Customer Operations Coord
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
The Customer Operations Coordinator provides a wide range of specialized to complex administrative support duties to assist in achieving departmental goals by assisting management in prioritizing, tracking and improving project and task delivery for the Member Operations and Business Development teams. This position will involve working closely with management to assist with internal task delivery and is. required to track the progress and report on the success of new programs, projects and initiatives designed to improve service delivery to the members of Community Health Choice insurance programs.
Education/Specialized Training/Licensure: High School Diploma required; Associates degree preferred
Work Experience (Years and Area): 5 years of relevant work experience
Health Insurance and/or Healthcare backgroung is highly preferred.
Software Operated: Microsoft Office (Word, Excel, Outlook)
Writing /Composing: Correspondence / Reports
Other Skills: Research
Work Schedule: Flexible
RESPONSIBLE TO: Director