Zócalo Health

Operations

• Own and maintain a centralized payer rulebook across all health plans
• Interpret payer requirements and translate them into clear operational workflows
• Standardize workflows where possible while maintaining plan-specific requirements
• Continuously update workflows as requirements evolve
• Own performance outcomes at the health plan level (KPIs, compliance, documentation)
• Monitor performance across geographies and identify gaps
• Ensure consistency in workflow execution across teams
• Hold internal teams accountable for plan-level performance issues
• Diagnose root cause of issues (execution vs workflow vs capacity vs quality)
• Assign ownership and track resolution
• Lead corrective actions for underperforming plans
• Escalate systemic issues across plans
• Manage L4 Plan Owners responsible for plan-level oversight
• Define expectations for monitoring, escalation, and issue tracking
• Oversee Payor Ops Trainer responsible for content development and rollout support
• Ensure team operates with clarity and consistent ownership boundaries
• Ensure payer requirements are translated into training-ready materials
• Support rollout of workflow changes in partnership with CHW Workforce
• Ensure plan-specific nuances are accurately captured
• Validate that training content reflects current payer requirements

Director, Payor Operations

Director

• 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

Senior Director, CalAim Programs

• Define and maintain CHW capacity model (panel sizes, time per visit, workload assumptions)
• Align capacity model to plan requirements and operational demand
• Forecast staffing needs based on growth, plan mix, and utilization
• Continuously refine assumptions based on real-world performance
• Assign CHWs to geographies based on demand and coverage needs
• Ensure CHWs remain locally aligned to support in-person care requirements
• Manage distribution of CHWs across plan demand within geographies
• Rebalance workloads within geographies to address capacity issues
• Define hiring targets by geography and demand
• Partner with Talent Acquisition to meet hiring timelines
• Identify and escalate staffing gaps proactively
• Ensure workforce scales appropriately with growth
• Own onboarding and ongoing training for CHWs in partnership with L&D
• Translate workflow requirements from Payor Operations into training programs
• Ensure CHWs are able to execute workflows consistently across geographies
• Reinforce role expectations and performance standards
• Partner with L&D (LMS) to create and track training
• Ensure completion of required training programs across the CHW workforce
• Monitor training effectiveness and identify capability gaps
• Continuously improve training programs based on execution feedback
• Enforce capacity rules (geography alignment, workload thresholds)
• Identify capacity risks and proactively address them
• Escalate when capacity constraints impact execution
• Ensure capacity decisions are deliberate and not reactive

Director, Community Health Worker Workforce

Full-stack Engineer

• Design and build scalable platform services, web and mobile applications, and AI-powered workflows, contributing to decisions around event-driven patterns, service boundaries, performance, and long-term maintainability.
• Leverage AI-accelerated developer tooling, including code generation, automated testing, and pipeline automation to improve delivery speed and code quality.
• Participate in greenfield architectural decisions, including technology selection, service design, and infrastructure strategy, helping establish the foundation the team will build on.
• Apply strong security practices across application, network, and infrastructure layers, including secure coding, OWASP considerations, and integration of DAST, SCA, and SAST tooling.
• Partner with product to refine MVP scope, instrument features where appropriate, and measure usage and return on investment.
• Contribute to and improve SDLC processes, including testing practices, pull request quality, CI/CD pipelines, performance benchmarks, and developer experience.
• Participate in the recruiting process for engineers, including helping evaluate candidates for technical depth and modern engineering practices.
• Foster a culture of knowledge sharing, collaboration, and continuous improvement.

Senior Software Engineer

Controller

• Own and lead the full accounting function, including AR/AP, general ledger, close, and financial reporting
• Lead the month-end and year-end close processes, delivering accurate, timely, and board-ready financials
• Prepare the company for and lead the first annual audit, including auditor coordination, documentation, and process readiness
• Design, implement, and enforce internal controls, accounting policies, and procedures to ensure GAAP compliance and audit readiness
• Partner cross-functionally with Finance and RCM on budgeting, forecasting, revenue recognition, and cash management
• Select, implement, and optimize accounting systems and tools to support scale
• Build scalable, automated processes to support a high-growth, fast-paced operating environment
• Own technical accounting matters, including revenue recognition and complex transactions as the business evolves

Product Designer

• Establish UX guidelines, interaction patterns, and a lightweight design system that engineering teams (in-house and contract) can build against
• Own end-to-end design for care team workflows including outreach, intake, scheduling, and care coordination + member-facing touchpoints
• Design reporting and data visualization surfaces that give care teams and operational leaders visibility into performance and workflows
• Translate complex, real-world operational processes into simple, usable product experiences
• Partner closely with Product Managers, Engineering, and Operations to ensure designs are feasible, adopted, and meaningfully improve how teams work
• Create exploratory designs and prototypes to pressure-test ideas and support future-state product vision
• Improve usability and consistency across existing MVPs through targeted, high-impact design improvements

Senior Product Designer

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.

Seasonal Community Engagement Specialist

Product Manager

• Own the Data, Reporting, and Platform product roadmap end-to-end, including problem definition, prioritization, and delivery
• Own reporting infrastructure and automation, including payer-required reporting, plan-specific contract deliverables, and internal business visibility
• Define data and reporting requirements that inform ingestion and schema decisions, partnering with Engineering on technical direction as foundational work matures
• Partner closely with Engineering to clarify platform boundaries, data contracts, and ownership across systems
• Partner with Engineering to ensure schema evolution reflects operational reality and reporting needs as patterns stabilize
• Define product requirements for data lake capabilities that support analytics, reporting, and future AI-enabled use cases
• Make explicit tradeoffs between speed, flexibility, and long-term platform durability
• Reduce ambiguity around data decisions by creating clarity, documentation, and decision frameworks
• Ensure platform and data investments remain grounded in real care operations and business needs

Senior Product Manager, Data, Reporting, Platform Foundations

• Drive the architectural vision for our platform, including the evolution of event-driven patterns, service boundaries, performance expectations, and long-term scalability.
• Lead AI strategy within engineering, including the adoption of AI-accelerated developer tooling, code generation, automated testing, and pipeline automation to improve delivery speed and quality.
• Own greenfield architectural decisions, including technology selection, service design, and infrastructure strategy, establishing the foundation the team will build on for years.
• Provide leadership across application, network, and infrastructure security, including secure coding practices, OWASP considerations, and integration of DAST, SCA, and SAST tooling.
• Work with product to refine MVP scope, introduce instrumentation where appropriate, and measure feature usage and return on investment.
• Drive team SDLC processes, including feature management, testing practices, pull request quality, CI/CD pipelines, security posture, performance benchmarks, usability, and developer experience tooling enhanced with AI.
• Lead and support the recruiting process for engineers, including helping build an evaluation process that incorporates AI readiness and modern engineering practices.
• Foster a culture of knowledge sharing, collaboration, and continuous improvement.

Principal Software Engineer

Chief Operating Officer

• Establish the operating cadence that aligns clinical operations, CalAIM program leadership, regional leadership, and patient engagement teams around shared priorities, performance metrics, and execution timelines.
• Design and implement a company wide operating rhythm including performance reviews, operational planning processes, and cross functional coordination mechanisms that ensure leaders remain aligned around execution priorities.
• Partner closely with Regional General Managers to ensure markets operate with clear accountability, strong local leadership, and consistent support from centralized teams.
• Evaluate how work currently flows across clinical teams, community health workers, CalAIM programs, and operational functions. Address the most significant sources of friction affecting care delivery and member engagement.
• Strengthen the operating model that supports community health worker teams across markets, ensuring they have clear workflows, effective supervision, and strong integration with clinical care teams.
• Partner with Product, Data, and Payor Operations leaders to ensure operational workflows align with payer requirements and support consistent program execution across markets.
• Build operational visibility across markets by improving reporting and performance tracking so leadership can clearly understand operational performance and emerging risks.
• Prepare the organization for continued geographic expansion by ensuring operational systems can support additional markets, larger patient panels, and increasingly complex payer relationships.

Manager

• Build and lead Zócalo Health’s prior authorization function, establishing operational workflows that support Enhanced Care Management (ECM), Community Supports (CS), Community Health Worker (CHW), Behavioral Health (BH), and Primary Care (PCP) services.
• Design and implement scalable processes for authorization intake, submission, tracking, follow up, and reauthorization management to ensure services are approved and delivered within required payer timelines.
• Hire, develop, and manage a team responsible for authorization operations, including conducting regular 1:1 meetings, coaching for performance and development, and setting clear expectations for quality, timeliness, and accountability.
• Establish operational standards and documentation requirements that ensure compliance with Medi-Cal and managed care plan guidelines, including authorization documentation, submission timelines, and record accuracy.
• Monitor and manage authorization workflows and work queues to ensure requests, reauthorizations, and referrals are processed accurately and efficiently.
• Develop dashboards and reporting tools that track authorization turnaround times, approval rates, reauthorization timelines, and operational performance metrics.
• Analyze trends in authorization outcomes and operational data to identify barriers, improve workflows, and reduce delays that impact patient care or reimbursement.
• Partner closely with Clinical Operations, ECM, Community Supports, Product, and Revenue Cycle teams to ensure authorization processes align with care delivery, documentation requirements, and billing workflows.
• Maintain working knowledge of payer authorization policies and program requirements to ensure workflows remain compliant as health plan guidance evolves.
• Coordinate with health plans and payer representatives to address authorization issues, clarify requirements, and resolve escalations when approvals or timelines are at risk.
• Lead ongoing process improvement initiatives that strengthen operational efficiency, reduce administrative burden, and support high quality service delivery.
• Conduct internal audits and quality checks to ensure authorization accuracy, compliance with program requirements, and adherence to organizational standards.

Authorizations Manager

System Administrator

• Own athenahealth as a core operating system and system of record
• Define scalable configuration patterns, workflows, templates, and access models
• Ensure the EHR remains stable, compliant, and audit-ready as the organization grows
• Lead root cause analysis and structural remediation when system issues occur
• Serve as the final authority on configuration changes affecting clinical workflows, billing, reporting, and integrations
• Establish and enforce governance processes for configuration, access, and releases
• Approve, reject, or redesign proposed system changes to protect long-term system integrity
• Ensure system changes are documented, traceable, and compliant
• Ensure athenahealth safely supports new programs, markets, and care models
• Partner with Product and Engineering to align EHR usage with broader platform architecture
• Maintain reliable data flows between athenahealth and downstream analytics and operational systems
• Identify structural improvements that increase system reliability and efficiency
• Serve as the primary EHR authority for Clinical Operations, Billing, Compliance, Product, and Data teams
• Advise leaders on system capabilities, risks, and constraints
• Ensure workflows support accurate documentation, billing, and reporting
• Partner with Compliance to maintain audit readiness and regulatory alignment
• Establish standards for documentation, workflows, and configuration management
• Maintain clear internal documentation supporting operational consistency
• Mentor and guide junior EHR administrators and associates
• Ensure operational execution aligns with governance and architectural standards.

Senior EHR Systems Administrator

Security Engineer

• Manage and maintain the company's technology infrastructure, including cloud services, networking, and internal application stack.
• Develop and execute the long-term IT roadmap to support Zócalo Health’s rapid growth and scalability.
• Oversee the IT operational budget, ensuring cost-effective technology investments and asset management.
• Lead the IT Helpdesk function, establishing service level agreements (SLAs) for excellent and timely end-user support and issue resolution.
• Manage the procurement, deployment, inventory, and lifecycle management of all company hardware, software, and SaaS assets.
• Ensure effective training and support for employees on all internal systems and productivity tools.
• Establish and regularly test a robust business continuity and disaster recovery plan for critical IT systems.
• Own and lead the HITRUST certification program, including control implementation, documentation, and audit readiness
• Establish and enforce security policies, standards, and procedures
• Own system access provisioning and de-provisioning across all platforms
• Oversee MDM, endpoint security, and identity management
• Lead vendor security reviews and ongoing risk assessments
• Coordinate incident response and remediation efforts
• Partner with Engineering, Product, Compliance, and Operations on security and IT initiatives
• Manage outsourced IT and security vendors as appropriate
• Build scalable IT and security governance that supports growth beyond 250 employees

Director of IT – Security

People Operations

• Own day-to-day HR operations, including benefits, payroll, leaves of absence, and employee records
• Manage and develop a small team
• Lead HR investigations and ensure proper documentation and process consistency
• Own the employee handbook and ensure timely updates aligned with legal and operational changes
• Oversee PTO administration and policy enforcement
• Ensure compliance with federal, state, and local employment regulations
• Maintain audit-ready HR documentation and workflows
• Partner with Legal, Finance, and People leadership on employment-related risk mitigation
• Build scalable HR processes that support growth beyond 250 employees

Director, People Operations

Recruitment

• Maintain and organize Greenhouse (ATS) to ensure all candidate records, stages, and notes are accurate and current
• Review incoming resumes and route candidates to the appropriate roles and hiring teams
• Track and follow up on interview scorecards to ensure timely completion
• Monitor candidate pipelines and flag gaps or delays in the hiring process
• Support interview scheduling and coordination as needed
• Assist with basic reporting on recruiting activity and progress
• Communicate with internal team members to keep hiring processes running smoothly
• Provide general administrative support to the People team