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I am a licensed attorney in the State if West Virginia, with experience of 20 years, the majority of which has been in the health care space. I have broad subject matter expertise in federal healthcare regulatory frameworks, including Medicaid, Medicare, PPACA, HIPPA, False Claims, and Stark/Anti-Kickback among others.My 24 year legal career includes significant public and private sector experience. I served as Associate Counsel at the West Virginia Offices of the Insurance Commissioner for 9 years, focusing on workers’ compensation and PPACA; more recently, I served as General Counsel for the West Virginia Bureau for Medical Services, which administers West Virginia’s Medicaid program. Private sector experience includes one year of law firm litigation experience, one year working for Guidehouse, a global healthcare consultant, and one and a half years as VP of HR for a Professional Employer Organization. Most recently, I worked as In-house Counsel focusing on regulatory compliance and government affairs for a 5-state regional healthcare provider based in Huntington, West Virginia. My overall body of work as an attorney would best qualify me as a "healthcare generalist,” although I also have substantial experience from earlier in my career in workers' compensation and other property and casualty insurance, as well as employment law. I am passionate about both healthcare regulatory compliance and evolving health care policy in the US. This would best qualify me to work as an in-house attorney for a provider group/hospital system, healthcare payer, or consultant within a healthcare consultancy practice group. Thank you for taking the time to review my profile.
Workforce West Virginia Board Of Review
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Administrative Law JudgeWorkforce West Virginia Board Of Review Nov 2024 - PresentCharleston, West Virginia, United States
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In-House Counsel -- Regulatory/ComplianceLineage Health Solutions, Llc Sep 2020 - Sep 2024Huntington, West Virginia, United States
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Managing ConsultantGuidehouse May 2019 - Sep 2020Charleston, West Virginia, United States -
General Counsel, West Virginia Medicaid And ChipWest Virginia Bureau For Medical Services Oct 2015 - May 2019Charleston, West Virginia, United StatesServed as lead attorney for West Virginia Bureau for Medical Services (BMS) and West Virginia CHIP. BMS administers West Virginia’s Medicaid program, serving about 550,000 West Virginians. In my role, duties included providing Medicaid related legal and compliance advice to the BMS leadership and other BMS employees; working on BMS’ Legislative Agenda; managing litigation in which the agency was involved; drafting and filing state plan amendments with the Center for Medicare and Medicaid Service (CMS); and other related duties related to Medicaid compliance and regulatory oversight.
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Committee CounselWest Virginia State Senate Jan 2015 - Oct 2015Charleston, West Virginia, United StatesServed as lead counsel for West Virgina Energy, Industry and Mining Committee. Drafted legislation; presented bills to committees; provided general legal advice to members of the State Senate; performed legal research as needed.
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Vp Of Hr, General CounselEmployers' Innovative Network Jul 2013 - Jan 2015Charleston, West Virginia AreaCompany is a Professional Employer Organization (PEO) -- Performs HR outsourcing services for other companies (payroll, benefits, unemployment, workers' compensation). Has hundreds of employer clients with about 3000 client employees. In this position, I was the in-house attorney and VP of both internal and external HR. Focus was on HR law and providing general HR advice to clients. Also various duties as assigned by firm -- contract review, overseeing litigation, etc. -
Associate CounselWest Virginia Offices Of The Insurance Commissioner Oct 2004 - Jun 2013Senior legal counsel for West Virginia Insurance Commissioner (Classified Attorney III). Perform legal services related to workers' compensation and health care, including legal research, writing, analysis; drafting of memoranda, legislation, rules and bulletins, court pleadings and other complex legal instruments; oversee outside counsel in complex litigation; manage the West Virginia Uninsured Employer Fund. Until recently, duties have been primarily related to workers' compensation. Since workers' compensation privitazation bill was pass in 2005, acted as Insurance Commissioner's primary counsel on workers' compensation privatization. Since passage of PPACA (national healthcare reform), have peformed most of the legal research for Insurance Commissioner's health care team charged withi implementing the PPACA, and expect to be heavily involved with health care law going forward. -
Associate CounselPullin Fowler Flanagan Brown & Poe, Pllc Oct 2003 - Oct 2004Charleston, West Virginia AreaRepresented insured entities in lawsuits, primarily industrial injuries, such as "deliberate intent" workers' compensation claims and product liability. Duties included all phases of litigation including drafting pleadings and motions, discovery (depositions, written discovery, etc.), and appearing in Court. -
Judicial Law Clerk, Judge Robert B. Stone, Circuit JudgeWest Virginia Supreme Court Of Appeals Aug 2001 - Jul 2003Morgantown, Wv (17Th Judicial CircuitProvided legal advice and research for Court. Duties included legal research, writing and analysis and drafting memorandum opinos.
Ryan Sims Skills
Ryan Sims Education Details
Frequently Asked Questions about Ryan Sims
What company does Ryan Sims work for?
Ryan Sims works for Workforce West Virginia Board Of Review
What is Ryan Sims's role at the current company?
Ryan Sims's current role is Seasoned Attorney -- Healthcare Regulatory Compliance Generalist.
What is Ryan Sims's email address?
Ryan Sims's email address is rs****@****ail.com
What is Ryan Sims's direct phone number?
Ryan Sims's direct phone number is +130454*****
What schools did Ryan Sims attend?
Ryan Sims attended West Virginia University College Of Law.
What skills is Ryan Sims known for?
Ryan Sims has skills like Health Insurance, Healthcare, Workers Compensation, Legal Research, Legal Writing, Regulatory Affairs, Regulatory Requirements, Regulatory Analysis, Health Care Law, Letters Of Credit, Surety Bonds, Legal Compliance.
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