Capital District Physicians' Health Plan

Job Description: Summary: This position drafts and reviews provider contract documents, provides assistance and responds to internal and external inquiries of pertinent regulatory and provider contracting issues.   Essential Accountabilities: Works with Corporate Counsel and others in Legal Department to develop draft template provider contracts for all provider types that keep current with ...read more

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member’s case assignment. Uses a systematic approach to identify members ...read more