Zócalo Health logo
Zócalo Health

Healthcare pa' la Gente

Clinical Operations Associate

Clinical OperationsClinical OperationsFull TimeRemoteMid LevelTeam 51-200Since 2021H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

50 days ago

Salary

$80K - $90K / year

Seniority

Mid Level

Bachelor Degree2 yrs expSpanishEnglish

Job Description

• 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

Job Requirements

  • 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

Benefits

  • Competitive salary
  • 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.
  • Opportunity for rapid career progression with plenty of room for personal growth.

Related Categories

Related Job Pages

More Clinical Operations Jobs

Spring Health logo

Analyst, Clinical Operations Workforce Optimization

Spring Health

Precise. Personal. Proven. The most comprehensive mental health care for teams and families everywhere.

Clinical Operations50 days ago
Full TimeRemoteTeam 501-1,000H1B Sponsor

Reporting to the Director of Operations Analytics & Workforce Optimization, the Analyst, Clinical Operations Workforce Optimization will ensure the right people and capacity are in place within the Clinical Operations department to meet member needs efficiently. This role is part...

United States
Clinical Operations51 days ago
Full TimeRemoteTeam 1,001-5,000Since 1980

Responsible for evaluating clinical compliance and quality including all aspects of clinical operations. Oversee and coordinate local orientation and participate in the development and oversight of all recurrent continuing education training for clinical crew members within assig...

United States
$81.5K - $122.3K / year
Full TimeRemoteTeam 1,001-5,000

The Clinical Liaison - Surgical Assistant Coordinator plays a critical role in ensuring seamless coordination of surgical assist providers, customer support, and exceptional patient experience. This position requires strong analytical skills, high attention to detail, advanced pr...

ExcelMicrosoft OfficeEMRSalesforceSchedulingData EntryAnalytical SkillsCommunicationCustomer ServiceMultitaskingProblem SolvingHealthcare AdministrationSurgical Scheduling
United States
Clinical Operations55 days ago
Full TimeRemoteTeam 10,001+Since 2010H1B No Sponsor

Senior Director overseeing study start-up activities for clinical programs at BeOne

Google Cloud Platform
United States
$206.2K - $276.2K / year