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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Health Insurance Notice of Action (NOA) Letter Writer is responsible for creating clear, accurate, and timely letters to health plan members regarding decisions about their healthcare services or benefits. This role ensures that all letters meet legal and regulatory standards, including AHCCCS (Arizona Health Care Cost Containment System) requirements, while remaining easy for members to understand.
Job Responsibility:
Write and edit NOA letters that explain decisions about healthcare services, coverage, or benefits
Use templates and guidelines to ensure letters are accurate and compliant with AHCCCS and other applicable regulations
Work with internal teams (such as clinical, legal, and customer service) to gather necessary information
Ensure letters are written in plain language and are culturally sensitive and easy to understand
Meet strict deadlines for letter completion and delivery
Maintain confidentiality and follow HIPAA (Health Insurance Portability and Accountability Act) and other privacy regulations
Assist with audits and quality checks of outgoing letters
Support the prior authorization department and Notice of Action Department by writing member letters and provider faxes
Call on providers and members to get the needed information to complete the notifications
Manage high volumes of member letters and/or provider faxes, averaging 3000–4000 per month
Write medical, pharmacy, dental, and behavior health letters and ensure they are mailed out within the 24-hour, 72-hour, and 14-day regulatory timeframes
Requirements:
1+ year of experience working with medical terminology
Understanding of basic spelling and grammar rules
Ability to work from Monday-Friday from 8:30am-5pm (Pacific Time or Arizona Time)
Ability to work a rotating Saturday shift, occurring every five weeks
Nice to have:
Strong written communication and grammar skills
Ability to understand and explain complex information in simple terms
Attention to detail and strong organizational skills
Comfortable working with templates, forms, and computer systems
Ability to work independently and manage time effectively
Experience in healthcare, insurance, or customer service
Familiarity with AHCCCS, MCA (Medicare Coverage Analysis), and Medicare
Bilingual or multilingual skills
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching