Clinical Assistant

Fuze Health

Clinical Assistant delivering operational and client-facing support in hospice pharmacy benefit management. Working at the intersection of clinical support, pharmacy operations, and technology.

Posted 6/30/2026full-timeRemote • Alabama, California, Idaho, Massachusetts, South Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $19 - $20 per hourWebsite

About the role

Key responsibilities & impact

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
Maintain accurate medication profiles, eligibility information, and supporting documentation
Assist with medication claims research, prior authorization requirements, and claims resolution
Provide responsive, high-quality support to hospice staff regarding pharmacy benefit services
Train and support hospice staff utilizing multiple e-prescribing platforms
Manage multiple work queues, requests, and support activities while maintaining service-level expectations
Ensure medication records, user profiles, and system data remain accurate, complete, and up to date
Act as a liaison between hospice staff, clinical pharmacists, operations teams, and technical support personnel

Requirements

What you’ll need

Current Certified Pharmacy Technician (CPhT) certification or active Registered Pharmacy Technician license
Familiarity with medication claims processing, pharmacy benefit management, and prior authorization workflows
Experience researching medication discrepancies, eligibility issues, and claims-related inquiries
Demonstrated ability to provide professional, responsive support to healthcare clients and stakeholders
Ability to learn and navigate multiple software applications, pharmacy systems, and e-prescribing platforms
Strong verbal and written communication skills
Proven ability to manage multiple priorities, maintain detailed documentation, and work efficiently in a fast-paced environment

Benefits

Comp & perks

dental, vision, and multiple group medical plans to choose from
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
additional supplemental insurance plans
flexible vacation time
accrued paid sick time
10 paid holidays
2 floating holidays for full time non-exempt employees
eight weeks of paid parental leave for eligible employees
additional paid weeks for the birthing parent
4 weeks paid caregiver leave
a Lifestyle Spending Account allowance each month

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medication Claims ResearchEligibility VerificationClaims ResolutionMedication Profile MaintenanceDocumentation Management

Soft Skills

Strong Verbal CommunicationStrong Written CommunicationProfessional SupportDetail OrientationTime Management

Certifications

Certified Pharmacy Technician (CPhT)Registered Pharmacy Technician License