Clinical Assistant - Fuze Care Services

Job Summary

At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources, and needed treatments – and enable care providers, employers, health plans, and life sciences companies to meaningfully enhance quality, outcomes, and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.

Job Description

The Clinical Assistant serves as a key operational and client-facing resource supporting hospice pharmacy benefit management services. This role is responsible for ensuring appropriate medication utilization, facilitating claims and prior authorization processes, supporting hospice partners, and maintaining the integrity of clinical and technical systems that enable seamless patient care. Operating at the intersection of clinical support, pharmacy operations, and technology, the Clinical Assistant plays a critical role in reducing administrative barriers, improving medication access, and strengthening relationships with hospice providers.

Key Responsibilities

• Meditation Management & Cost Stewardship: Review and identify high-cost or therapeutically inappropriate medications prior to claim submission. Conduct outreach to hospice partners regarding medication alternatives and formulary considerations. Support efforts to reduce claim rejections, delays, and unnecessary medication-related costs.
• Claims & Prior Authorization Support: Maintain accurate medication profiles, eligibility information, and supporting documentation. Assist with medication claims research, prior authorization requirements, and claims resolution. Ensure timely processing workflows to minimize disruptions to patient care.
• Hospice Client Support & Relationship Management: Provide responsive, high-quality support to hospice staff regarding pharmacy benefit services. Serve as a trusted resource for workflow, platform, and operational inquiries. Conduct proactive follow-up to ensure issues are resolved and client needs are addressed. Support relationship-building efforts through consistent communication and service excellence.
• E-Prescribing Platform Support: Train and support hospice staff utilizing multiple e-prescribing platforms. Troubleshoot technical issues and system access concerns to prevent prescribing delays. Promote effective platform utilization and user adoption across hospice partners.
• Operational Workflow Management: Manage multiple work queues, requests, and support activities while maintaining service-level expectations. Document interactions and resolutions thoroughly to facilitate effective team collaboration and continuity of service. Maintain current provider, user, and organizational profiles to prevent workflow disruptions.
• System Integrity & Data Management: Ensure medication records, user profiles, and system data remain accurate, complete, and up to date. Maintain working knowledge of proprietary and third-party pharmacy technology platforms. Identify and escalate data discrepancies, integration issues, or system concerns to appropriate stakeholders.
• Cross-Functional Collaboration: Act as a liaison between hospice staff, clinical pharmacists, operations teams, and technical support personnel. Participate in cross-functional problem-solving and issue resolution efforts. Contribute to a consistent, high-quality client support experience across all service channels.

Required Experience & Qualifications

• Pharmacy Technician Certification: Current Certified Pharmacy Technician (CPhT) certification or active Registered Pharmacy Technician license (as required by applicable state regulations) is required.
• Healthcare Operations Knowledge: Familiarity with medication claims processing, pharmacy benefit management, and prior authorization workflows.
• Clinical Support Experience: Experience researching medication discrepancies, eligibility issues, and claims-related inquiries.
• Customer Service Orientation: Demonstrated ability to provide professional, responsive support to healthcare clients and stakeholders.
• Technical Aptitude: Ability to learn and navigate multiple software applications, pharmacy systems, and e-prescribing platforms.
• Communication Skills: Strong verbal and written communication skills with the ability to interact effectively across clinical, operational, and technical teams.
• Organizational Effectiveness: Proven ability to manage multiple priorities, maintain detailed documentation, and work efficiently in a fast-paced environment.

Additional Information

Salary And Benefits: Compensation Range: $19.00-$20.00/hour. Commission Eligible: No. Travel: No. Location Requirement: Fuze Health is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin. Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.

Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.

Equal Opportunity Employer: Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis.

Application deadline: July 15, 2026

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