Michael Boutte Email & Phone Number

Woburn, Massachusetts, Us

Delivering healthcare payment integrity thought leadership and hands-on expertise. Fueling Alivia Analytics’ world-class healthcare payment integrity platform and providing actionable insights and support to Alivia Analytics’ customers as we work together to achieve healthcare payment integrity.

• Served on the executive management team and provided strategic direction for the Louisiana Medicaid program which serves approximately 1.6 million recipients with an annual budget of approximately $12.5 billion• Led the development and maintenance of dental benefit plan and managed care organization contract terms, including requests for proposals and contract amendments• Directed the performance of periodic analyses to identify contract compliance risks and ensue Medicaid program integrity• Provides oversight of Medicaid managed care contractors to ensure contractual obligations are met• Issued over 70 non-compliance notices to managed care organizations with monetary penalties totaling over $4 million for failure to meet contract requirements• Used withhold requirements in managed care contracts to drive increase healthcare quality outcomes and drive healthcare innovations through the use of alternative payment methodologies • Served as primary contact for external audits of Medicaid• Ensured compliance with state and federal regulations for the Medicaid program• Eliminated a two-year backlog of benefits change requests by working with clinical staff to implement a benefits change request process that was rooted in evidence-based practice• Appointed by the governor to serve as a voting member on the Task Force for Medicaid Fraud Detection and Prevention Initiatives• Routinely met with representatives from CMS to address issues and ensure compliance with federal requirements for the Medicaid program • Worked with members, providers, and legislators in order to resolve issues related to Medicaid benefits

Baton Rouge, Louisiana, Us

• Managed the projects performed by the data analytics unit which use large-scale datasets and databases to identify fraud, waste, and abuse in state government• Specialized in overseeing performance audits of economic development (motion picture tax credits), education (GRAD Act and TOPS), revenue (tax credits), and healthcare (Medicaid)• Projects identified over $25 million in immediately recoverable dollars and several million dollars in future cost avoidance• Developed reports with actionable recommendations based on analytics leading to an increase in the efficiency and effectiveness of operations• Developed continuous monitoring programs to ensure that recommendations are implemented and working properly• Presented results of our analytics and reports to agency personnel, legislators, and other interested parties including national and local conferences• Mentored, trained, and supervised up to seven teams of three to five staff simultaneously• Developed strong working relationships with project teams, agency personnel, legislative staff, and legislators • Directed the work of teams from initiation through reporting all the while ensuring objectives were answered and work was in compliance with professional standards• Worked with PAS managers to ensure the most effective use of staffing resources• Worked with LLA management team to develop the LLA strategic plan and stateside audit plan• Continued to serve as an administrator for the office workpaper software (TeamMate) and represented PAS on the LLA workpaper steering committee• Prepared performance evaluations of senior auditors and reviewed performance evaluations prepared by senior auditors• Supported the professional development of staff by developing and delivering training on a variety of topics including data reliability and analytics• Recruited, interviewed, and hired highly qualified individualsSenior Auditor (January 2008 - February 2012)Staff Auditor (May 2006 - January 2008)

Baton Rouge, La, Us

Provided research support for grant proposals using Census data; served as the liaison between the Inter-University Consortium for Social and Political Research (ICPSR) and the entire Louisiana State University (LSU) community; served as a liaison between the Louisiana Population Data Center (LPDC) and the entire nation; updated the website and maintained the databases for the LPDC; handled data requests for the LPDC; maintained confidentiality of records for survey data; handled multiple tasks and completed projects in a timely manner; assisted faculty and students with data analyses and data collection for conference presentations and journal submissions.

Baton Rouge, La, Us

Maintained the website of the department; assisted the director with organizing meetings and sending out correspondence to faculty members; maintained the local computer network; assisted students with scheduling classes.

Master Of Science In Predictive Analytics (Mspa), Predictive Analytics

Master Of Arts, Sociology

Bachelor Of Arts, Sociology