Senior Director, CalAIM Programs
Z
Zócalo HealthHealthcare
Remote (Full Time)Full-TimeDirector
Salary170000 - 180000 USD per year
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Job Details
- Experience
- 10–12+ years of experience in healthcare operations; 5+ years managing managers
Requirements
- 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
- Experience operating within a multi-plan environment with differing requirements (Preferred)
- Experience in value-based care or risk-bearing models (Preferred)
- Experience scaling operations in a high-growth or early-stage organization (Preferred)
Responsibilities
- 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
- 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
- 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
- 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
- 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
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