Mike Kirakosyan spends his days working in the deep weeds of the health care system. He messages patients that it’s time to schedule their next visit for medications. He juggles calls and emails with providers to coordinate delivery of care. He helps patients fill out often complex medical forms, walks them through lab results, genially chases down those who’ve been away from the doctor for too long.

Kirakosyan, 33, does these things with a single goal in mind: to make sure the patients’ HIV viral loads become and remain undetectable, so low that the people cannot transmit the virus to others in the L.A. area — or beyond.

“This is very much a public health program as well as a patient care program,” says Kirakosyan, a registered nurse. “Making sure that patients are staying healthy, stay

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