Portfolio Manager Product Development

MINH LA

Norristown, PA ***** 267-***-**** **.******@*****.***

www.linkedin.com/in/minh-la-41687551

Senior Claims & Content Portfolio Manager

Experienced professional with 10+ years of expertise in claims audit, recovery, vendor management, and workflow optimization for medical and pharmacy claims. Adept at leading cross-functional teams, streamlining workflow/product development and enhancing record management processes.

PROFESSIONAL EXPERIENCE

Content Portfolio Manager

Rialtic - Remote 06/23 - Present

Drive vendor implementation by collaborating with vendor team to optimize record management workflow eƯiciency and product quality through automation.

Spearhead new record management workflows to enable management of source document updates & versions.

Oversee 240+ claim management software engines throughout their lifecycle, from strategic planning to maintenance.

Define strategy and goals for maintenance optimization, resource allocation, and roadmap execution.

Establish policies and processes to enhance productivity and ensure compliance with industry standards.

Lead cross-functional collaboration with senior management, providing insights on risks, project timelines, and performance reports.

Oversee Client Inquiries to ensure clear, concise, and high-quality solutions are delivered to the client on a timely basis to increase satisfaction.

Developed and trained new hires on company procedure through a new training program, leading to a 75% improvement in employee skills and performance. Senior Content Portfolio Analyst

Rialtic - Remote 08/21 – 06/23

Design and execute 240+ policy engines to build the policy library.

Led a team of freelancers, analysts, and engineers, optimizing workflow eƯiciency and ensuring adherence to business requirements.

Designed and deployed beginner friendly SQL-based validation frameworks for data accuracy and claim auditing.

Implemented Jira automation, cutting manual workflow tasks by 50% and improving operational eƯiciency by 50%.

Conducted executive briefings and rendered strategic reports outlining business needs, resource allocation, and roadmaps.

Analytic Consultant

CVS – Blue Bell, PA 09/19 – 07/21

Led vendor analysis and collaboration, evaluating external and internal leads to overpayment recoveries and claim optimization.

Developed 10+ cost containment strategies, contributing to policy improvements and process eƯiciencies.

Recovered $200K+ on ad-hoc claims projects through data-driven decision-making.

Created and refined internal and external workflows, improving cross-organizational collaboration.

Senior Auditor, Payment Accuracy

Cotiviti – Blue Bell, PA 05/13 – 06/19

Managed vendor relationships for third-party payer audits and claim recovery processes.

Led a team of 10+ employees across global and stateside operations.

Designed new hire training programs, performance review guidelines, and SOPs to streamline onboarding.

Recovered $25M+ in overpaid commercial claims and $3.6M+ in Medicare RAC audits.

Played a key role in advancing policy change at the Medicare level for multi-dose vial billing guidelines.

Education & Certifications

BSN, Temple University – Philadelphia, PA

Registered Nurse (RN)

Certified Professional Coder (CPC)

Udemy Beginner’s SQL Certification

Key Skills & Expertise

Product & Workflow Development

Project Management & Strategic Planning

Claims Auditing & Recovery

Cross-Functional Team Collaboration

Healthcare Payment Policy Interpretation

Healthcare Payment Edit Configuration

Software Experience: Jira, AWS, SQL, Slack, Teams, Microsoft, Google Workspace, Figma, Notion, SmartDraw, Asana, Lattice, Zoom

Stakeholder Communication & Reporting

Experience with Payer Systems: Citrix, VMWare, AS400

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