Remote Contract Clinical Services Specialist (Drug Lists)

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

Benefits offered by this job

Laptop provided

Job summary

Prescryptive Health, Inc. seeks a Contract Clinical Services Support Technician to maintain clinical drug lists, update PA criteria, and prepare reports and client materials.

You will own recurring maintenance with pharmacist review at quality checkpoints. This 9–12 month contract requires a Certified Pharmacy Technician (CPhT), about 2 years in PBM settings, and strong Excel/PowerPoint skills to produce client-facing analyses.

Qualifications

• Requires high school diploma or equivalent and active CPhT certification.
• ~2 years of experience at a PBM supporting clinical services such as utilization management, coverage review, or prior authorization resolution.
• 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.
• Strong follow-through and clear written and verbal communication to coordinate with pharmacists, operations teams, and stakeholders.

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.
• 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 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.
• Experience directly maintaining formularies or drug lists, updating prior authorization criteria, and configuring coverage or benefits.
• Experience with MMIT platform and Medispan; RxLogic for PBM or claims processing.

Skills

Attention to detail

Written and verbal communication

Time management

Team coordination

Education

High school diploma or equivalent

Certified Pharmacy Technician (CPhT)

Tools

RxLogic

MMIT

Medispan

Excel

PowerPoint

Job description

Prescryptive Health, Inc. seeks a Contract Clinical Services Support Technician to maintain clinical drug lists, update PA criteria, and prepare reports and client materials.

You will own recurring maintenance with pharmacist review at quality checkpoints. This 9–12 month contract requires a Certified Pharmacy Technician (CPhT), about 2 years in PBM settings, and strong Excel/PowerPoint skills to produce client-facing analyses.