Director, Payor Operations

zocalo.health

Remote, , US
Base: $160,000-$165,000; bonus/equity: equity comp...
Remote
Medicaid managed care knowledge
Payer requirements interpretation
Operational workflow development
Zócalo Health is a tech-enabled, community-oriented primary care organization serving historically underserved populations through culturally competent care and modern technology

Job Summary

  • Zócalo Health is a tech-enabled, community-oriented primary care organization serving historically underserved populations through culturally competent care and modern technology.
  • The Director of Payor Operations will own the payer rulebook, translate requirements into workflows, and drive plan-level performance while managing a team and supporting training and change enablement.
  • The company offers an equity compensation package, comprehensive benefits, a $1,000 home office stipend, and opportunities for rapid career progression.

Matching Summary

Zócalo Health is a tech-enabled, community-oriented primary care organization serving historically underserved populations through culturally competent care and modern technology.

Salary

Base: $160,000-$165,000; Bonus/Equity: Equity compensation package; Benefits: Medical, dental, vision, 401k, flexible PTO, $1,000 home office stipend

Skills & Requirements

Must-have

  • Medicaid managed care knowledge
  • payer requirements interpretation
  • operational workflow development
  • plan-level performance management
  • cross-functional stakeholder management
  • audit and compliance processes
  • remote work within US

Nice-to-have

  • experience with CalAIM programs
  • high-growth organization experience
  • training content development
  • team leadership and management
  • change enablement support
  • equity compensation
  • flexible PTO policy

Key Requirements

  • 7–10+ years healthcare operations experience
  • experience with Medicaid managed care
  • payer or regulatory requirements interpretation
  • stakeholder management across health plans
  • audit, QA, or compliance experience
  • strong analytical skills
  • authorization to work in the US

Work Rights

Must be authorized to work in the United States

Tailored Resume

Cover Letter