Remote Contract Clinical Services Technician (Pharmacy PBM)

Prescryptive Health, Inc.

Hydaburg (AK)

Remote

USD 28,000 - 55,000

Full time

9 days ago

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Job summary

Prescryptive Health, Inc. is seeking aContract Clinical Services Support Technician to maintain clinical drug lists, update prior authorization criteria, and prepare client reports. The role emphasizes hands-on, operational tasks with QA review by pharmacists or clinical staff.

The contract is 9–12 months and remote, with a standard 8-hour weekday schedule. You will work across pharmacy operations to resolve list and benefit setup questions, produce disruption analyses for reviews, and help

Qualifications

  • High school diploma or equivalent.
  • Certified Pharmacy Technician (CPhT) through PTCB or ExCPT, with state licensure where required.
  • About 2 years of PBM experience supporting clinical services (utilization management, coverage review, or prior authorization).
  • Experience with mail order and specialty pharmacy operations, formularies, drug lists, and NDC identifiers.
  • Hands-on use of formulary or drug information databases and PBM platforms.
  • Strong Excel and PowerPoint skills to compare drug list data and prepare reports.
  • Attention to detail and accuracy in maintaining claims adjudication data and client materials.
  • Strong written and verbal communication to coordinate with pharmacists and internal teams.

Responsibilities

  • Synchronize Medispan drug lists in the drug list management platform.
  • Update PA coverage criteria documents with formulary updates and client customizations.
  • Investigate claim rejections related to drug list platform configuration and resolve questions.
  • Establish QA checkpoints for PA updates and printing with clinical review.
  • Analyze, generate, and distribute medication lists and client-facing materials.
  • Coordinate with pharmacists, operations, and internal stakeholders to meet deadlines.
  • Identify opportunities to improve accuracy and efficiency via technology, automation, and AI tools.

Skills

PBM experience
NDC identifiers
Drug lists
Excel
PowerPoint
Drug information databases
FDA formulary knowledge
Communication

Education

CPhT certification (PTCB/ExCPT)
High school diploma or equivalent

Tools

MMIT platform
Medispan
RxLogic

Job description

Prescryptive Health, Inc. is seeking aContract Clinical Services Support Technician to maintain clinical drug lists, update prior authorization criteria, and prepare client reports. The role emphasizes hands-on, operational tasks with QA review by pharmacists or clinical staff.

The contract is 9–12 months and remote, with a standard 8-hour weekday schedule. You will work across pharmacy operations to resolve list and benefit setup questions, produce disruption analyses for reviews, and help

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