Remote Contract Pharmacy Tech—Clinical Data & PA Support

Prescryptive Health, Inc.; Guin (AL); 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 and prior authorization documents, resolve questions, and prepare reports for client reviews. This hands-on, operational role focuses on accuracy and timely updates.

The contract lasts 9 to 12 months, with an 8-hour shift Mon-Fri, remote (US-based). Pay range is $20-$40 per hour, and equipment is provided. Benefits do not include employee benefits due to contractor status.

Qualifications

• High school diploma or equivalent and active CPhT certification through PTCB or ExCPT, 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, or PA resolution).
• Experience with mail order and specialty pharmacy operations, formulary/drug lists, and NDC identifiers.
• 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 client-facing materials.
• Clear written and verbal communication to coordinate with pharmacists, operations teams, and stakeholders.

Responsibilities

• Synchronize Medispan drug lists in drug list management platform.
• Update PA coverage criteria documents with formulary updates and client customizations.
• Maintain QL rules and complete downstream client-specific changes.
• Investigate claim rejections related to drug list platform configuration and resolve issues; escalate for clinical review.
• Prepare and publish coverage policies files and printed client drug lists under QA review.
• Establish quality control checkpoints for PA updates, QL cleanup, and PA printing with pharmacist review.
• Analyze, generate, and distribute medication lists and reports, including disruption analyses for reviews.
• Coordinate with pharmacists, operations teams, and internal stakeholders to meet deadlines.
• Identify opportunities to improve accuracy and efficiency via technology, automation, and AI-enabled tools.

Skills

Attention to detail

Written communication

Verbal communication

Time management

Education

High school diploma

CPhT certification (PTCB or ExCPT)

State registration or licensure (as required)

Tools

Microsoft Excel

PowerPoint

Job description

Prescryptive Health, Inc. is seeking a Contract Clinical Services Support Technician to maintain clinical drug lists and prior authorization documents, resolve questions, and prepare reports for client reviews. This hands-on, operational role focuses on accuracy and timely updates.

The contract lasts 9 to 12 months, with an 8-hour shift Mon-Fri, remote (US-based). Pay range is $20-$40 per hour, and equipment is provided. Benefits do not include employee benefits due to contractor status.