Medical Director
What you need
- MD/DO with active California medical license
- Board certification in family or internal medicine
- Medical director or clinical leadership experience
- Medicaid and complex patient population experience
- Clinical quality measurement and regulatory audit experience
What you'll do
- Set clinical governance standards for Enhanced Care Management
- Develop clinical protocols and escalation pathways
- Supervise nurse practitioner clinical oversight team
- Represent clinical voice in health plan audits and regulatory submissions
- Drive clinical quality measures and gap response
Employment Type: Full Time
Location: Remote in the U.S.
Compensation: $200,000/ year
About Zocalo Health
Zocalo 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.
The Role
Zocalo delivers Enhanced Care Management to Medi-Cal members with high medical and social complexity, through care teams of RNs, community health workers, and care coordinators. This role holds clinical accountability for that work.
The organization is moving to a care model in which an RN leads each patient panel. Clinical review of care plans and encounters is a requirement of that model and a condition of several health plan contracts. This role sets the standard for that review, owns the clinical protocols the care teams work to, and serves as the clinical voice in health plan and regulatory conversations.
The role also carries a clinical line: the two nurse practitioners providing clinical oversight across the ECM panel report into it.
Key Responsibilities
- Clinical governance: Care plan and encounter review standards for Enhanced Care Management, sign-off requirements, and the evidence that they are met.
- Clinical protocols: Escalation pathways for the care teams, including the criteria behind patient acuity tiering.
- NP supervision: Direct supervision of the nurse practitioner clinical oversight line.
- External clinical representation: Clinical input into health plan audits, fidelity requirements, and regulatory submissions.
- Clinical quality: Quality measures and the response to gaps identified within them.
- Clinical partnership: Partnership with the Executive Director of Behavioral Health and Care Management on the RN service line, and with the SVP of Care Delivery on care model design.
First Twelve Months
- Review standard: A documented clinical review standard for Enhanced Care Management that meets contractual requirements, is sustainable at scale, and is supported by evidence of compliance.
- Protocols in place: Clinical protocols and escalation criteria applied consistently across counties and health plans.
- Acuity tiering validated: The tiering method clinically validated and aligned with health plan expectations.
- NP capacity deployed to need: Oversight capacity allocated against clinical need rather than historical allocation.
- Quality visibility: A clinical quality view that identifies gaps early enough to act on them.
Qualifications
- MD or DO with an active California medical license.
- Board certification in family medicine, internal medicine, or a related specialty.
- Experience in a medical director or comparable clinical leadership role.
- Experience with Medicaid populations and with complex, high-need patients. CalAIM and Enhanced Care Management experience is a significant advantage.
- Experience with clinical quality measurement, audit and regulatory requirements.
- Experience supervising advanced practice clinicians.
Preferred Qualifications
- Experience in a tech-enabled or virtual-first delivery organization.
- Experience with value-based or risk-bearing arrangements.
- Experience working alongside community health workers and non-clinical care team members.
- Bilingual Spanish, or experience serving predominantly Spanish-speaking populations.
What You Can Expect from Zocalo Health
- Equity compensation package
- Comprehensive benefits including medical, dental, and vision
- 401k
- Flexible PTO policy
- Equipment provided for the role
You must be authorized to work in the United States. Remote work can be done from anywhere in the U.S.
At Zocalo 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 Zocalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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About Zócalo Health
Zócalo Health is a virtual family medicine service designed for the Latino patient. We remove barriers to healthcare by offering same-day appointments and providing care based on building relationships rather than completing transactions. Each member of Zócalo Health is paired with a community health worker (promotora de salud) to establish a relationship-based partnership with a focus on understanding the member’s goals and values. Research findings have shown that relationship-based partnerships, over time, have the power to influence health outcomes. At the core of this care model is a focus on prevention, primary care, behavioral health, and traditional practices that work together-in relationship- to support our member’s wellness. We promote wellness that goes beyond the absence of illness and fosters physical, mental, social, and spiritual strength within our families and communities.
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