University of Texas Health Science Center at Houston v. Patricia Marie Carroll

Court of Appeals of Texas·Decided July 16, 2024·No. 01-23-00014-CV·Published

Opinion

Opinion issued July 16, 2024

In The

Court of Appeals

For The

First District of Texas

retaliation under the Texas Commission on Human Rights Act (TCHRA).1 In five issues, UTHSCH contends that (1) the trial court lacked subject matter jurisdiction over Carroll’s claims related to 2020 promotions because her claims go beyond the scope of her Equal Employment Opportunity Commission charge; (2) most of Carroll’s claims fail because she did not timely exhaust her administrative remedies; (3) Carroll’s 2021 failure-to-promote race and age discrimination claims fail because she did not assert a valid claim falling within the TCHRA’s limited waiver of UTHSCH’s sovereign immunity; (4) Carroll’s 2021 discrimination claims fail because she failed to rebut UTHSCH’s legitimate, nondiscriminatory reason for not promoting her; and (5) Carroll’s various retaliation claims fail because she failed to set forth one or more of the prima facie elements of her claims and otherwise failed to rebut UTHSCH’s non-retaliatory reason for not promoting her. We reverse and render.

Background

In 2016, Carroll was employed by Change Healthcare as an Account Receivable Specialist. Change Healthcare, a contractor, handled some of UTHSCH’s accounts receivable.

1 TEX. LAB. CODE § 21.051.

UTHSCH later decided to begin handling most of its accounts receivable in-

house rather than contracting them out to Change Healthcare. It offered employment positions to Change Healthcare employees who had worked on UTHSCH’s accounts receivable commensurate with their positions at Change Healthcare. UTHSCH hired Change Healthcare employees in two phases. It hired Carroll, then sixty years old, as a Patient Account Representative II during the first phase in September 2016. Carroll was later promoted to Accounts Receivable Operations Manager in 2017. In September 2020, UTHSCH hired two manager-level Change Healthcare employees, Maria Gonzalez and Jessica Easterwood, as part of the second phase and placed them into director roles.

In conjunction with the transition of Change Healthcare employees and related hiring, UTHSCH was preparing to transition its accounts receivable and billing to Epic Systems, a new software program. UTHSCH posted job openings for two Director level positions: Director, Charge Capture and Coding, and Director of Centralized A/R Operations. The positions were open to internal and external candidates. In anticipation of the transition to Epic, Kristi Bradley, UTHSCH’s Vice- President and Chief Revenue Cycle Officer, instructed the executive recruiter to seek candidates with current, strong Epic experience.

Carroll did not apply for the position of Director, Charge Capture and Coding.

In May 2020, UTHSCH hired Magdalena Kenworthy, who had recent experience with Epic.

In October 2020, UTHSCH sought applicants for the second position, Director of Centralized A/R Operations. The job posting stated, “[s]trong, current Epic Systems experience is highly preferred.” Carroll applied for this position.

UTHSCH employs a three-step hiring process for administrative and professional positions. First, an executive recruiter screens and interviews applicants and selects candidates for consideration by the Search Committee. Second, the Search Committee reviews the applicant materials and determines which applicants it will interview. To qualify for a promotion, an applicant must have received a “meets expectation” rating on her most recent evaluation. Third, the Search Committee then selects and recommends its top candidates for a final review and interview by the Hiring Manager, Associate Vice-President Brenda Lehman. Aware that Carroll had previously filed internal complaints regarding Lehman, Bradley selected Search Committee members with no knowledge of Carroll’s internal complaints.

The executive recruiter recommended nine external candidates and one internal candidate—Carroll—to the Search Committee for review and consideration for the Director of Centralized A/R Operations position. The Search Committee

considered it important that a candidate have strong, current experience with Epic and its implementation, and it deemed certification in Epic “highly desirable.” Carroll did not have prior Epic experience or Epic certification.2 The Search Committee reviewed Carroll’s application but decided not to interview her for the position. It forwarded five applicants to Lehman for consideration. Moleshay Williams, an African American woman over the age of forty, was hired for the Director position. Williams had Epic certification, recent experience with Epic and its implementation, and was a presenter for Epic at its 2019 annual conference. She began her employment at UTHSCH on April 5, 2021. UTHSCH transitioned to Epic in May 2021.

On August 18, 2021, Carroll jointly filed a charge of discrimination with the Texas Workforce Commission–Civil Rights Division (TWCCRD) and the Equal Employment Opportunity Commission (EEOC) alleging race and age discrimination and retaliation. Carroll listed the earliest date of discrimination as October 16, 2020 and the latest date as April 5, 2021. She also checked the box labeled “continuing action” on her charge.

2 While Carroll did not have an Epic certification or any on-the-job experience with Epic, her resumé states that she was “on the Curriculum Writing EPIC team and help[ed] write training materials for the EPIC Implementation team,” and her cover letter for the Director, Centralized Operations position stated that she was “on the Curriculum Writing team for the EPIC Implementation Project.”

On June 1, 2022, Carroll filed suit against UTHSCH asserting claims for race and age discrimination and retaliation under the TCHRA. Under “Factual Background,” Carroll alleged:

• Plaintiff is 65 years old, a Black (African American) woman, with over 40 years of experience in Managed Care Operations, Regulatory Compliance, Claims Processing, and Revenue Cycle Management.

• Plaintiff asserts race and age discrimination in violation of her rights under Chapter 21 of the Texas Labor Code, and retaliation as a result of her filing good faith compliance complaints and being viewed as a whistleblower.

• The most recent incident of age and race discrimination occurred on April 5, 2021, when Plaintiff was denied a promotion to Director, Centralized Accounts Receivable (AR) Operations. Lesser qualified candidates, who are not black or older, received promotions.

• Plaintiff was denied a promotion in retaliation for engaging in protected activity (good faith whistleblowing) that alerted UTHSCH/UT Physicians (UTP) of billing and financial operations at UTHSCH/UTP that appeared non-

compliant. Plaintiff was subjected to harassment and a hostile work environment to try to make her retire or constructively discharge her.

• In 2018, Plaintiff applied for a Manager, AR Operations position. Plaintiff’s boss, Associate Vice President (AVP) Brenda Lehman, advised that she had selected a Caucasian employee, Tonia Quackenbush, who did not have a degree and limited AR experience. At the time, Plaintiff had almost 40 years of experience, including previous manager and director roles and two bachelor’s degrees. Brenda Lehman told Plaintiff that Tonia was the “best fit”

for the role. Plaintiff alerted HR to the disparity and Plaintiff was promoted into the role.

• In retaliation, Plaintiff was paid only $500 more per year than a white employee who was promoted to a newly created manager’s position several weeks later.

• Plaintiff’s boss, Associate Vice President (AVP) Brenda Lehman, managed the Change [Healthcare] contract, which provided contract labor in the AR

department. Two director positions were created for Maria Gonzalez and Jessica Easterwood, who are outside candidates/former contractors. The positions were not posted or announced in the AR department for internal candidates to apply, and neither is Black.

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University of Texas Health Science Center at Houston v. Patricia Marie Carroll, (Tex. Ct. App. 2024).

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