Source Job

$170,000–$180,000/yr
US Unlimited PTO

  • Own day-to-day execution of ECM, CS, and CHW programs across all geographies.
  • Directly manage CHW Team Managers and Senior Manager of Community Supports.
  • Identify system-level issues impacting care delivery (staffing gaps, workflow gaps, quality issues).

Healthcare Operations Performance Management Medicaid Care Coordination

20 jobs similar to Senior Director, CalAim Programs

Jobs ranked by similarity.

$275,000–$275,000/yr
US Unlimited PTO

  • Establish operating cadence that aligns clinical operations around shared priorities.
  • Design and implement a company wide operating rhythm.
  • Partner closely with Regional General Managers to ensure markets operate with clear accountability.

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. Founded in 2021, it's backed by leading healthcare investors and is scaling rapidly across states and populations.

$110,000–$120,000/yr
US 3w PTO

  • Build and lead Zócalo Health’s prior authorization function.
  • Design and implement scalable processes for authorization intake, submission, tracking, and follow up.
  • Hire, develop, and manage a team responsible for authorization operations.

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.

US

  • Act as a program lead for the SVP, structuring ambiguous operational challenges, defining solutions, and driving high-impact initiatives from decision to execution.
  • Own the Clinical Ops leadership "front door," including intake and triage; run the operating rhythm and maintain core artifacts, including the OKR tracker and Initiative log.
  • Act as the critical link between Clinical Ops and partners (Quality/Safety, Product, Finance, HR) to unblock progress, resolve ownership/resourcing gaps, and coordinate complex rollouts.

Midi Health is a fast-scaling virtual care company focused on women’s health, transforming healthcare delivery through a modern, tech-forward platform and a distributed clinical team. The company seems to have a modern, tech-forward culture driven by innovation.

$70,000–$80,000/yr
US Unlimited PTO

  • Help scale and execute a community-oriented primary care model.
  • Lead the team responsible for eligibility list outreach, inbound patient call support, and scheduling operations.
  • Oversee daily operations, performance metrics, quality assurance, and workflow optimization.

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.

US Unlimited PTO

  • Own the Care Operations product roadmap end-to-end, including problem identification, prioritization, and delivery
  • Own product direction for outreach, intake, authorization, scheduling, and care team tooling
  • Define and drive your own roadmap, grounded in real care team needs and aligned with company priorities, rather than executing against a pre-defined backlog

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.

$140,000–$150,000/yr
US

  • Lead and manage the day-to-day operations of the multidisciplinary Care Team.
  • Ensure clinical care is delivered according to established protocols and evidence-based standards.
  • Track clinical outcomes and key performance indicators to improve patient engagement and health outcomes.

Salvo offers a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. They bring multidisciplinary virtual care to patients at community specialty care practices. Salvo has raised a Series A investment round from leading healthcare investors. Salvo fosters a culture of constant innovation, marked by relentless curiosity and a sense of empathy.

US

  • Provide direct supervision, coaching, and performance oversight to clinical managers.
  • Serve as a primary operational liaison between clinical teams and health plan care management teams.
  • Oversee onboarding and training for care teams and clinical managers.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers. They cultivate a dynamic and inclusive team environment.

$160,000–$165,000/yr
US Unlimited PTO

  • Own and maintain a centralized payer rulebook across all health plans.
  • Interpret payer requirements and translate them into clear operational workflows.
  • Own performance outcomes at the health plan level (KPIs, compliance, documentation).

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.

US 4w PTO 12w maternity

  • Establish and monitor performance metrics to measure the reliability and latency of payer data feeds.
  • Serve as the primary point of escalation for high-priority payer data issues, coordinating with various teams.
  • Oversee the documentation and submission processes for clinical data extracts to ensure audit readiness.

Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. As the largest network of independent primary care in the country, they focus on creating value-based contracts, strengthening care continuity, and aligning incentives to ensure physicians are paid for keeping patients healthy.

US 3w PTO

  • Provide clinical oversight and guidance to CHWs and BHCMs, including escalation support for complex and high-risk patients
  • Lead clinical case reviews, identifying gaps in care and ensuring care plans are clinically appropriate and aligned with health plan requirements
  • Support care coordination across medical, behavioral health, and social needs, including collaboration with external providers and hospitals

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.

$70,000–$80,000/yr
US Unlimited PTO

  • Oversee receipt, tracking, and processing of all incoming referrals.
  • Manage and coach Referral Specialists and ensure referrals are entered into tracking systems accurately and timely.
  • Collaborate with Community Partnerships Managers to support referral partners and troubleshoot referral submission issues.

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, they are backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.

$250,000–$350,000/yr
US

  • Drive operational excellence, consistency, and enterprise value across a multi-state behavioral health organization.
  • Lead the design and execution of strategies that optimize the operating model.
  • Oversee clinical operations, service delivery, staffing performance, and infrastructure across multiple levels of care.

Accanto Health provides exceptional, individualized care that leads to lasting recovery for eating disorders. They are a multi-state behavioral health organization composed of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care.

4w PTO

  • Oversee day-to-day operations for the CCPM and TOC care management teams.
  • Ensure delivery of high-quality longitudinal chronic/complex care management and best-in-class transitions of care.
  • Continuously evaluate and improve the performance of CCPM and TOC programs and team members.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and quality of life for patients living with kidney disease. This is achieved by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

$128,130–$198,610/yr
US

  • Oversee & manage program KPIs for the frontline clinical staff working across the Virtual Primary Care (VPC) and Virtual Care Support (VCS) teams
  • Create and implement data-driven staffing and resource plans, partnering with relevant teams (Forecasting, Clinical Leadership, Recruitment, Licensing)
  • Drive a POV on the technical enablement and tooling optimization opportunities to drive operational efficiencies for scale and clinical outcomes

Included Health delivers integrated virtual care and navigation to raise the standard of healthcare for everyone. The company breaks down barriers to provide high-quality care for every person in every community, offering care guidance, advocacy, and access to personalized virtual and in-person care.

US

  • Develop and implement comprehensive plans to drive patient throughput, efficient discharge planning, and readmission prevention.
  • Provide clinical direction for patient flow and ensure consistent application of systemwide standards and best practices for care coordination.
  • Leverage deep understanding of local regulations and resources, building relationships with state agencies and community partners.

CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees and contributes more than $4.2 billion annually in charity care.

US 4w PTO

  • Act as the data and program lead for Population Health Performance Improvement, informing the design and improving initiatives that advance health equity, quality, and cost outcomes.
  • Build and maintain complex datasets and population health analytics using Tableau and SQL.
  • Lead cross-functional projects that embed population health measures into operations and measure success.

Aledade empowers independent primary care to deliver better care to their patients and thrive in value-based care. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.

US

  • Oversee customer implementations, ensuring delivery aligns with forecasts and meets commitments.
  • Lead and scale a team of delivery professionals, mentoring the next generation of leadership.
  • Build strong relationships with stakeholders and operate as the senior-level escalation point.

LeanTaaS creates software solutions, combining lean principles, predictive and prescriptive analytics, and machine learning to transform hospital and infusion center operations. The company has raised more than $300 million and has been named among the top 100 AI companies in the world.

US 4w PTO 12w maternity

  • Manage payment program implementation for client retention.
  • Design and implement new programs to maximize retention rates.
  • Manage metrics related to client retention and performance.

Aledade empowers independent primary care practices to deliver better care in value-based care contracts. They are the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.

Unlimited PTO

  • Senior leadership for enterprise clinical programs.
  • Accountability for clinical quality performance.
  • Translating clinical priorities into scalable operating models.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

US

  • Lead complex, cross-functional enterprise programs.
  • Own end-to-end delivery of high-visibility client implementations.
  • Partner with executive leadership to operationalize enterprise priorities.

Solera Health is on a mission to change lives by guiding people seamlessly to better health solutions. They empower payers and employers with tools to manage providers and outcomes across chronic conditions, with an innovative platform curating a marketplace of solutions.