Clinical Operations Associate

Clinical Operations Associate

at Zócalo Health

Remote/Full Time

Compensation: $80k-$90k

 

About Us 

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. We are developing a new approach to care that is designed around our very own shared and lived experiences and brings care to our gente. Founded in 2021 on the idea that our communities deserve more than just safety nets, we are backed by leading healthcare and social impact investors in the country to bring our vision to life.

Our mission is to improve the lives of our communities—communities that have dealt with generations of poor experiences. These experiences include waiting hours in waiting rooms, spending mere minutes with doctors who don’t speak their language, and depending on their youngest kids to help them navigate our complex healthcare system. At Zócalo Health, we meet our members where they are, bringing care into their homes and neighborhoods through our team of community-based care providers and virtual care offerings.

We partner with community-based organizations, local healthcare providers, and health plans that recognize the value of culturally aligned care, which are not limited to brief interactions in an exam room. Together, we are building a new experience that revolves around the use of modern technology, culturally competent primary care, behavioral health, and social services to provide a radically better experience of care for every member, their family, and the communities we serve.

We are committed to expanding our reach to serve more members and their communities. We are looking for passionate individuals who share our belief that healthcare should be accessible, personalized, and rooted in the community. Join us in our mission to ensure that no one has to navigate the complexities of the healthcare system alone and that everyone receives the local, culturally competent care they deserve.

 

Role Description 

The Clinical Operations Associate will join Zócalo Health at a critical time in the history of our company and of primary care. The opportunity for impact is large and growing, and Zócalo Health will lead the transition from fee-for-service to value-based care for the growing Latino community in the U.S.

An integral member of the Zócalo Health founding team, you will be responsible for day-to-day clinical and operational workflows across Community Supports (CS), Enhanced Care Management (ECM) and Community Health Worker (CHW) programs, with end-to-end ownership of authorizations and referrals. This role ensures operational and clinical excellence, compliance, and alignment between administrative, clinical, and service delivery teams. Responsibilities include working cross-functionally with ECM, CS, and clinical operations leaders to optimize referral and authorization workflows. Supervisory responsibilities may include CS PSS – Outreach to ensure workflow alignment.

This position reports to the Director of Clinical Operations.

 

The Clinical Operations Associate  will contribute in the following ways:

• 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

 

Qualifications

• 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

 

Preferred Qualifications

• Medicaid / managed care exposure
• Bilingual (Spanish/English)
• Experience with referral management, care transitio