- Elevance Health (Waukesha, WI)
- ** Process Improvement Director - HEDIS ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour ... commute from the posted Elevance Health locations. This ** Process Improvement Director - HEDIS ** will be responsible for enterprise HEDIS … more
- Molina Healthcare (Racine, WI)
- …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... the activities of the department and the process improvement process . * Assesses...efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an… more
- Molina Healthcare (Milwaukee, WI)
- … activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more