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

CourtCourt of Appeals of Texas
DecidedJuly 16, 2024
Docket01-23-00014-CV
StatusPublished

This text of University of Texas Health Science Center at Houston v. Patricia Marie Carroll (University of Texas Health Science Center at Houston v. Patricia Marie Carroll) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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

Opinion

Opinion issued July 16, 2024

In The

Court of Appeals For The

First District of Texas ———————————— NO. 01-23-00014-CV ——————————— UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON, Appellant V. PATRICIA MARIE CARROLL, Appellee

On Appeal from the 234th District Court Harris County, Texas Trial Court Case No. 2022-32729

MEMORANDUM OPINION

Appellant University of Texas Health Science Center at Houston (UTHSCH)

appeals from the trial court’s order denying its plea to the jurisdiction in appellee

Patricia Marie Carroll’s suit asserting claims for race and age discrimination and 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. 2 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.

3 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

4 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.”

5 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.

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