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Calaim Jobs (NOW HIRING)

CalAIM Case Manager

Santa Cruz, CA · On-site

$23 - $29.75/hr

CalAIM Case Manager Santa Cruz, California About the Organization Stepping Up Santa Cruz is a non-profit organization dedicated to supporting individuals with complex needsincluding mental health ...

CA · Hybrid

$21 - $24/hr

Community Health Worker (CHW) - Field-Based (CalAIM Program) Schedule : Monday - Friday | 8:30 AM - 5:00 PM Work Structure : Approximately 65% field-based / 35% remote Compensation : $21.00 - $24.00 ...

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Calaim information

What are the key skills and qualifications needed to thrive as a California Advancing and Innovating Medi-Cal (CalAIM) Program Manager, and why are they important?

To thrive as a CalAIM Program Manager, you need expertise in Medi-Cal policy, program implementation, and healthcare administration, often supported by a degree in public health, healthcare management, or a related field. Familiarity with state healthcare systems, data analytics tools, project management software, and regulatory compliance is typically required. Outstanding organizational, leadership, and stakeholder communication skills help drive collaboration and effective program delivery. These skills are crucial for successfully managing complex healthcare initiatives that aim to improve care coordination and outcomes for Medi-Cal beneficiaries.

What is the easiest healthcare job that pays well?

A healthcare job like medical assistant is often considered one of the easier roles that pay relatively well, typically requiring a post-secondary certificate and on-the-job training. These positions usually involve administrative tasks or basic clinical duties and can offer a good balance of pay and entry-level accessibility.

What jobs pay $10,000 a month without a degree?

Jobs that can pay $10,000 a month without a degree include roles such as sales managers, real estate brokers, and certain skilled trades like electricians or plumbers with experience. These positions often require strong skills, certifications, or licenses, and may involve commission-based income or entrepreneurial efforts.

How to qualify for CalAIM?

CalAIM is a statewide initiative aimed at improving health outcomes and reducing disparities, not a specific job role. To qualify for jobs related to CalAIM, candidates typically need relevant healthcare experience, knowledge of Medicaid programs, and familiarity with community-based services. Certifications in healthcare administration or public health can also be beneficial.

What jobs pay 2000 a day?

High-paying jobs that can pay around $2,000 a day typically include roles such as specialized surgeons, anesthesiologists, corporate lawyers, and certain high-level consultants or contractors. These positions often require advanced degrees, certifications, extensive experience, and work in demanding environments or on a contract basis. Income can vary based on location, workload, and industry demand.

What are some common challenges faced by professionals working in CalAIM implementation roles, and how can they be addressed?

Professionals working in CalAIM (California Advancing and Innovating Medi-Cal) implementation often encounter challenges such as coordinating care across multiple providers, navigating evolving state guidelines, and managing complex member needs. Success in these roles requires strong communication and collaboration skills, as well as adaptability to policy changes and new workflows. Building effective relationships with community-based organizations and regularly participating in training or knowledge-sharing sessions can help address these challenges and ensure smooth program execution.

What is CalAIM?

CalAIM stands for California Advancing and Innovating Medi-Cal. It is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve and transform the Medi-Cal program. CalAIM aims to streamline services, better coordinate care for individuals with complex needs, and address social determinants of health such as housing and behavioral health. The initiative focuses on whole-person care and integrating healthcare delivery across physical, behavioral, and social services.

What is the difference between Calaim vs Claims Adjuster?

AspectCalaimClaims Adjuster
Required CredentialsCertification in insurance claims processing, relevant licensesInsurance license, certification in claims adjusting often preferred
Work EnvironmentInsurance companies, third-party claims firmsInsurance companies, independent adjusting firms
Industry UsageUsed mainly in insurance claim processing rolesCommonly used in insurance claim assessment and settlement

Both Calaim and Claims Adjuster roles involve evaluating insurance claims, but Calaim typically refers to a specialized certification or platform, whereas Claims Adjuster is a broader job title for professionals assessing and settling claims. Understanding these differences helps job seekers target the right roles and certifications in the insurance industry.

More about Calaim jobs
What cities are hiring for Calaim jobs? Cities with the most Calaim job openings:
What states have the most Calaim jobs? States with the most job openings for Calaim jobs include:
Infographic showing various Calaim job openings in the United States as of June 2026, with employment types broken down into 98% Full Time, and 2% Part Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Senior Director, CalAim Programs

Zócalo Health

Los Angeles, CA • Remote

$170K - $180K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago


Job description

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.