Richard Bounds
Data Analyst
Waveland,MS
Summary
Data analysis expert specializing in the development of effective data collection methods. Business Intelligence Analyst with a track record in data mapping and user acceptance testing, excelling in high-pressure problem-solving scenarios. Analytical capabilities leveraged to identify trends in extensive data sets and inform strategic decisions. Strong relationship management skills foster long-term client partnerships and business growth.
Overview
25
25
years of professional experience
Work History
Reporting Analyst
CIGNA Healthcare
04.2017 - Current
- Developed SQL queries in SAS and Microsoft Access to extract Provider Managed Care information from Oracle and AWS repositories.
- Analyzed data for trends supporting or disproving business assumptions.
- Created control and equivalency reports to identify data inaccuracies, automating recurrences to maintain accuracy in HCPM, PTDM, and CPF databases.
- Participated in conference calls and meetings to offer expertise, proactively mitigating conflicts or mistakes.
- Coached team members to enhance skills and foster a collaborative environment.
- Produced accurate, comprehensive reports in an easily understood format within deadlines.
- Collaborated across the organization, developing strategies and improving relationships for enhanced cooperation.
Unit Cost Analyst
CIGNA Healthcare
01.2013 - 04.2017
- Monitored competitor activities through comprehensive research and collaboration with competitive intelligence peers.
- Consolidated data into actionable formats for strategic decision-making.
- Facilitated consultant data submissions, coordinating with Unit Cost Lead to communicate Cigna's market position.
- Analyzed secondary claim payments, reporting year-over-year trends across major facilities and practitioners.
- Developed and communicated insights on hospital and system competitiveness using COB and financial data.
- Produced capitation membership models promptly to support Pricing and Sales initiatives.
- Collaborated with Unit Cost Lead and COB analyst to establish annual COB queues.
COB Analyst /Competitive Intelligence
Cigna
Remote, GA
04.2008 - 01.2013
- Analyzed secondary claim payments for practitioners and facilities, benchmarking against Cigna contracts for competitiveness.
- Repriced COB claims using Cigna’s contract for accurate effectiveness comparison.
- Summarized COB analysis, providing objective findings and improvement suggestions to Sales and Contracting directors.
- Conducted in-depth physician network reviews using GeoAccess and zip code analyses.
- Generated ad hoc reports from Provider and Claims data to support network comparisons.
- Validated producer model data to assess market competitiveness.
- Developed SharePoint site for organizing completed COB reviews and administrative documents.
Data Reimbursement Analyst
Cigna
Atlanta, GA
04.2000 - 04.2008
- Developed and maintained Access Fee Schedule Database to track reimbursement levels for network providers.
- Interpreted provider contracts, generating fee schedules aligned with contract stipulations.
- Audited reimbursement dollars across all claim platforms utilizing Access software.
- Updated fee schedules to ensure compliance with HIPAA regulations.
- Served as liaison to department leads, delivering reports and interpreting statistical information on claim payments and utilization.
Education
Bachelor of Science - Applied Business Management
Grand Canyon University
05.2015
Skills
- SAS
- Microsoft Office Suite
- Oracle Database
- UNIX operating system
- SQL programming
- Python development
- AWS and Databricks
- JIRA for Agile management
Awards
Dean's List, Grand Canyon University, 05/2015
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Reporting Analyst
CIGNA Healthcare
04.2017 - Current
Unit Cost Analyst
CIGNA Healthcare
01.2013 - 04.2017
COB Analyst /Competitive Intelligence
Cigna
04.2008 - 01.2013
Data Reimbursement Analyst
Cigna
04.2000 - 04.2008
Bachelor of Science - Applied Business Management
Grand Canyon University
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