Fuze Health – Payor Compliance Data Entry Specialist Job Opening 2026

About Fuze Health

Fuze Health is hiring a Payor Compliance Data Entry Specialist to join its Contracts & Reimbursement Team. This role supports pharmacy reimbursement processes, pharmacy benefit manager audits, claims-related billing tasks, and payor compliance activities.

Job Details

Company: Fuze Health
Job Title: Payor Compliance Data Entry Specialist
Job Type: Full-Time
Job Category: Data Entry / Healthcare Operations
Experience: 0+ years
Job Location: Remote – USA
Application Deadline: August 21, 2026
Commission Eligible: No

Location Eligibility

This position is limited to candidates residing in:

Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington and Wisconsin.

Job Summary

The Payor Compliance Data Entry Specialist will support Fuze Rx’s reimbursement operations and payor compliance program. The role involves reviewing claims, managing appeals, resolving pharmacy billing issues, and maintaining documentation for pharmacy benefit manager audits.

Key Responsibilities

• Evaluate claims dispensed below Fuze Rx’s cost as part of the negative margin review process.
• Submit and monitor maximum allowable cost appeals to pharmacy benefit managers.
• Manage pharmacy billing support activities and resolve related claims issues.
• Support payor compliance audits by compiling detailed documentation.
• Track audit progress and maintain accurate records.
• Manage multiple projects and reprioritize tasks as business needs change.

Required Qualifications

• Strong computer and organizational skills.
• Proficiency with Google Workspace.
• Experience using macOS.
• Familiarity with database tools such as Looker.
• Strong spreadsheet navigation and data management skills.
• Advanced keyboard proficiency and efficient use of keyboard shortcuts.
• Ability to manage multiple projects simultaneously.
• Ability to quickly adapt priorities when required.

Skills Required

Google Workspace | macOS | Looker | Spreadsheet Management | Data Management | Keyboard Proficiency

Work Authorization

Applicants must be authorized to work for any employer in the United States.

Fuze Health and its affiliated companies are currently unable to take over, transfer, or sponsor any type of visa.

Benefits

STA (Short-Term Assignment) employees are eligible for legally required benefits, including paid sick time, workers’ compensation insurance and unemployment insurance. Eligible employees also receive access to the company’s Minimum Essential Coverage (MEC) medical plan focused on preventive healthcare services.

Physical Requirements

The position requires extended computer use, including working with a monitor, keyboard and mouse. The role may also involve repetitive hand and wrist movements, bending, reaching, and moving light objects up to 20 pounds.

Reasonable accommodations are available for qualified individuals with disabilities in accordance with applicable laws.

How to Apply

Interested candidates should submit their application before the August 21, 2026 deadline through the official Fuze Health career application.

Application: https://alto.wd1.myworkdayjobs.com/FuzeHealthCareerSite/job/Payor-Compliance-Data-Entry-Specialist_R201062-1/

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Frequently Asked Questions

Q1. What is the position at Fuze Health?
The position is Payor Compliance Data Entry Specialist.

Q2. Is this a remote job?
Yes. The position is remote but restricted to candidates residing in the listed U.S. states.

Q3. Is prior experience required?
The listing shows 0+ years of experience. Candidates should have strong computer, spreadsheet and data management skills.

Q4. What tools and skills are required?
Key skills include Google Workspace, macOS, Looker, spreadsheet management, data management and keyboard proficiency.

Q5. What is the application deadline?
The application deadline is August 21, 2026.

Q6. Can international candidates apply?
No. Applicants must be authorized to work for any employer in the United States, and visa sponsorship or transfer is not available for this position.

Q7. Is the position commission eligible?
No. The job listing states that this position is not commission eligible.

Q8. Where can candidates apply?
Candidates can apply through the official Fuze Health application link provided above.