Assistant Commissioner for the Health Care Administration
Cynthia MacDonald serves as assistant commissioner of the Health Care Administration at the Minnesota Department of Human Services and the State Medicaid Director. In these roles, MacDonald oversees Minnesota’s Medicaid and MinnesotaCare programs, which collectively provide health coverage to 1.2 million Minnesotans.
Before becoming assistant commissioner, MacDonald’s career has spanned over 30 years running Medicare and Medicaid programs. She held executive leadership positions at Blue Cross and Blue Shield of Minnesota, Minnesota Community Measurement and Metropolitan Health Plan in Hennepin County. In addition, she was vice president for Medicaid at Health Care Service Corporation, serving Blue Cross members across multiple states, before going to the Centers for Medicare and Medicaid Services as the deputy center director on the national implementation of the Affordable Care Act through state-based insurance exchanges. She returned to Minnesota to serve as the CEO of the Blue Cross Blue Shield Northern Plains Alliance. She was recruited by Anthem to be its first CEO of the new Iowa managed care business, then CEO of the Iowa, Wisconsin and Minnesota Medicaid region, and went on to be named Anthem’s national Duals/D-SNP leader.
Earlier in her career, MacDonald served at the Minnesota Department of Human Services as an ombudsman for older Minnesotans, and the manager of the Managed Care Negotiations and Contracting Section, whose duties included writing and negotiating the first contracts with the managed care plans.
MacDonald holds a degree in human services administration from George Washington University in Washington, D.C., and a law degree from William Mitchell Law School.