Remote Contract Clinical Services Technician

Prescryptive Health, Inc.; New Jersey; 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 drug lists, resolve PA questions, and prepare client reports.

This role works hand-in-hand with pharmacists and the clinical team, ensuring QA checkpoints throughout maintenance and reporting. Ideal candidates have a high school diploma or equivalent, CPhT certification, and about 2 years of PBM experience in clinical services, plus strong Excel/PowerPoint skills for data comparisons and

Qualifications

• 2 years PBM experience 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.

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

PBM experience

Excel

PowerPoint

Attention to detail

Communication

Education

High school diploma or equivalent

CPhT certification

Tools

Medispan

MMIT platform

RxLogic

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain drug lists, resolve PA questions, and prepare client reports.

This role works hand-in-hand with pharmacists and the clinical team, ensuring QA checkpoints throughout maintenance and reporting. Ideal candidates have a high school diploma or equivalent, CPhT certification, and about 2 years of PBM experience in clinical services, plus strong Excel/PowerPoint skills for data comparisons and