Senior Director, CalAim Programs

Zócalo Health

12h • $170,000 - $180,000 • Remote

About The Position

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.As part of a fast-growing team, you will be responsible for leading the execution layer of care delivery, ensuring workflows are created, updated, and followed, teams are accountable, and operational issues are surfaced and resolved quickly.
This position reports to the Chief Operating Officer.
The Senior Director, CalAim Programs will contribute in the following ways:

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

Nice To Haves

• 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

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

Benefits

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed