Remote Operations management Jobs · Medicaid

• 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.

• 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).

Zócalo Health is a tech-enabled primary care organization that focuses on serving underserved populations by partnering with health plans, providers, and community organizations to deliver culturally competent care. Founded in 2021, they combine local teams with virtual care and technology to deliver whole-person care and are rapidly scaling across states and populations.

• 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.