Care Coordination Cost & Utilization Specialist

HealthPartners; BLOOMINGTON, Northern (MN, KY); Hybrid; USD 70,000 - 100,000; Full time

Job summary

HealthPartners is seeking a Care Coordination Quality and Affordability Specialist to advance affordability and appropriate use of Elderly Waiver and Medicaid services.

You will analyze MnCHOICES assessments, develop IRR scenarios, and translate cost and risk insights into guidance for Care Coordinators and leaders, collaborating across departments to align with program requirements and financial sustainability.

Qualifications

• Bachelor's degree in nursing or social work or equivalent combination.
• RN or Social Worker licensure required.
• MnCHOICES Certified Assessor preferred.

Responsibilities

• Analyze EW/MnCHOICES cost and utilization to inform affordability and quality outcomes.
• Build IRR scenarios and analyze MnCHOICES assessments for gaps in care.
• Provide coaching to Care Coordinators and leaders on cost-effective, member-centered use of supports.
• Support initiative planning and execution aligned with Care Coordination goals.

Skills

Data analysis

Problem solving

Project management

Interpersonal communication

Teaching / coaching

Microsoft Office

Collaboration

Cost/utilization analysis

Education

Bachelor's degree in nursing or social work

Tools

MnCHOICES assessments

Job description

HealthPartners is seeking a Care Coordination Quality and Affordability Specialist to advance affordability and appropriate use of Elderly Waiver and Medicaid services.

You will analyze MnCHOICES assessments, develop IRR scenarios, and translate cost and risk insights into guidance for Care Coordinators and leaders, collaborating across departments to align with program requirements and financial sustainability.