Remote Contract Clinical Services Specialist

Prescryptive Health, Inc.; Minneota (MN); 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 and PA documents, resolve drug-list and benefit-setup questions, and prepare client business review materials.

You will own recurring maintenance and reporting with pharmacist review at defined quality checkpoints. This contract role (9–12 months) calls for hands-on execution, collaboration with pharmacists and operations, and a focus on improving accuracy via automation and

Qualifications

• High school diploma or equivalent and active Certified Pharmacy Technician (CPhT) certification.
• ~2 years of experience at a PBM supporting clinical services (utilization management, coverage review, or prior authorization resolution).
• Experience with mail order and specialty pharmacy operations, formulary, drug lists, and NDC identifiers.
• 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 and presentations.
• Attention to detail and accuracy in maintaining claims adjudication data and preparing client-facing materials.

Responsibilities

• Maintain clinical drug lists and PA documents; resolve drug list and benefit setup questions; prepare reports and client business review materials.
• Own recurring maintenance and reporting with pharmacist or clinical team review at quality checkpoints.
• Investigate claim rejections related to drug list platform configuration and resolve drug list and benefit setup questions; publish coverage policies files and client drug lists.
• Establish quality control checkpoints for PA updates, quality cleanup, and PA printing with pharmacist or clinical team review.
• Analyze, generate, and distribute medication lists and reports; prepare client-facing clinical materials including disruption analyses for business reviews.
• Coordinate with pharmacists, operational teams, and internal stakeholders to meet deadlines.
• Identify opportunities to improve accuracy and efficiency through technology, automation, and AI-enabled tools.

Skills

Attention to detail

Strong communication

Excel

PowerPoint

PBM operations

Formulary knowledge

Clinical reporting

Education

High school diploma or equivalent

CPhT certification (PTCB or ExCPT)

Tools

MMIT

Medispan

RxLogic

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists and PA documents, resolve drug-list and benefit-setup questions, and prepare client business review materials.

You will own recurring maintenance and reporting with pharmacist review at defined quality checkpoints. This contract role (9–12 months) calls for hands-on execution, collaboration with pharmacists and operations, and a focus on improving accuracy via automation and