Clinical Operations Associate jobs in United States
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Zócalo Health · 4 hours ago

Clinical Operations Associate

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. The Clinical Operations Associate will be responsible for managing clinical and operational workflows, ensuring compliance, and collaborating with various teams to optimize referral and authorization processes.

Hospital & Health Care

Responsibilities

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

Qualification

Healthcare operations experienceAuthorizationsReferralsMedicaid/Medi-Cal knowledgeEHR systems proficiencyData metrics managementReferral management experiencePatient navigation experienceBilingual (Spanish/English)

Required

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

Medicaid / managed care exposure
Bilingual (Spanish/English)
Experience with referral management, care transitions, or patient navigation

Benefits

Equity compensation package
Comprehensive benefits including medical, dental, and vision
401k
Generous PTO policy (up to 15 days per year for FT employees)
$1,000 home office stipend
We provide the equipment needed for this role.

Company

Zócalo Health

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Now serving patients in California, Texas, Washington, and Maryland (July 2025)! Introducing Zócalo Health, a primary care and care management service specializing in culturally-sensitive care for the Latino community.

Funding

Current Stage
Growth Stage

Leadership Team

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Erik Cardenas
Co-Founder & CEO
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Tom Valdivia, MD, MS
Executive Advisor to the CEO
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Company data provided by crunchbase