Training Associate

Remote (Full Time) 

Compensation: $80,000 - $90,000 

About Us 

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. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description 

The Training Associate will join Zócalo Health during a period of rapid growth and increasing operational complexity. This role exists to help scale and execute a community-oriented primary care model that delivers measurable outcomes for high-need members and health plan partners.

As part of a fast-growing team, you will be responsible for leading the design, development, and delivering training programs specifically for Community Health Workers (CHWs). You will support CHWs in building the skills needed to engage members, navigate community resources, and drive improved health outcomes, while ensuring training is culturally responsive, practical, and grounded in real-world workflows.

This position reports to the Learning and Development Manager.

The Training Associate will contribute in the following ways:

• Own the design and facilitation of the CHW onboarding and ongoing training focused on member engagement, care coordination, documentation, and community resource navigation grounded in best practices and industry standards
• Create and maintain training materials (scripts, role plays, workflows, and field guides) that reflect real CHW scenarios and support consistency across the team
• Partner with CHW managers and field teams to identify gaps, gather feedback, and continuously improve training based on member needs, program goals, and performance data
• Work closely with the Learning and Development manager to maintain an updated Learning Management  System (LMS) and track training completion across the CHW team
• Develop cheat sheets and other supporting materials that can be used as a reference to support the Community Health Workers day-to-day operations

Qualifications

• 4-5+ years of experience in training, education, or enablement, ideally supporting frontline or community-based teams
• Experience working with or closely alongside Community Health Workers, patient navigators, or similar roles
• Strong facilitation skills with the ability to make training interactive, practical, and accessible for diverse learning styles
• Experience in Medicaid/Medi-Cal, Enhanced Care Management (ECM), or community-based care models

Preferred Qualifications

• Proven experience developing engaging training content, including role plays, motivational interviewing exercises, and practical, field-based learning tools
• Strong foundation in adult learning principles and instructional design models, with the ability to tailor content to diverse learner needs

What you can expect from Zócalo Health

• Competitive salary: $XX - $XX (depending on experience)
• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Generous PTO policy (up to 15 days per year for FT employees)
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

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.

Director, Payor Operations

Remote (Full Time) 

Compensation: $160,000-$165,000 

About Us 

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. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description 

The Director of Payor Operations will join Zócalo Health during a period of increasing payer complexity and operational scale. This role exists to ensure payer requirements are clearly defined, consistently operationalized, and executed accurately across the organization. You will own the payer rulebook, translate requirements into workflows, and drive plan-level performance.

This position reports to the Chief Operating Officer.

The Director, Payor Operations  will contribute in the following ways:

• Payer Rulebook & Workflow Definition
• • • Own and maintain a centralized payer rulebook across all health plans
    • Interpret payer requirements and translate them into clear operational workflows
    • 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
• Ensure consistency in workflow execution across teams
• Hold internal teams accountable for plan-level performance issues

• Diagnosis & Issue Resolution
• Diagnose root cause of issues (execution vs workflow vs capacity vs quality)
• Assign ownership and track resolution
• Lead corrective actions for underperforming plans
• Escalate systemic issues across plans

• Team Leadership (Plan Owners & Trainer)
• Manage L4 Plan Owners responsible for plan-level oversight
• Define expectations for monitoring, escalation, and issue tracking
• Oversee Payor Ops Trainer responsible for content development and rollout support
• Ensure team operates with clarity and consistent ownership boundaries

• Training Content & Change Enablement
• Ensure payer requirements are translated into training-ready materials
• Support rollout of workflow changes in partnership with CHW Workforce
• Ensure plan-specific nuances are accurately captured
• Validate that training content reflects current payer requirements 

Qualifications

• 7–10+ years of experience in healthcare operations, payer operations, compliance, or related functions
• Strong working knowledge of Medicaid managed care and payer-driven program requirements
• Demonstrated experience interpreting payer or regulatory requirements and translating them into operational workflows
• Experience managing multiple external stakeholders (health plans, partners) with differing requirements
• Experience leading or supporting audit, QA, or compliance processes
• Strong analytical skills with the ability to diagnose operational issues across execution, workflow, and capacity
• Experience managing complex, cross-functional work without direct authority over execution teams

Preferred Qualifications

• Experience working with CalAIM programs (ECM, Community Supports)
• Experience working across multiple health plans simultaneously
• Experience in high-growth or scaling organizations

What you can expect from Zócalo Health

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

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.

Director, CHW Workforce

Remote (Full Time) 

Compensation: $160,000 - $165,000 

About Us 

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. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description 

The Director of CHW Workforce will join Zócalo Health during a period of rapid growth and increasing operational complexity. This role exists to ensure the organization has the capacity and capability required to execute CHW programs consistently across geographies and health plans. You will own workforce planning, deployment, and training, ensuring CHWs are staffed appropriately and equipped to execute workflows effectively.

This position reports to the Chief Operating Officer.

The Director of CHW Workforce will contribute in the following ways:

• Capacity Modeling & Workforce Planning

• Define and maintain CHW capacity model (panel sizes, time per visit, workload assumptions)
• Align capacity model to plan requirements and operational demand
• Forecast staffing needs based on growth, plan mix, and utilization
• Continuously refine assumptions based on real-world performance

• Workforce Allocation & Deployment
• Assign CHWs to geographies based on demand and coverage needs
• Ensure CHWs remain locally aligned to support in-person care requirements
• Manage distribution of CHWs across plan demand within geographies
• Rebalance workloads within geographies to address capacity issues

• Staffing Strategy & Hiring
• Define hiring targets by geography and demand
• Partner with Talent Acquisition to meet hiring timelines
• Identify and escalate staffing gaps proactively
• Ensure workforce scales appropriately with growth

• Training & Capability Development
• Own onboarding and ongoing training for CHWs in partnership with L&D
• Translate workflow requirements from Payor Operations into training programs
• Ensure CHWs are able to execute workflows consistently across geographies
• Reinforce role expectations and performance standards

• Training Coordination & Delivery Infrastructure
• Partner with L&D (LMS) to create and track training
• Ensure completion of required training programs across the CHW workforce
• Monitor training effectiveness and identify capability gaps
• Continuously improve training programs based on execution feedback

• Capacity Enforcement & Risk Management
• Enforce capacity rules (geography alignment, workload thresholds)
• Identify capacity risks and proactively address them
• Escalate when capacity constraints impact execution
• Ensure capacity decisions are deliberate and not reactive 

Qualifications

• 7–10+ years of experience in workforce management, operations, or care delivery
• Demonstrated experience building and managing capacity models or staffing models in a service-based organization
• Experience managing distributed, field-based, or frontline teams
• Experience designing and implementing training programs or workforce development initiatives
• Strong analytical skills, including forecasting, workload modeling, and resource allocation
• Experience operating in environments with variable demand and operational complexity
• Ability to translate operational requirements into clear workforce expectations and training programs

Preferred Qualifications

• Experience working with Community Health Workers or community-based care models
• Familiarity with Medicaid populations and care coordination programs
• Experience in multi-state or geographically distributed organizations 

What you can expect from Zócalo Health

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

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.

Senior Director, CalAim Programs

Remote (Full Time) 

Compensation: $170,000-$180,000 

About Us 

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. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description 

The Senior Director of CalAIM Programs will join Zócalo Health during a period of rapid growth and increasing operational complexity. This role exists to ensure consistent execution of ECM, Community Supports (CS), and CHW programs across geographies and health plans.As part of a fast-growing team, you will be responsible for leading the execution layer of care delivery, ensuring workflows are created, updated, and followed, teams are accountable, and operational issues are surfaced and resolved quickly.

This position reports to the Chief Operating Officer.

The Senior Director, CalAim Programs will contribute in the following ways:

• Execution & Operational Performance

  • Own day-to-day execution of ECM, CS, and CHW programs across all geographies
  • Ensure visits, engagement, and care delivery activities are completed consistently
  • Monitor operational KPIs (visit completion, time to first visit, engagement rates)
  • Identify and resolve breakdowns in execution across teams

   

• Team Leadership & Accountability
• Directly manage CHW Team Managers and Senior Manager of Community Supports
• Set clear expectations for performance, productivity, and team management
• Hold managers accountable for outcomes, coaching, and corrective action
• Ensure consistent management practices across geographies

• Workflow Adherence & Operational Consistency
• Ensure workflows defined by Payor Operations are executed consistently across all teams
• Identify where workflows are not being followed and drive correction
• Provide structured feedback to Payor Operations on workflow gaps or execution challenges
• Partner on refinement of workflows without owning design

• Cross-Functional Prioritization
• Make tradeoff decisions across execution, capacity constraints, and workflow requirements
• Escalate issues to Payor Operations, CHW Workforce, or Clinical Operations based on root cause
• Coordinate with other functions to ensure alignment without overlapping ownership

• Issue Resolution & Escalation
• Identify system-level issues impacting care delivery (staffing gaps, workflow gaps, quality issues)
• Assign clear ownership based on root cause and track resolution
• Escalate unresolved issues to COO or cross-functional leadership when needed

Qualifications

• Direct experience operating CalAIM programs (ECM and/or Community Supports) in California
• 10–12+ years of experience in healthcare operations with a focus on care delivery or population health
• 5+ years managing managers or multi-layered teams in a distributed or field-based environment
• Demonstrated ownership of end-to-end program execution, including performance management and operational outcomes
• Experience driving consistent execution across multiple geographies or regions
• Strong familiarity with Medicaid populations, documentation requirements, and care coordination workflows
• Proven ability to manage high variability environments (multiple plans, changing requirements, operational complexity)
• Track record of making real-time operational decisions under competing constraints 

Preferred Qualifications

• Experience operating within a multi-plan environment with differing requirements
• Experience in value-based care or risk-bearing models
• Experience scaling operations in a high-growth or early-stage organization

What you can expect from Zócalo Health

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

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.

Join Our Team at Zócalo Health!

About Us 

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. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Why Join Us

At Zócalo Health, we value mission-driven work, collaboration, and innovation. Our team is made up of passionate professionals from diverse backgrounds, all working together to improve health outcomes and equity in care. Whether your expertise is clinical, operational, technical, or administrative, there’s a place for you to contribute and grow.

What We’re Looking For

We’re always on the lookout for talented individuals who:

• Are excited by innovative healthcare solutions
• Thrive in a collaborative and fast-moving environment
• Are committed to equity, diversity, and community impact
• Want to make a real difference in the lives of patients and communities

How to Connect

Even if there isn’t a current role that fits your background, we encourage you to join our talent network. Share your resume or profile with us, and we’ll reach out when opportunities align with your skills and interests.

What you can expect from Zócalo Health

• Competitive salary
• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Generous PTO policy
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

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.

Chief Operating Officer

Remote, Seattle Preferred (Full Time) 

Compensation: $275,000 annually

About Us 

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. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.

Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.

Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.

Role Description 

Zócalo Health is entering a new phase of growth. The company has proven demand for its model and is expanding across markets, populations, and payer relationships. What allowed the organization to move quickly in the early years was strong leaders solving problems locally and responding in real time to emerging needs. That approach worked when the organization was smaller. At scale it becomes fragile.

The next phase of the company requires something different. It requires a durable operating system that allows strong teams to execute consistently across markets without relying on constant escalation or heroics.

The Chief Operating Officer will build that operating system.

This leader will be responsible for how execution happens across the company. The COO will oversee the core care delivery engine of the organization including clinical operations, regional leadership, community health worker teams, patient engagement operations, and CalAIM program delivery.

More importantly, the COO will design the mechanisms that connect these groups so that strategy translates into coordinated action and operational performance is predictable across markets.

The COO will serve as the integrator across the leadership team. This leader will ensure that priorities, resources, and operational execution stay aligned as the organization scales across new markets and payer relationships.

The COO partners closely with the CEO and Chief Strategy Officer to translate company strategy into operational execution. Strategy and Growth define where the organization expands and how it wins in the market. The COO ensures the operating model, organizational structure, and execution systems are in place so those strategic decisions can be implemented consistently across markets.

This role reports directly to the CEO and will play a central role in shaping how Zócalo Health scales its care model into new markets.

In your first 12 months, you will:

Establish the operating cadence that aligns clinical operations, CalAIM program leadership, regional leadership, and patient engagement teams around shared priorities, performance metrics, and execution timelines.

• Design and implement a company wide operating rhythm including performance reviews, operational planning processes, and cross functional coordination mechanisms that ensure leaders remain aligned around execution priorities.
• Partner closely with Regional General Managers to ensure markets operate with clear accountability, strong local leadership, and consistent support from centralized teams.
• Evaluate how work currently flows across clinical teams, community health workers, CalAIM programs, and operational functions. Address the most significant sources of friction affecting care delivery and member engagement.
• Strengthen the operating model that supports community health worker teams across markets, ensuring they have clear workflows, effective supervision, and strong integration with clinical care teams.
• Partner with Product, Data, and Payor Operations leaders to ensure operational workflows align with payer requirements and support consistent program execution across markets.
• Build operational visibility across markets by improving reporting and performance tracking so leadership can clearly understand operational performance and emerging risks.
• Prepare the organization for continued geographic expansion by ensuring operational systems can support additional markets, larger patient panels, and increasingly complex payer relationships.

Qualifications

• 15+ years of progressive leadership experience in operations, general management, or business operations roles within healthcare delivery, healthcare services, or similarly complex regulated environments.
• Demonstrated experience scaling operations in high-growth organizations where processes and systems were still evolving.
• Experience overseeing large frontline workforces including distributed or field-based teams operating across multiple markets or regions.
• Track record of translating company strategy into coordinated operational execution across teams, markets, and functions.
• Demonstrated systems thinking. Ability to diagnose root causes across organizational boundaries and design operating mechanisms that improve execution reliability.
• Experience building management systems that support operational discipline, including operating cadence, performance reviews, metrics, and escalation mechanisms.
• Experience managing complex cross-functional environments where clinical teams, operational staff, and regional leadership must work in close coordination.
• Ability to operate effectively in ambiguity while building structure that enables teams to execute with clarity.
• Strong leadership presence with the ability to align experienced leaders around shared priorities and operational standards.
• Strong analytical and problem-solving skills with the ability to evaluate operational data and translate insights into operational improvements.
• Excellent communication skills with experience working closely with executive leadership, boards, and external stakeholders.
• Demonstrated ability to lead large operational organizations through periods of rapid growth and increasing complexity.
• Willingness to become deeply fluent in community-based healthcare delivery models and the operational realities of serving Medicaid and dual-eligible populations.
• Experience managing distributed or field-based teams operating across multiple markets or regions, such as community health workers, care coordinators, outreach teams, or other community-based staff.

Preferred Qualifications

• Experience operating within Medicaid, Medicare Advantage, dual-eligible, or value-based care environments.
• Experience scaling multi-market healthcare delivery organizations operating across multiple states or regions.
• Experience leading or closely partnering with Regional General Managers or market leaders responsible for local execution.
• Experience scaling community health worker programs, care management teams, or similar community-based healthcare models.
• Experience operating within tech-enabled healthcare services organizations rather than traditional healthcare institutions.
• Familiarity with healthcare regulatory and compliance frameworks including HIPAA and Medicaid program requirements.
• Experience applying structured operational improvement methodologies such as Lean or Six Sigma.
• Experience managing organizations with 100+ operational staff across multiple functions.
• Experience working closely with Product, Data, or Engineering teams to support technology-enabled care delivery and operational systems.
• Experience supporting organizations transitioning from early-stage growth to scaled operational maturity.

What you can expect from Zócalo Health

• Equity compensation package
• Comprehensive benefits including medical, dental, and vision 
• 401k
• Flexible PTO policy - take the time you need to recharge
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.

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.