Medi-Cal Operations Manager

Medi-Cal Operations Manager

at Zócalo Health

California

Work From Home

Compensation: $110,00-$120,000  

Remote  Full-time  

#communityhealth #healthequity #latinohealth #healthcare

 

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

Zócalo Health is seeking a Medi-Cal Operations Manager to support the operational launch and oversight of new Medi-Cal contracts during the first year of implementation. This person will serve as the single point of contact between Zócalo Health and health plans, ensuring alignment with contractual requirements and the successful operationalization of program components.

This role will be critical in bridging health plan expectations with on-the-ground execution. The Medi-Cal Operations Manager must be a collaborative leader, working cross-functionally with team leads across CHW services, Outreach, Community Engagement, and Clinical Operations. They will be expected to lead with authority and build strong internal and external partnerships to drive contract performance.

The ideal candidate has deep expertise in Medi-Cal programs such as CalAIM and managed care plans, is highly organized, and thrives in fast-paced, evolving environments.

This role reports to the Director, Implementation.

 

About the Role

Contract Implementation & Oversight

• Serve as the primary operations lead for new Medi-Cal contracts during the initial implementation and ramp-up period.
• Translate health plan contract requirements into operational workflows and ensure internal alignment across departments.
• Support the execution of service delivery models inclusive of Enhanced Care Management (ECM), Community Supports (CS), and Community Health worker benefits among other Medi-Cal services.

Health Plan Liaison

• Act as the single point of contact for Medi-Cal health plan partners, attending check-ins, responding to deliverables, and ensuring timely communication.
• Collaborate with Growth team on contract timeline and execution to ensure a smooth transition from contracting to implementation
• Track and report on contract-specific metrics, including member engagement, utilization, and quality performance.
• Escalate risks or issues proactively and coordinate internal solutions.

Operational Alignment

• Collaborate with CHW, Outreach, Community Engagement, and Clinical Operations leads to align staffing, workflows, and training to contractual needs.
• Monitor day-to-day program execution, identifying bottlenecks or misalignment and initiating course corrections.
• Support internal teams with health plan-specific SOPs, trackers, and reporting needs.

Cross-Functional Coordination

• Work closely with implementation, training, tech, and product teams to ensure a smooth and scalable rollout.
• Participate in internal project management meetings and maintain documentation of progress and decisions.

 

Requirements for the Role

Education:

• Bachelor’s degree in healthcare administration, public health, project management, or a related field; Master’s degree (MPH, MPP, MBA), preferred.
• Equivalent years of additional work experience may substitute for the degree requirements. 

Experience:

• 5+ years of experience in healthcare operations, with 3+ years specifically supporting Medi-Cal or Medicaid programs.
• Deep knowledge of California managed care plans, Medi-Cal regulatory requirements, and ECM/CS program models.
• Demonstrated experience working with health plans, including contract execution, program operations, and performance tracking.
• Proven ability to lead without formal authority and influence across teams.

 

Skills:

• Familiarity with health plan portals, reporting systems, and EHRs (e.g., Athena).
• Experience in project management or implementation roles is a plus.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Excellent interpersonal and written communication skills.

 

Benefits & Perks

• Ground floor opportunity; shape the direction of a fast-growing, high impact healthcare company
• Comprehensive benefits (medical/dental/vision)
• Generous home office stipend 
• Competitive compensation 
• Generous PTO policy including 6 paid holidays.

 

You must be authorized to work in the United States. We are open to remote work anywhere in the locations outlined in this job description.

At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.