The only resolution I found was to install a driver update from Lenovo:
The driver update I installed is version 12.0.0.1159 from here: Qualcomm Atheros Wireless LAN Driver for Windows 10 (64-bit) - ThinkPad E470, E570, E475, E575 - Lenovo Support US
This resolved the issue though I did have to re-install one more time as a Windows Update appeared to break wireless again. The good news is re-installing the updated driver actually resolved the issue this time.
I did find other driver updates including within the Microsoft Update Catalog but I was unable to get the driver installed. Drivers can be found here: https://www.catalog.update.microsoft.com/Search.aspx?q=Qualcomm+Atheros+QCA61x4A be sure to sort by Last Updated descending to get the latest. Again, I was unable to get this driver installed. So perhaps better instructions from Microsoft would help.
Even better, get the last driver into Windows Update.
Also a little surprising more people don't seem to have this issue.