support Technician to maintain drug lists, PA documents, and client reports. You will work with pharmacists and clinical teams to ensure accuracy and timely updates, enabling strategic decision-making.

The role emphasizes attention to detail, experience with formulary data and PBM platforms, and a willingness to leverage automation and AI-enabled tools. Remote U.S.-based.

Qualifications

• Active Certified Pharmacy Technician certification (CPhT) through PTCB or ExCPT, with state registration or licensure where required.
• 3 years of pharmacy technician experience.
• 2 years of PBM experience supporting clinical services (utilization management, coverage review, PA resolution).
• Experience with mail order and specialty pharmacy operations and NDC identifiers.
• Hands-on experience with formulary/drug information databases and PBM platforms.
• Strong Excel and PowerPoint skills to prepare reports and presentations.
• Detail-oriented with accurate claims adjudication data and client materials.
• Clear written and verbal communication to coordinate with teams and meet deadlines.

Responsibilities

• Synchronize Medispan drug lists in the drug list management platform.
• Update PA coverage criteria documents with formulary updates and client customizations.
• Maintain QL rules and complete downstream client-specific changes.
• Investigate claim rejections related to drug list platform configuration and resolve issues (escalate for clinical review).
• Prepare and publish coverage policies files and printed client drug lists under QA review.
• Establish QA checkpoints for PA updates, QL cleanup, and PA printing with pharmacist review.
• Analyze, generate, and distribute medication lists and reports, including disruption analyses for business reviews.
• Coordinate with pharmacists and operations to meet deadlines and improve processes via automation.

Skills

CPhT certification

Pharmacy technician

PBM experience

Formulary knowledge

Excel

PowerPoint

Attention to detail

Communication

Education

High school diploma

CPhT certification (PTCB/ExCPT)

Tools

Medispan

MMIT

RxLogic

PBM platforms

Job description

Prescryptive is seeking a Contract Clinical Services Support Technician to maintain drug lists, PA documents, and client reports. You will work with pharmacists and clinical teams to ensure accuracy and timely updates, enabling strategic decision-making.

The role emphasizes attention to detail, experience with formulary data and PBM platforms, and a willingness to leverage automation and AI-enabled tools. Remote U.S.-based.