1. Rebecca A Lee
367 State Street Albany, NY 12210
Phone: 518-434-3455
E-mail: beckster.lee@gmail.com
Experience
Configuration Supervisor (2013 – present)
CDPHP
 Supervisor of Pricing Configuration with 7 direct reports
 Participant and lead Pricing Analyst in various high level corporate projects
 Lead for Coordination and Training of configuration pricing resources
 Work with Configuration and Business Partners to prioritize and implement changes
 Develop training tools and documentation
 Document various CMS and NYS pricing changes for internal and external staff
 Various reporting & analysis to support management & CDPHP initiatives
 Support and Assist management as needed
 Configuration lead on the Medical Injectable project
 Implement process improvements i.e. Peer tasks to reduce defects, visually walking
through defects in the system with staff to show where the breakdown happened
 Work with team members on best practice for new configuration
 Work with Quality, Architect& Developers to create and enhance reports to reduce
defects
Configuration Analyst/Team Lead (2005 – 2013)
CDPHP
 Pricing configuration, configure practitioner, facility, ancillary and capitation contracts
 Team member of the System Conversion Project from Amisys to Facets (BTI)
 Team member on the EPC implementation project
 Team member on the Modeler Application implementation
 Team Member on the ICD10 project
 Work with EAS to implement various capitation arrangements i.e. Capital Cardiology and
Dr. Kogan
 Facets Patching team member responsible for evaluating and testing releases
 Facets upgrades for 4.81, 5.10
 Optum New Rate Manager implementation (CDPHP was the pilot for this new product)
 Transition from Ingenix UCR data to FAIR Health
 Team participant on various new products to ensure pricing requirements are identified

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and implemented.
 Team member for St. Peter’s Health Partners changes
 Configuration lead on NetworX Automation project
 Responsible for Optum PPS patches, updates and maintenance as well as web services
upgrades.
 Worked with technical services for process improvements and documentation of Optum
processes to reduce possible defects and ensure successful updates. Received training
from technical services to apply updates directly to the server for all Optum updates as a
failsafe if a technical services resource is not available
 Responsible for working with technical services on resolving issues related to NetworX
 Work with Trizetto and Optum on product improvements and defects
 Resource for pricing team to assist and resolve issues
 Acted as a liaison between IT (technical services) and configuration
 IBM robot adjustment performance
 Participant as a super user for all IT upgrades
 Attend meetings as needed
 Work on Corporate initiatives, attend meetings, create solution documents, represent
configuration
Configuration Testing Coordinator (2004 – 2007)
CDPHP
 Create test beds for claims adjudication scenarios
 Test day to day configuration changes
 Test benefit configuration i.e. Changes made to base contracts and riders for various
products and lines of business
 Test pricing configuration changes i.e. Changes made to hospital, practitioner and
ancillary provider contracts
 Test and assist in the implementation of new applications, products, and new releases of
Amisys
 Work on corporate initiatives, attending meetings representing the model office as
required
MCR Specialist II (2002 – 2004))
CDPHP
 Provided technical support to MCR staff and Management, as well as other departments
within the company
 Reviewed and provided revisions to MCR department procedures
 Trained MCR staff members
 Assisted with testing of various projects as required
 Adjudicated secure (employee) claims and adjustments

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 Provided Resolution to inquiries from internal departments such as member services and
provider services
MCR Claims Specialist II (2001 – 2002)
CDPHP
 Reviewed the quality of work performed by MCR specialists and COB specialists
 Ensured consistent quality measures and guidelines were adhered to
MCR Quality Analyst (1999 – 2000)
CDPHP
 Responsible for adjudicating health insurance claims according to processing guidelines
 Reviewed claims reports for accuracy
 Utilized member and provider contracts, as well as medical policy and procedures
 Consistently met quality standards and quality expectations
Claims Examiner (1998 – 1999)
Kaiser Permanente
 Responsible for adjudicating health insurance claims according to processing guidelines
 Reviewed claims reports for accuracy
 Consistently met quality standards and quality expectations
Skills
 Prospective payment system
 Facets
 NetworX
 Core Facets Pricing
 Capitation
 Excel
 Toad
 Word
 Visio
 Power Point
 Access
 Cognos
Education
Hudson Valley Community College