Senior Director, CalAim Programs

Remote (Full Time)

Compensation: $170,000-$180,000

About Us

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description

The Senior Director of CalAIM Programs will join Zócalo Health during a period of rapid growth and increasing operational complexity. This role exists to ensure consistent execution of ECM, Community Supports (CS), and CHW programs across geographies and health plans.As part of a fast-growing team, you will be responsible for leading the execution layer of care delivery, ensuring workflows are created, updated, and followed, teams are accountable, and operational issues are surfaced and resolved quickly.

This position reports to the Chief Operating Officer.

The Senior Director, CalAim Programs will contribute in the following ways:

• Execution & Operational Performance

  • Own day-to-day execution of ECM, CS, and CHW programs across all geographies
  • Ensure visits, engagement, and care delivery activities are completed consistently
  • Monitor operational KPIs (visit completion, time to first visit, engagement rates)
  • Identify and resolve breakdowns in execution across teams

• Team Leadership & Accountability
• Directly manage CHW Team Managers and Senior Manager of Community Supports
• Set clear expectations for performance, productivity, and team management
• Hold managers accountable for outcomes, coaching, and corrective action
• Ensure consistent management practices across geographies

• Workflow Adherence & Operational Consistency
• Ensure workflows defined by Payor Operations are executed consistently across all teams
• Identify where workflows are not being followed and drive correction
• Provide structured feedback to Payor Operations on workflow gaps or execution challenges
• Partner on refinement of workflows without owning design

• Cross-Functional Prioritization
• Make tradeoff decisions across execution, capacity constraints, and workflow requirements
• Escalate issues to Payor Operations, CHW Workforce, or Clinical Operations based on root cause
• Coordinate with other functions to ensure alignment without overlapping ownership

• Issue Resolution & Escalation
• Identify system-level issues impacting care delivery (staffing gaps, workflow gaps, quality issues)
• Assign clear ownership based on root cause and track resolution
• Escalate unresolved issues to COO or cross-functional leadership when needed

Qualifications

• Direct experience operating CalAIM programs (ECM and/or Community Supports) in California
• 10–12+ years of experience in healthcare operations with a focus on care delivery or population health
• 5+ years managing managers or multi-layered teams in a distributed or field-based environment
• Demonstrated ownership of end-to-end program execution, including performance management and operational outcomes
• Experience driving consistent execution across multiple geographies or regions
• Strong familiarity with Medicaid populations, documentation requirements, and care coordination workflows
• Proven ability to manage high variability environments (multiple plans, changing requirements, operational complexity)
• Track record of making real-time operational decisions under competing constraints

Preferred Qualifications

• Experience operating within a multi-plan environment with differing requirements
• Experience in value-based care or risk-bearing models
• Experience scaling operations in a high-growth or early-stage organization

What you can expect from Zócalo Health

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.