Texas Children's Health Plan
Karen A. Sims has over 20 years of experience in healthcare quality auditing and provider relations. Currently serving as a Quality Auditor at Texas Children's Health Plan, Inc. since January 2020, Karen A. Sims leverages expertise gained from a previous role as a Provider Relations Consultant at Aetna, where responsibilities included maintaining key provider relationships and resolving complex issues. Prior experience at Molina Healthcare as a Provider Information Management Analyst II involved high-level analysis related to claims payment accuracy and database management. Karen A. Sims holds an Associate of Science degree in Word Processing from Detroit College of Business and has further education from Wayne State University.
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Texas Children's Health Plan
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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.