Director, Payor Operations
Benefits
Unlimited PTO
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Payer Rulebook & Workflow Definition:
- Own and maintain a centralized payer rulebook across all health plans
- Standardize workflows where possible while maintaining plan-specific requirements
- Continuously update workflows as requirements evolve
Plan-Level Performance Ownership:
- Own performance outcomes at the health plan level (KPIs, compliance, documentation)
- Monitor performance across geographies and identify gaps
- Hold internal teams accountable for plan-level performance issues
Team Leadership (Plan Owners & Trainer):
- Manage L4 Plan Owners responsible for plan-level oversight
- Define expectations for monitoring, escalation, and issue tracking
- Ensure team operates with clarity and consistent ownership boundaries
Zócalo Health
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care and are scaling rapidly across states and populations.