Remote Contract Clinical Services Technician (Pharmacy PBM)

Prescryptive Health, Inc.; Maryland City (MD); 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, handle prior authorization documentation, and prepare client materials. This role emphasizes accuracy, automation awareness, and collaboration with pharmacists and operations teams.

Remote, US-based contract lasting 9–12 months with an hourly pay range. You will own recurring maintenance, participate in quality checks, and contribute to client-facing reports and disruption

Qualifications

• Active Certified Pharmacy Technician (CPhT) with state registration or licensure where required.
• 3 years of pharmacy technician experience.
• 2 years of PBM experience supporting clinical services (utilization management, coverage review, prior authorization).
• Experience with mail order and specialty pharmacy operations, formularies, drug lists, and NDC identifiers.
• Hands-on experience with formulary or drug information databases and PBM platforms.

Responsibilities

• Synchronize Medispan drug lists in the drug list management platform.
• Update PA coverage criteria documents with formulary updates and client customizations.
• Maintain quantity limit (QL) rules and downstream client-specific changes.
• Investigate claim rejections related to drug list platform configuration and resolve issues; escalate when clinical review is needed.
• Prepare and publish coverage policies files and printed client drug lists under QA review.
• Establish QA checkpoints for PA updates, QL cleanup, and PA printing with pharmacist review.
• Analyze, generate, and distribute medication lists and reports and prepare client-facing clinical materials.

Skills

Pharmacy technician

PBM experience

NDC identifiers knowledge

MS Excel

PowerPoint

Attention to detail

Written and verbal communication

Education

High school diploma

CPhT certification (PTCB/ExCPT)

Tools

Medispan

MMIT platform

RxLogic

PBM platforms

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists, handle prior authorization documentation, and prepare client materials. This role emphasizes accuracy, automation awareness, and collaboration with pharmacists and operations teams.

Remote, US-based contract lasting 9–12 months with an hourly pay range. You will own recurring maintenance, participate in quality checks, and contribute to client-facing reports and disruption