Contract Clinical Services Support Technician
Prescryptive · United States · $9–$12/hr (stated in the posting)
Who is Prescryptive?
Prescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com.
About this role
As the Contract Clinical Services Support Technician at Prescryptive, you will maintain clinical drug lists and prior authorization documents, resolve drug list and benefit setup questions, and prepare reports and client business review materials. Your work will keep benefit information accurate and current, allowing pharmacists and clinical leadership to focus on clinical strategy and decisions.
You will own recurring maintenance and reporting, with pharmacist or clinical team review at defined quality checkpoints. We are looking for someone who enjoys detailed work, is motivated to learn and grow, and welcomes technology and automation to improve processes.
This is a contract opportunity for individuals looking for a hands-on, operational role. The expected contract timeframe is 9 to 12 months, subject to business need.
What you will do
- Synchronize Medispan drug lists in 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 quality assurance review.
- Establish quality control checkpoints for PA updates, QL cleanup, and PA printing, with pharmacist or clinical team review before finalization.
- Analyze, generate, and distribute medication lists and reports, and prepare client-facing clinical materials, including disruption analyses for annual and quarterly 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.
What you will bring (minimum requirements)
- High school diploma or equivalent and active Certified Pharmacy Technician (CPhT) certification through PTCB or ExCPT, with state registration or licensure where required.
- 3 years of pharmacy technician experience
- 2 years of experience at a pharmacy benefit manager (PBM) supporting clinical services, such as utilization management, coverage review, or prior authorization resolution.
- Demonstrated experience with mail order and specialty pharmacy operations, prior authorization support, formularies, drug lists, and National Drug Code (NDC) identifiers.
- Hands-on experience with formulary or drug information databases and PBM platforms.
- 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, benefit summaries, and business review presentations.
- Strong follow-through and clear written and verbal communication to coordinate with pharmacists, Operations teams, and internal stakeholders and meet deadlines in a high-volume environment.
- Sound judgment about what you can resolve independently and when pharmacist review is needed.
- Motivation to learn and grow, with openness to technology, automation, and AI-enabled tools.
Ideally you will also have
- Experience directly maintaining formularies or drug lists, updating prior authorization criteria, and configuring coverage or benefits.
- Experience with Managed Markets Insight & Technology (MMIT) platform and Medispan
- Experience using RxLogic for pharmacy benefit administration or claims processing.
Contract details
- Length of Contract: up to 9 to 12 months (subject to business need)
- Schedule: Must be available to work an 8-hour shift between Monday–Friday, 8:00 a.m.–6:00 p.m. local time.
- Pay Range: $20 - 40 per hour
- Work Arrangement: Remote (U.S.-based); must have reliable internet and a suitable private workspace.
- Equipment: Prescryptive will provide a laptop for the duration of the contract.
- Benefits: This is a contract role and therefore not eligible for Prescryptive employee benefits.
Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability.