Care Coordination Leader — Medicare/Medicaid Advocacy

HealthPartners; BLOOMINGTON (MN); On-site; USD 120,000 - 160,000; Full time

Job summary

HealthPartners in Minnesota seeks an MSHO/MSC+ Manager to lead care coordination programs for Medicare and Medicaid populations. You will provide strategic direction, operational oversight, and ensure high-quality, member-centered services while guiding assessment operations and compliance.

The role partners with internal teams and delegated entities to improve member experience, health outcomes, affordability, and program performance. Significant leadership and MnCHOICES expertise are essential.

Qualifications

• Bachelor's degree in Nursing, Social Work, or another healthcare-related field.
• Current Minnesota licensure as an RN or Social Worker.
• MnCHOICES Certified Assessor certification.
• Minimum of five (5) years of experience in care coordination, case management, long-term services and supports, managed care, or a related healthcare field.
• Minimum of five (5) years of leadership or management experience.
• Demonstrated knowledge of Medicare, Medicaid, DHS, CMS, waiver programs, and long-term services and supports.
• Experience leading teams, managing program operations, and driving quality and performance outcomes.
• Strong analytical, communication, project management, and relationship-building skills.

Responsibilities

• Provide leadership, coaching, and performance management for supervisors and care coordination staff.
• Support workforce planning, staff development, succession planning, and employee engagement.
• Foster a culture of accountability, collaboration, innovation, and continuous improvement.
• Oversee care coordination programs serving Medicare and Medicaid members, including MSHO, MSC+, waiver, and long-term services and supports populations.
• Ensure delivery of member-centered care coordination services meeting contractual, regulatory, and organizational requirements.
• Lead implementation of strategic initiatives, program enhancements, and operational improvements.
• Provide oversight of MnCHOICES assessment activities.
• Ensure assessment practices meet DHS, CMS, and organizational requirements.
• Support assessment quality, training, and process improvement efforts.
• Monitor key performance indicators, quality measures, audit results, and operational outcomes.
• Lead quality improvement initiatives and corrective action efforts as needed.
• Ensure compliance with Medicare, Medicaid, DHS, CMS, and organizational requirements.
• Develop and maintain policies, procedures, and operational standards.
• Provide oversight of delegated care coordination entities and contracted partners.
• Monitor performance, quality outcomes, compliance, and member experience metrics.
• Collaborate with internal and external stakeholders to drive program improvements and achieve performance goals.
• Build strong partnerships across HealthPartners, provider organizations, community agencies, and delegated partners.
• Communicate effectively with staff, leadership, providers, members, and external stakeholders.
• Serve as a clinical and operational resource for complex member and program issues.

Skills

Strategic leadership

Staff development

Regulatory knowledge

Healthcare analytics

Education

Bachelor's degree in Nursing, Social Work, or related field

MnCHOICES Certified Assessor

Master's degree in Nursing, Social Work, Public Health, or Healthcare Administration

Job description

HealthPartners in Minnesota seeks an MSHO/MSC+ Manager to lead care coordination programs for Medicare and Medicaid populations. You will provide strategic direction, operational oversight, and ensure high-quality, member-centered services while guiding assessment operations and compliance.

The role partners with internal teams and delegated entities to improve member experience, health outcomes, affordability, and program performance. Significant leadership and MnCHOICES expertise are essential.