Remote Contract Clinical Services Technician - Pharmacy

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

Job summary

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain drug lists, resolve PA questions, and prepare reports. This hands-on role will coordinate with pharmacists and operations to meet deadlines in a high-volume environment.

The contract runs 9 to 12 months with an 8-hour shift Monday–Friday; remote in the United States; pay range $20-$40 per hour. Ideal candidates have PBM experience, formulary knowledge, and strong Excel/PowerPoint skills.

Qualifications

• 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.
• Experience with mail order and specialty pharmacy operations, prior authorization support, formularies, drug lists, and NDC identifiers.
• 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, including disruption analyses and business reviews.
• Strong follow-through and clear written and verbal communication to coordinate with pharmacists and operations teams and meet deadlines in a high-volume environment.
• Motivation to learn and grow, with openness to 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 and Medispan; experience using RxLogic.

Responsibilities

• Synchronize Medispan drug lists in the 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 drug list and benefit setup questions; prepare and publish coverage policies files and client drug lists.
• Establish quality control checkpoints for PA updates and data cleanup with pharmacist or clinical review.
• 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.

Skills

Attention to detail

Communication

Learning mindset

Organization

Problem solving

Education

High school diploma or equivalent

Certified Pharmacy Technician (CPhT) certification

State registration/licensure as required

Tools

MMIT platform

Medispan

RxLogic

Excel

PowerPoint

PBM platforms

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain drug lists, resolve PA questions, and prepare reports. This hands-on role will coordinate with pharmacists and operations to meet deadlines in a high-volume environment.

The contract runs 9 to 12 months with an 8-hour shift Monday–Friday; remote in the United States; pay range $20-$40 per hour. Ideal candidates have PBM experience, formulary knowledge, and strong Excel/PowerPoint skills.