Remote Contract Pharmacy Data & PA Specialist

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

Benefits offered by this job

Remote work

Job summary

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists, PA documents, and client materials. You will support pharmacist and clinical leadership with accurate benefit data and reporting, enabling strategic clinical decisions.

The role emphasizes recurring maintenance, QA checkpoints, and collaboration across pharmacists, operations, and clients. It is a 9–12 month contract with remote, US-based work and a pay range of $20–$40 per hour.

Qualifications

• High school diploma or equivalent and active CPhT certification.
• 3 years of pharmacy technician experience.
• 2 years of PBM experience supporting clinical services.
• Experience with mail order and specialty pharmacy operations.
• Hands-on experience with formulary or drug information databases and PBM platforms.
• Strong Excel and PowerPoint skills to prepare reports and presentations.
• Attention to detail and accuracy in maintaining claims adjudication data and preparing client-facing materials.
• Clear written and verbal communication to coordinate with pharmacists, Operations teams, and internal stakeholders.
• Motivation to learn and grow with openness to technology, automation, and AI-enabled tools.

Responsibilities

• Synchronize Medispan drug lists in the drug list management platform.
• Update prior authorization (PA) coverage criteria documents with formulary updates and client customizations.
• Maintain quantity limit (QL) rules and complete downstream client-specific changes.
• Investigate claim rejections related to drug list platform configuration and resolve clinical drug list and benefit setup questions; escalate issues requiring clinical review.
• Prepare and publish coverage policies files and printed client drug lists under clinical QA review.
• Establish QA checkpoints for PA updates, QL cleanup, and PA printing with pharmacist or clinical review.
• Analyze, generate, and distribute medication lists and reports, including disruption analyses for 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

Attention to detail

Communication

Time management

Problem solving

Adaptability to technology/automation

Education

CPhT certification (PTCB or ExCPT)

High school diploma or equivalent

State registration or licensure (where required)

Tools

Medispan

MMIT

RxLogic

Microsoft Excel

Microsoft PowerPoint

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists, PA documents, and client materials. You will support pharmacist and clinical leadership with accurate benefit data and reporting, enabling strategic clinical decisions.

The role emphasizes recurring maintenance, QA checkpoints, and collaboration across pharmacists, operations, and clients. It is a 9–12 month contract with remote, US-based work and a pay range of $20–$40 per hour.