Senior Director, CalAim Programs

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.

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.

This position reports to the Chief Operating Officer.

• Execution & Operational Performance - Own day-to-day execution of ECM, CS, and CHW programs across all geographies
• Maintain consistency in visits, engagement, and care delivery activities
• 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