Clinical Assistant at Fuze Care Services

About Fuze Health

Fuze Health is dedicated to prioritizing patient care by addressing critical healthcare needs through digital connections with care providers and essential health resources. Our innovative approach combines trusted companies such as LetsGetChecked, Truepill, and Alto Pharmacy to offer integrated next-generation healthcare solutions that improve quality, outcomes, and value for patients and partners alike.

Role Overview

The Clinical Assistant supports hospice pharmacy benefit management by ensuring effective medication use, managing claims, and assisting hospice partners with prior authorization and medication access. This role bridges clinical support, pharmacy operations, and technology to streamline administrative processes and enhance care coordination.

Key Responsibilities

• Review medication claims to identify costly or unsuitable drugs before approval.
• Communicate with hospice partners regarding medication alternatives and formulary options.
• Support reducing claim denials and medication-related expenses.
• Maintain accurate medication profiles, eligibility details, and documentation.
• Assist with medication claims research, prior authorization, and claim resolution to prevent care disruption.
• Provide prompt, professional support to hospice staff on pharmacy benefit services and workflows.
• Train and assist hospice teams in effectively using e-prescribing platforms and troubleshooting related technical issues.
• Manage multiple workflow queues and document all interactions to ensure continuity and quality of service.
• Ensure data integrity by keeping medication records and system information current and accurate.
• Collaborate across clinical pharmacists, operations, and technical teams to resolve issues and maintain consistent support standards.

Required Qualifications

• Certified Pharmacy Technician (CPhT) credential or active Registered Pharmacy Technician license as required by state regulations.
• Familiarity with pharmacy benefit management, medication claims processing, and prior authorization procedures.
• Experience investigating medication discrepancies, eligibility, and claims inquiries.
• Strong customer service skills with the ability to engage healthcare clients professionally.
• Proficient in navigating multiple software systems and pharmacy technologies.
• Excellent written and verbal communication skills suitable for diverse clinical and operational teams.
• Organizational skills to handle multiple tasks efficiently while maintaining detailed records in a fast-paced environment.

Additional Information

Physical Demands: Ability to work extended periods at a computer, including repetitive motions with hands and wrists, and lift or move light objects up to 20 pounds. Strong auditory and visual capabilities are required for effective communication and detail perception.

Equal Opportunity and Accommodations: The company complies with the ADA and similar laws to provide reasonable accommodations for qualified individuals with disabilities unless it imposes undue hardship.

Compensation and Benefits

The hourly pay ranges between $19 and $20. Benefits package for full-time employees includes medical plans (dental, vision, group health), 401(k) plan, life and disability insurance, flexible spending accounts, commuter benefits, paid vacation and holidays, parental and caregiver leave, and more.

Employment Conditions

Location: Candidates must reside in specified U.S. states including California and others listed.

Work Authorization: Applicants must be authorized to work in the U.S.

Application Deadline: July 15, 2026.

Non-Discrimination Policy: Employment decisions are made without regard to legally protected characteristics. Background checks comply with fair chance laws, and the company participates in E-Verify.

Recruitment Technology

Automated tools may be used to identify candidates matching job requirements; however, hiring decisions involve human evaluation. Alternative processes can be requested if needed.

Privacy

The company adheres to applicable privacy laws regarding applicant information, detailed in its privacy notice.