Contract Clinical Services Support Technician

Job not on LinkedIn

🔥 8 minutes ago

🏈 Alabama, Alaska, +44 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $20 - $40 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Support Engineer

👻 Ghost score 0%

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Prescryptive Health, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Prescryptive Health, Inc. is a healthcare technology company that operates the myPrescryptive platform to help patients, pharmacies, employers, health systems, and pharma manufacturers manage and optimize prescription medications. Its SaaS platform provides real-time patient alerts, digital prescription management (no app required), EHR integration, and AI-driven pricing tools to improve medication adherence, transparency, affordability, and pharmacy profitability. Prescryptive offers employer-facing benefit solutions (emPBM), pharmacy pricing optimization, and consumer-facing tools to compare prices and track medication spend, with security certifications such as HITRUST.

📋 Description

• Synchronize Medispan drug lists in the drug list management platform • Update prior authorization coverage criteria documents with formulary updates and client customizations • Maintain quantity limit 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 policy files and printed client drug lists under clinical quality assurance review • Establish quality control checkpoints for prior authorization updates, quantity limit cleanup, and prior authorization printing • Analyze, generate, and distribute medication lists and reports • Prepare client-facing clinical materials, including disruption analyses for annual and quarterly business reviews • Coordinate with pharmacists, operational teams, and internal stakeholders to meet deadlines • Identify opportunities to improve accuracy and efficiency through technology, automation, and AI-enabled tools

🎯 Requirements

• High school diploma or equivalent • 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 • 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 • 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

🏖️ Benefits

• Prescryptive will provide a laptop for the duration of the contract • This is a contract role and therefore not eligible for Prescryptive employee benefits