Zócalo Health

Network Engineer

• Own end-to-end provider credentialing and enrollment across Medicaid, Medicare, Medicare Advantage, and D-SNP payers, including maintenance of CAQH and payer systems, tracking of statuses, renewals, and effective dates to ensure uninterrupted network participation.
• Act as the primary internal coordinator for credentialing across providers, payers, and cross-functional teams, resolving issues and driving timely completion.
• Lead credentialing readiness for new payer launches, expansions, and ongoing payer requirements, ensuring standards and timelines are met to accelerate time-to-revenue and maintain payer trust.
• Partner with Implementation and Operations to confirm credentialing completion prior to handoffs and go-lives.
• Ensure credentialing policies and documentation meet payer and regulatory requirements (e.g., CMS, NCQA, state Medicaid agencies, and payer-specific standards).
• Maintain audit-ready credentialing files and documentation to support payer reviews, compliance checks, and Medicare Advantage/D-SNP oversight.
• Monitor and track clinician licenses, board certifications, and required documentation (as applicable), including renewal workflows and proactive outreach.
• Manage credentialing / eligibility requirements for community-based roles relevant to Medicaid and CalAIM delivery (e.g., CHWs), including certification pathways and ongoing compliance tracking.
• Build and maintain systems that track workforce readiness requirements such as certification status, training completion, supervision needs, and continuing education requirements where applicable.
• Build and continuously improve credentialing infrastructure, including: SOPs and policies/procedures, standardized forms and credentialing packets, onboarding checklists and job aids, tracking systems and dashboards (credentialing status, payer readiness, expirables).
• Identify bottlenecks and implement process improvements to reduce credentialing cycle times and improve readiness accuracy.
• Operate as a trusted cross-functional partner to Payer Partnerships, Implementation, Operations, and Clinical leaders.
• Communicate clearly and proactively when credentialing risks threaten timelines, launches, or payer requirements.
• Create clarity and accountability around credentialing ownership, timelines, and required inputs.

Manager, Credentialing and Network Specialist

Software Engineer

• Establish a clear technical architecture for care delivery, data, and integrations
• Rebuild or stabilize core systems that are currently limiting scale
• Implement engineering operating cadence (planning, delivery, quality, incident response)
• Build, lead, and develop a small but growing engineering team, scaling it thoughtfully over the next 12 to 24 months while remaining hands-on in architecture, delivery, and critical problem-solving
• Improve development velocity and system reliability measurably
• Create a sustainable on-call and ownership model
• Own the technical execution, architecture, and major engineering decisions for Zócalo Health’s core platforms supporting care delivery, operations, data, and integrations
• Partner closely with Product to implement the product roadmap, translating prioritized problems and requirements into scalable, reliable systems
• Leverage advances in AI and automation as force multipliers across engineering workflows, internal tooling, and care operations
• Drive improvements in system reliability, observability, security, and scalability in a regulated healthcare environment
• Make pragmatic decisions around build vs buy, technical debt, and platform evolution to support rapid growth
• Establish engineering standards, development practices, and operating rhythms that balance speed with rigor.

VP, Engineering

Clinical Operations

• Submit, track, and manage all Community Supports, Enhanced Care Management and Community Health Worker authorizations/reauthorizations/referrals
• Update Athena with authorization information
• For Community Supports: add members to the outreach assignment tracker and ensure compliance with the 24-hour assignment standard
• Ensure workflow alignment with referral/authorization processes
• Conduct internal checks for compliance, quality assurance, and clinical alignment
• Troubleshoot operational barriers and streamline workflows across ECM and CS
• Support reporting, program performance metrics, and data-driven decision-making
• Collaborate cross-functionally with ECM, CS, and clinical operations leaders to optimize processes

Clinical Operations Associate

Data Analyst

• Own data reconciliation and reporting workflows needed to submit accurate RTF/OTF files to Medicaid health plans
• Gather, validate, and prepare data from multiple sources (EHR, eligibility files, outreach tracking sheets, care coordination documentation)
• Identify missing or inconsistent fields and partner with Operations to resolve issues
• Track submission schedules, confirmation receipts, and errors requiring follow-up
• Maintain documentation including version control, change logs, SOPs, and reporting calendars
• Monitor metrics such as outreach outcomes, data completeness, and submission acceptance rates
• Collaborate with Product/Data teams to translate today’s manual workflows into future automation
• Support one-off and recurring health plan data requests with accuracy and urgency

Healthcare Data Analyst

Account Manager

• Drive member enrollment through community engagement
• Plan and execute weekly outreach activities including community events, pop-ups, tabling, canvassing, and local meetings
• Educate community members about Zócalo’s services and help eligible individuals enroll
• Gather ongoing feedback from community members and partners to inform outreach strategies, messaging, and engagement approaches
• Serve as a visible, trusted presence in local neighborhoods and gathering places
• Build and manage a referral network
• Develop partnerships with clinics, hospitals, behavioral health providers, shelters, food banks, faith-based organizations, schools, and county agencies
• Create warm handoff and referral workflows that consistently generate enrollments
• Maintain strong, ongoing relationships with key partners in each county
• Own enrollment performance
• Carry monthly and quarterly enrollment targets for the region
• Track leads, referrals, conversions, and partner performance
• Adjust outreach and partnership strategy based on data and results
• Represent Zócalo locally
• Attend and represent Zócalo at community meetings, coalitions, and events
• Act as the primary point of contact for partners and local stakeholders
• Bring insights from the field back to operations, clinical, and leadership teams
• Operate with discipline and accountability
• Use internal tools to document outreach, referrals, and enrollments
• Participate in Regional Operating Committee meetings
• Provide regular reporting on pipeline, partnerships, and results

Community Partnerships and Engagement Manager

Community Manager

• Conduct in-person outreach attempts for members identified by health plan eligibility lists.
• Complete Athena documentation for outreach attempts.
• Schedule intake appointments and assist with the completion of required forms.
• Attend outreach events and professionally represent Zócalo Health to community members and partners.
• Build and maintain relationships with community coalitions, CPI collaboratives, and other stakeholders to keep them engaged.
• Convert leads to patients using internal documentation systems.
• Document all outreach attempts and outcomes in Athena and the appropriate trackers.
• Assist in sending patient mailers and making follow-up calls to leads generated from community events to enroll them in programming.
• Represent Zócalo Health at community coalition meetings and collaborative events.
• Ensure professional, consistent messaging and build trust with community stakeholders.

Manager, Credentialing and Network Specialist

VP, Engineering

Clinical Operations Associate

Healthcare Data Analyst

Community Partnerships and Engagement Manager

Community Engagement Specialist