
1001 - 5000 employees
âď¸ SaaS
đ¤ B2B
đ Pharmaceuticals
SaaS ⢠B2B ⢠Pharmaceuticals
Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.
đĽ 4 minutes ago
đ Alabama, California, +3 more states â Remote
đľ $19 - $20 / hour
â° Full Time
đĄ Mid-level
đ Senior
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1001 - 5000 employees
âď¸ SaaS
đ¤ B2B
đ Pharmaceuticals
SaaS ⢠B2B ⢠Pharmaceuticals
Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.
⢠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
⢠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
⢠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
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