Clinical Operations Associate
Zócalo Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $80,000 - $90,000 per year
About the role
- 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
Requirements
- 2 – 5+ years in healthcare operations, care management ops, or clinical admin roles
- Hands-on experience with authorizations, reauthorizations, and referrals in Medicaid/Medi-Cal, and value-based care or managed care environments
- Familiarity with: Medi-Cal ECM & Community Supports, including Health plan requirements, timelines, and documentation standards
- Proficiency in maintaining logs, dashboards, trackers, and other data metrics, including EHR systems.
- An understanding of working with data for: Performance metrics, Operational reporting, and process improvement
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
authorizationsreauthorizationsreferralsdata metricsperformance metricsoperational reportingprocess improvementEHR systemsquality assuranceworkflow alignment
Soft Skills
collaborationtroubleshootingstreamlining workflowscompliancecommunication