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Careers at CAP

Working together to protect physicians
Working at CAP

Our dedicated employees are the essential element to CAP’s success.  For more than 40 years, this team of well-trained professionals with a commitment to excellence has helped deliver to our member physicians an unparalleled quality of products and services. Our corporate culture and collegial collaboration of minds and efforts is unmatched.

Our comprehensive benefits package includes medical, dental vision, life, AD&D, LTD, 401(k) with employer match, PTO and separate sick time, and paid holidays.  Join CAP’s workforce and make your contributions to our team.

Current Job Listings

To apply, please submit your resume with cover letter to HR@CAPphysicians.com

Senior Risk Management & Patient Safety Specialist
Senior Risk Management & Patient Safety Specialist

CAP’s Risk Management & Patient Safety department seeks a Sr. RMPS Specialist to schedule and conduct comprehensive physician medical office practice risk assessments to help maximize patient safety and to minimize malpractice risk to organization. Develops professional articles, tools, and programs to promote patient safety and reduce risk. Presents risk management educational programs which reduce malpractice risk to physicians, their staff, as directed by management.  Analyzes closed claims data for trends and develop risk reduction strategies. Provides risk management advice to Hotline calls from physicians and their staff as assigned. Assists the CAP Cares team with adverse event management and early intervention.  Assists the Risk Assessment Peer Review team in preparation and in conducting physician peer review meetings.

Essential Duties and Responsibilities:

  • Organize, plan, and execute on-site or virtual practice assessments at physician offices as required by current department goals.
  • Act as resource to physicians and their staff regarding risk management and other current issues regarding physician/medical practice liability.
  • Communicate effectively with physicians and other healthcare professionals on risk management issues and membership information. Manage complex and sensitive issues as they relate to risk reduction strategies for physician practices.
  • Assist in the review of closed claims data, as assigned, utilizing current department specifications.  Develop risk management strategies utilizing current risk management strategies, under the direction of the VP Risk Management.
  • Develop and implement educational programs, tools and guidelines focusing on patient safety and risk management.
  • Present risk management strategies at either physician CME programs or other healthcare-related group programs/presentations.
  • Conduct medical records audits as appropriate.
  • Train and mentor new Risk Management Specialists on field activities as assigned.
  • Adhere to current departmental guidelines and standards for scheduling of visits, timely data entry; participate in departmental meetings, attend Claims Review Committee meetings and monthly company meetings.
  • Perform research and develop educational materials and articles on risk management topics.
  • Employee education and awareness is an important element in the company’s cybersecurity program. Accordingly, as Risk Management and Patient Safety Specialist, you are responsible for being cautious and vigilant when opening emails, attachments, links, etc. on CAP’s computer equipment or when accessing the company system remotely. It is also the Risk Management and Patient Safety Specialist’s responsibility to complete cybersecurity training modules that are periodically distributed by CAP’s IT department.
  • Take Hotline calls as assigned.
  • In collaboration with the CAP Cares team, evaluate risk issues associated with adverse events/adverse outcomes, guide physicians on how to manage incidents, and make referrals to CAP Cares team for the early intervention program called PAS
  • In collaboration with Risk Assessment Peer Review (RAPR) team, prepare for and conduct physician peer review meetings
  • Perform other duties and projects as assigned.

Education and/or Experience:

  • Bachelor’s degree in a healthcare related field; RN, RN/JD or physician office management preferred
  • Five years’ experience in healthcare risk management, physician office management; clinical nursing or relevant physician office practice/clinic environment
  • Experience in public speaking, providing presentations to medical personnel or teaching classes
  • Experience in identifying the learning needs of healthcare professionals or physician office practices and providing education and training to help meet those needs
  • Experience and participation in quality improvement activities or committees (QI/QA)
  • Knowledge in root cause analysis (RCA), adverse event management, and handling grievances and complaints

Other Skills and Abilities:

  • Excellent verbal and written communication skills
  • Excellent customer service skills
  • Ability to work independently and collaboratively
  • Knowledge of and skill in discussing California law as it relates to healthcare risk management issues
  • Strong organizational skills, telephone communication skills and ability to work independently (desired)
  • Ability to travel extensively in designated area and to various locations with overnight stays
  • Maintain a valid California driver license to successfully travel to physician offices or other venues

Preferred Knowledge of The Following:

  • Medicine and law, including MICRA and arbitration statutes; medical risk management techniques; professional liability coverage; hospital and medical office policies and procedures; social behavioral and educational research techniques and evaluation; medical, legal, insurance and financial databases.

To apply, please submit your resume with cover letter to HR@CAPphysicians.com

Membership Services Coordinator (Triage) I
Membership Services Coordinator (Triage) I

The Membership Services department seeks a Membership Services Coordinator to perform customer service telephonically, administrative and technical duties in support of the Membership and processes various applications.

Essential Duties and Responsibilities: 

Provide service to MPT members and groups to include: 

  • Take initial calls from Members and answer questions within level of knowledge and authority
  • Provide general customer service support telephonically for members in response to calls directed from our Automatic Call Distribution (ACD) system and generate correspondence per assigned Members
  • Respond to billing, assessment rate, and other financial inquiries and projections
  • Handle basic risk management and patient safety hotline calls per guidelines outlined in Risk Management Hotline Call Center Staff Policy and Procedure Manual; follow prepared scripts to respond to requests for basic information, documents, and questions; enter information into Risk Management system as appropriate.
  • Take first reports for claims per procedure reviewed in the Claims Hotline and Technical Manual; input information into our CAP system, and forward information to the appropriate Claims Manager for follow-up.
  • Coordinate completion of the sending, receipt and processing of the annual Member Information Updates to all active members.
  • Handle overflow sales calls when Membership Development staff is not available.
  • Provide technical support for Members Only, CAP Privileges Online and other www.CAPphysicians.com online systems.
  • Exercise judgment for the appropriate transfer of phone calls above a predetermined level of authority.
  • Process special applications for coverage and status change requests.
  • Follow through with processing of status changes including termination, retirement, disability, part-time, early cessation, non-private practice, coverage limits change, death, etc.
  • Process Employee Applications and ORP Applications for approval by Membership Services Reps.
  • Process and approve Locum Tenens requests within authority level.
  • Input special conditions or waivers.
  • Audit and update member records in accordance with policies and procedures.
  • Update the group and member CAPRICA records as necessary.
  • Process Member Survey results as required.
  • Access and scan documents into OnBase document imaging system.

Miscellaneous

  • Provide support to VP of Membership Services for projects as needed.
  • Employee education and awareness is an important element in the company’s cybersecurity program. Accordingly, as Membership Services Coordinator, you are responsible for being cautious and vigilant when opening emails, attachments, links, etc. on CAP’s computer equipment or when accessing the company system remotely. It is also the Membership Services Coordinator’s responsibility to complete cybersecurity training modules that are periodically distributed by CAP’s IT department.
  • Perform other responsibilities as assigned.​

Education and/or Experience:

  • High School diploma or GED
  • Related college coursework preferred
  • 2 years customer service experience in the insurance industry or healthcare field​

Other Skills and Abilities:

  • Excellent communication and organizational skills (oral and written)
  • Excellent telephone skills
  • Ability to handle multiple tasks simultaneously
  • Proficient in Microsoft Word, Excel, and Outlook.
  • Ability to work both independently and as a team

To apply, submit cover letter and resume to HR@CAPPhysicians.com​