- Elevance Health (Los Angeles, 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
- 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