• Process Improvement Director

    Elevance Health (Costa Mesa, CA)
    ** 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
    Elevance Health (12/21/24)
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  • Medical Director - Medicare (Licensed…

    Molina Healthcare (Long Beach, CA)
    … 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
    Molina Healthcare (11/21/24)
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