Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

JOB SUMMARY:   Responsible for driving and achieving optimal business process designs and functionality within Community Health Choice by analyzing, evaluating and streamlining current business processes to ensure alignment with Community's overarching goals. Effectively work with multiple levels of organization and cross-functional project teams to improve efficiency and effectiveness of existing processes and develop new processes to support new initiatives. Responsible for developing a positive collaborative team to support the organizations strategic initiatives.

Education/Specialized Training/Licensure: BA/BS preferred.

Work Experience: Bachelors Degree and Three (3) years related work experience; or Seven (7) years related work experience in lieu of degree.Three (3) years Managed Care / Healthcare experience required; Experience in  process improvement, business consulting or Six Sigma projects preferred.

Management Experience: Two (2) years managing cross-functional teams and/or direct team supervision

Software Operated: Microsoft Office (Word, Excel, Outlook), Visio

Communication Skills:
Above Average Verbal (Heavy Public Contract)
Exceptional Verbal (e.g., Public Speaking)
Writing /Composing: Correspondence / Reports

Other Skills:
Analytical, Medical Terms, Research, Statistical, MS Word, MS Excel
Advanced Education: Bachelor's Degree preferred

Work Schedule:  Flexible, Travel

Other Requirements:
Ability to work with multiple levels of organization and cross functional project teams.
Exceptional organizational skills
Excellent communication and presentation skills


Application Instructions

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