Ryan Sims

Ryan Sims Email and Phone Number

Seasoned Attorney -- Healthcare Regulatory Compliance Generalist @
Ryan Sims's Location
South Charleston, West Virginia, United States, United States
About Ryan Sims

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.

Ryan Sims's Current Company Details
Workforce West Virginia Board of Review

Workforce West Virginia Board Of Review

Seasoned Attorney -- Healthcare Regulatory Compliance Generalist
Ryan Sims Work Experience Details
  • Workforce West Virginia Board Of Review
    Administrative Law Judge
    Workforce West Virginia Board Of Review Nov 2024 - Present
    Charleston, West Virginia, United States
  • Lineage Health Solutions, Llc
    In-House Counsel -- Regulatory/Compliance
    Lineage Health Solutions, Llc Sep 2020 - Sep 2024
    Huntington, West Virginia, United States
  • Guidehouse
    Managing Consultant
    Guidehouse May 2019 - Sep 2020
    Charleston, West Virginia, United States
  • West Virginia Bureau For Medical Services
    General Counsel, West Virginia Medicaid And Chip
    West Virginia Bureau For Medical Services Oct 2015 - May 2019
    Charleston, West Virginia, United States
    Served 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.
  • West Virginia State Senate
    Committee Counsel
    West Virginia State Senate Jan 2015 - Oct 2015
    Charleston, West Virginia, United States
    Served 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.
  • Employers'​ Innovative Network
    Vp Of Hr, General Counsel
    Employers'​ Innovative Network Jul 2013 - Jan 2015
    Charleston, West Virginia Area
    Company 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.
  • West Virginia Offices Of The Insurance Commissioner
    Associate Counsel
    West Virginia Offices Of The Insurance Commissioner Oct 2004 - Jun 2013
    Senior 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.
  • Pullin Fowler Flanagan Brown & Poe, Pllc
    Associate Counsel
    Pullin Fowler Flanagan Brown & Poe, Pllc Oct 2003 - Oct 2004
    Charleston, West Virginia Area
    Represented 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.
  • West Virginia Supreme Court Of Appeals
    Judicial Law Clerk, Judge Robert B. Stone, Circuit Judge
    West Virginia Supreme Court Of Appeals Aug 2001 - Jul 2003
    Morgantown, Wv (17Th Judicial Circuit
    Provided legal advice and research for Court. Duties included legal research, writing and analysis and drafting memorandum opinos.

Ryan Sims Skills

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 Legal Issues Legislative Research Legislation Legislative Analysis Employment Legislation Political Campaigns Policy Analysis Politics Political Research Enforcement Debt Collection People Skills Hearings Administrative Law Rules Health Information Exchange Economics Economy Health Economics

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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