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Contract Clinical Services Support Technician
Prescryptive Health, Inc.. Synchronize Medispan drug lists in the drug list management platform .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy benefit management, including prior authorization processes, formulary updates, and drug list management. Proficient in utilizing technology and automation to enhance operational efficiency and accuracy in clinical services.
Highest-signal resume keywords
Certified Pharmacy Technician (CPhT)Pharmacy Benefit Manager (PBM) ExperienceFormulary ManagementMicrosoft ExcelAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior Authorization SupportDrug List ManagementClinical ServicesClaims AdjudicationFormulary UpdatesMedication List AnalysisNDC IdentifiersQuality Control CheckpointsDisruption AnalysesClient-Facing Materials Preparation
Soft Skills
Clear CommunicationAttention to DetailFollow-ThroughSound JudgmentMotivation to Learn
Tools & Technologies
Drug Information DatabasesPBM PlatformsAI-Enabled ToolsAutomation Tools
Certifications & Qualifications
Certified Pharmacy Technician (CPhT)
Industry Keywords
Pharmacy Technician ExperienceUtilization ManagementCoverage ReviewMail Order Pharmacy OperationsSpecialty Pharmacy Operations
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Prescryptive will provide a laptop for the duration of the contract
- This is a contract role and therefore not eligible for Prescryptive employee benefits