Accra Executive and Leadership Team

August, 2026

Leadership Overview

Accra has 6 executives leading key functions including strategy, operations, human resources, marketing, and organizational leadership.

Dedicated to empowering individuals with disabilities and older adults, Accra delivers essential home health care and waivered services across all 87 Minnesota counties to foster independence and quality of life.

Leadership Roles at Accra

  • Chief Executive Officer - Justice Cofie
  • Chief Executive Officer, Marketing - Numo James
  • President - Monique Akassi
  • President - Shelley Moorhead
  • Chief of Staff - Chad Gruzin
  • Chief Human Resources Officer - Amy Hilsgen
  • Justice Cofie - Chief Executive Officer

    Justice Cofie, the Chief Executive Officer at Accra, directs the overarching strategic vision for this non-profit organization. Overseeing the delivery of Personal Care Assistance and Consumer-Directed Community Supports, the Chief Executive Officer ensures that every program aligns with the mission of supporting independence for individuals with disabilities. Cofie manages high-level relationships with state stakeholders to maintain the integrity of 245D Waivered Services across Minnesota. By optimizing operational workflows, the Chief Executive Officer drives efficiency in home health care delivery. Justice Cofie monitors the quality of care provided by skilled nurses and home health aides to guarantee compliance with regulatory standards. This leadership role involves constant evaluation of service accessibility throughout all 87 counties. Through rigorous oversight of organizational resources, the Chief Executive Officer secures the long-term sustainability of the non-profit model. Ultimately, Cofie maintains the standard of excellence required for customized living services in assisted living facilities.

    Numo James - Chief Executive Officer, Marketing

    Numo James, the Chief Executive Officer, Marketing at Accra, architects the outreach strategies that connect individuals with disabilities to essential services. Overseeing the communication of Consumer-Directed Community Supports, the Chief Executive Officer, Marketing ensures that families across Minnesota understand the available home health care options. James drives brand awareness to increase the reach of 245D Waivered Services in underserved regions. By analyzing market trends, the Chief Executive Officer, Marketing identifies opportunities to expand the footprint of customized living services. Numo James coordinates with regional managers to tailor messaging for diverse communities throughout the state. This leadership role involves managing digital and traditional campaigns that highlight the independence-focused mission of the organization. Through data-driven marketing initiatives, the Chief Executive Officer, Marketing increases the visibility of the non-profit among potential clients and caregivers. Ultimately, James strengthens the market position of the organization by effectively communicating the value of personalized care.

    Monique Akassi - President

    Monique Akassi, the President at Accra, oversees the operational execution of home health care programs across the state. Managing the delivery of Personal Care Assistance, the President ensures that service quality remains consistent in every county. Akassi directs the implementation of operational protocols for assisted living facilities to guarantee that residents receive personalized attention. By monitoring performance metrics, the President identifies areas for improvement in the delivery of 245D Waivered Services. Monique Akassi collaborates with the executive team to refine the service model for older adults. This leadership role involves managing the logistics of providing care in diverse geographic settings. Through rigorous oversight of field operations, the President maintains the reputation of the organization as a leader in disability support. Ultimately, Akassi drives the operational success of the non-profit by ensuring that every client receives the necessary care to maintain independence and quality of life.

    Shelley Moorhead - President

    Shelley Moorhead, the President at Accra, focuses on the expansion and sustainability of waivered service programs. Overseeing the financial health of specific service lines, the President ensures that resources reach individuals with disabilities effectively. Moorhead manages the relationships with external partners to enhance the scope of Consumer-Directed Community Supports. By evaluating the efficacy of home health care initiatives, the President optimizes the allocation of funding across the 87 counties. Shelley Moorhead leads the development of new service frameworks that address the evolving needs of older adults. This leadership role involves navigating complex regulatory environments to ensure the continued provision of high-quality care. Through strategic planning, the President supports the long-term growth of the organization. Ultimately, Moorhead secures the stability of the non-profit by aligning service delivery with the core mission of fostering independence and providing quality care when needed.

    Chad Gruzin - Chief of Staff

    Chad Gruzin, the Chief of Staff at Accra, coordinates internal operations and facilitates communication across all departments. Managing the daily administrative flow, the Chief of Staff ensures that executive directives translate into actionable tasks for the home health care teams. Gruzin aligns departmental goals with the broader mission of providing quality care to older adults and individuals with disabilities. By streamlining cross-functional projects, the Chief of Staff improves the responsiveness of the organization to regional needs throughout Minnesota. Chad Gruzin monitors the implementation of 245D Waivered Services to ensure consistency in service delivery. This role involves managing the executive calendar and preparing critical reports for the board. Through proactive problem-solving, the Chief of Staff mitigates operational bottlenecks that could hinder the provision of personalized attention. Ultimately, Gruzin supports the executive team in maintaining the high standards of care expected within the assisted living and home health sectors.

    Amy Hilsgen - Chief Human Resources Officer

    Amy Hilsgen, the Chief Human Resources Officer at Accra, manages the recruitment and retention of skilled nurses and home health aides. Overseeing the workforce that supports individuals with disabilities, the Chief Human Resources Officer ensures that all staff members possess the necessary training for 245D Waivered Services. Hilsgen develops compensation structures that attract talent across all 87 Minnesota counties. By fostering a culture of professional development, the Chief Human Resources Officer maintains the high quality of care required for customized living services. Amy Hilsgen implements policies that prioritize employee safety and satisfaction in home health environments. This leadership role involves collaborating with other executives to align staffing levels with the growing demand for Personal Care Assistance. Through strategic talent management, the Chief Human Resources Officer builds a resilient workforce capable of delivering compassionate support. Ultimately, Hilsgen secures the human capital necessary for the organization to fulfill the mission of promoting individual independence.

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    Frequently Asked Questions Regarding Accra Top Executives and Leadership Team

    Who leads Accra?
    Accra is led by Justice Cofie (Chief Executive Officer), along with executives such as Numo James (Chief Executive Officer, Marketing) and Monique Akassi (President).
    Who is part of Accra’s executive team?
    The executive team of Accra includes leaders such as Justice Cofie (Chief Executive Officer), Numo James (Chief Executive Officer, Marketing), Monique Akassi (President) and other senior executives.
    How many executives does Accra have?
    Accra has 6 executives leading key business areas.
    What roles are included in Accra’s leadership team?
    The leadership team of Accra includes roles such as Chief Executive Officer, Chief Executive Officer, Marketing, President, President, Chief of Staff.