Years in healthcare
ARDY A. LOUIS
Tewksbury,MA
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
15
15
Work History
Clinical Transformation Manager
United Health Group
06.2022 - Current
- Monitor Total Cost of Care contracts and regulatory requirements for Accountable Care Organizations across C&S and E&I lines of business in Rhode Island, Massachusetts, Florida and Virginia
- Manage ACO performance through data analysis to develop strategies that improve quality of care and lower costs for key areas of utilization: Pharmacy, Inpatient, Emergency Room and Quality
- Build and maintain effective relationships with ACO leadership and internal core teams across multiple lines of business and markets including clinical, networking, contracting, chief medical officers and quality directors.
Senior Clinical Quality Practice Consultant
Massachusetts Senior Care Options Plan
02.2016 - 06.2022
- Led data driven provider practice transformation for dual eligible and Medicare population through provider education, patient satisfaction and coding accuracy, which contributed to a 5-star health plan rating
- Introduced and socialized incentive programs such as MAPCPI and MCAIP programs to Federal Funded Health Centers and individual practices in Massachusetts
- Developed, implemented and managed programs integrating disease management, risk adjustment and population health services, leading to an increase in meeting target care metrics, and bonus payout through eligible incentive programs, including the largest Senior Care Options group earning their highest incentive payout for the first time in 5 years
- Collaborated on state mandated Performance Improvement Projects such as flu vaccination initiatives, from survey creation, data collection, analysis and report submission
- Member of Health Equity Committee.
Clinical Associate-Reproductive Immunology
ReproSource Fertility Diagnostics
03.2015 - 02.2016
- Identified patterns of recurring issues and created SOPs on testing requirements to resolve complex issues in a deadline driven, time sensitive industry
- Managed accounts in Mexico and served as a member of project management team to expand diagnostic panel offered in Mexico; translated clinical documents to Spanish to ensure greater efficiency and effectiveness, as well as better understanding of clinical processes for patients
- As part of product launch team, implemented a walk-in clinic for new service of on-site semen collection; developed and implemented workflow protocols, designed clinical layout, and facilitated patient education.
Senior Clinical Project Manager-HIV
Greater Lawrence Family Health Center
10.2013 - 03.2015
- Integrated psychosocial intervention and clinical support for HIV patients in compliance with Ryan White program protocols for treatment counseling, client advocacy, and social services
- Implemented utilization management to demonstrate high quality, cost efficient medical outcomes as required by Boston Public Health Commission and Joint Commission compliance guidelines.
High Risk Obstetrics Project Manager
Greater Lawrence Family Health Center
10.2009 - 10.2013
- Worked collaboratively with providers to establish standards of care for antenatal testing that were implemented as protocols for all clinicians
- Improved quality of care with the implementation of a two-step process that ensured overall compliance within a clinically complex population
- Coordinated care with Tufts’ Maternal-Fetal Medicine clinic
- Scheduled c-sections and counseled patients on post-partum family planning options
- Adopted the vision of the head of the high-risk obstetrics provider team and created a process that embodied that vision to achieve desired outcomes, as it related to the clinic’s entire prenatal population.
Education
Bachelor of Arts in English Literature -
Wellesley College
Wellesley, MAM.D. Doctor of Medicine -
Universidad Iberoamericana
Santo Domingo, Dominican RepublicSkills
- Innovative and data driven medical professional with 15 years of experience supporting underserved and clinically complex populations
- Excellent communication and writing skills
- Lean Six Sigma Green Belt Healthcare Certification
- Project Management Certificate
- Fluent in English, French and Spanish
- Multicultural
- Proficient in Microsoft Excel, PowerPoint and Word
- Customer Focus
- Organizational Development
- Data Analytics
- Digital Transformation
- Business process reengineering
Certificationsandcoursework
- Strategic Healthcare Leadership/Cornell University - 2020
- Lean Six Sigma Green Belt in Healthcare - 2020
- Project Management - 2021
- Improving Global Health: Focusing on Quality and Safety/Harvard University - 2021
- Advancing Health Equity/Optum Education - 2022
Pronouns
She, her, hers
Languages
French
Professional Working
Spanish
Native or Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Clinical Transformation Manager
United Health Group
06.2022 - Current
Senior Clinical Quality Practice Consultant
Massachusetts Senior Care Options Plan
02.2016 - 06.2022
Clinical Associate-Reproductive Immunology
ReproSource Fertility Diagnostics
03.2015 - 02.2016
Senior Clinical Project Manager-HIV
Greater Lawrence Family Health Center
10.2013 - 03.2015
High Risk Obstetrics Project Manager
Greater Lawrence Family Health Center
10.2009 - 10.2013
Bachelor of Arts in English Literature -
Wellesley College
M.D. Doctor of Medicine -
Universidad Iberoamericana