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Community First Health Plan Jobs in Houston, TX (NOW HIRING)

Texas Children's Hospital

Case Manager

Bellaire, TX · On-site

$18 - $23/hr

... community organizations involved in the interests of the maternity and pediatric population ... Plan is the nation's first health maintenance organization (HMO) created just for children. We ...

Texas Childrens Hospital

Case Manager

Bellaire, TX · On-site

$18 - $23/hr

... community organizations involved in the interests of the maternity and pediatric population ... Plan is the nation's first health maintenance organization (HMO) created just for children. We ...

Texas Children's Hospital

Case Manager

Bellaire, TX · On-site

$18 - $23/hr

... community organizations involved in the interests of the maternity and pediatric population ... Plan is the nation's first health maintenance organization (HMO) created just for children. We ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

... Plan is the nation's first health maintenance organization (HMO) created just for children. We ... To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

... Plan is the nation's first health maintenance organization (HMO) created just for children. We ... To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career ...

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All JobsCommunity First Health Plan JobsCommunity First Health Plan Jobs in Houston, TX

Community First Health Plan information

See Houston, TX salary details

$36.8K

$75.4K

$104.1K

How much do community first health plan jobs pay per year?

As of Sep 5, 2026, the average yearly pay for community first health plan in Houston, TX is $75,438.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,900.00 and $86,400.00 per year, depending on experience, location, and employer.

What is Community First Health Plan?

Community First Health Plan is a non-profit health insurance organization that provides healthcare coverage to individuals and families, primarily in the San Antonio and South Texas region. They offer a range of health plans, including Medicaid, CHIP (Children’s Health Insurance Program), and commercial group plans. The organization focuses on improving community health by offering accessible, affordable, and quality healthcare services. Community First Health Plan partners with local healthcare providers to ensure members receive comprehensive care and support.

What are some common challenges faced by employees working at Community First Health Plan, and how can new hires effectively navigate them?

Employees at Community First Health Plan often encounter challenges such as adapting to regulatory changes in healthcare, managing diverse member needs, and collaborating across multidisciplinary teams. New hires can effectively navigate these by staying informed about state and federal healthcare guidelines, seeking mentorship from experienced colleagues, and proactively communicating within their teams. Embracing continuous learning and participating in internal training sessions are also valuable strategies for success and professional growth within the organization.

What are the key skills and qualifications needed to thrive as a Community Health Plan Administrator, and why are they important?

To thrive as a Community Health Plan Administrator, you need a solid understanding of healthcare management, insurance regulations, and population health, often supported by a degree in healthcare administration or public health. Familiarity with healthcare management systems, claims processing software, and regulatory compliance tools is typically required. Strong leadership, interpersonal communication, and problem-solving skills help you coordinate teams and engage with diverse stakeholders. These skills ensure effective plan operations, regulatory compliance, and improved health outcomes for community members.

What is the difference between Community First Health Plan vs Community Health Worker?

AspectCommunity First Health PlanCommunity Health Worker
CredentialsVaries; often requires health-related certifications or licensesTypically requires a high school diploma; some roles need certification
Work EnvironmentHealthcare settings, clinics, community outreach programsCommunity-based settings, homes, clinics
Employer & IndustryHealth insurance providers, healthcare organizationsNonprofits, healthcare agencies, community organizations
Primary FocusProviding health coverage, managing patient careEducating, advocating, and connecting community members to health services

While Community First Health Plan focuses on health coverage and care management, Community Health Workers engage directly with communities to promote health and connect individuals to services. Both roles are vital in healthcare but serve different functions within the industry.

What are popular job titles related to Community First Health Plan jobs in Houston, TX?

For Community First Health Plan jobs in Houston, TX, the most frequently searched job titles are:

What job categories do people searching Community First Health Plan jobs in Houston, TX look for?

The top searched job categories for Community First Health Plan jobs in Houston, TX are:

What cities near Houston, TX are hiring for Community First Health Plan jobs?

Cities near Houston, TX with the most Community First Health Plan job openings:

Community First Health Plan jobs near you
Infographic showing various Community First Health Plan job openings in Houston, TX as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 16% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $75,438 per year, or $36.3 per hour.

Manager, Member Services

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

Posted 29 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

85th of 1,065 rated hospitals

Job description

We are searching for a Manager of Member Services -- someone who works well in a fast-paced setting. In this position, you will manage a high performance, culturally sensitive and competent customer service Call Center that supports a rapidly growing, diverse membership and provider community and an expanding portfolio of health plan options. You will evaluate staff development, customer service results, and operational processes to ensure excellence in service, customer satisfaction, and compliance with accrediting and regulatory agencies.

Think you've got what it takes?

Job Duties & Responsibilities
    Acts as an internal advocate for external customers, collaborating with other department managers to meet customers' needs
    Develops and implements training strategies that support the quality objectives and creates a continuous learning environment for professional growth
    Ensures compliance with all regulatory (TDI, HIPAA, CMS, etc.) and accrediting (JCAHO, NCQA, etc.) requirements
    Interviews, assesses, and selects candidates for hire
    Participates in outreach activities designed to educate the community about available pediatric health plan options
    Ensures that JCAHO and CAP requirements specific to your department are fulfilled but also understand the linkage between your department's requirements and those of the integrated delivery system

Skills & Requirements
    High school diploma or GED required
    Bachelor's degree in business administration, health administration, and marketing or related field preferred
    6 years' experience as a team leader or supervisor in Member Services, Claims Administration, Revenue Cycle, Financial Counseling or Provider Relations required
    A Bachelor's degree in Business Administration, Health Administration, Marketing, or a related field may be substituted for four years of required experience
 

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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