Shalyn M. Pavolillo Email & Phone Number

Northeast Ohio

Pittsburgh, Pa

More than 7 years experience in Legislative Affairs performing state and federal tracking, legal analysis, communication, and compliance of emerging law and regulation in over 25 jurisdictions affecting the operation of HM Insurance Group (HMIG) and United Concordia Insurance Co. (UCD):• Monitored and supported business area compliance actions, and provides factual and legal research analysis and guidance on a variety of topics relating to dental, vision, and stop loss insurance products. • Worked on a team of three attorneys splitting 51 jurisdictions• Responded to inquiries and maintains on-going information sources on key topics.• Participated in industry trade groups and coordination of company positions in response to proposed legislation and regulation to influence emerging law and improve the regulatory environments.• Reviewed proposed legislation, regulation and guidance for assigned areas of responsibilities and provides guidance to business areas and key partners.• Provided project support and advises appropriate business areas and partners on new and existing laws and their operational impacts.• Prepared and drafts legislative and regulatory summaries to assist with business area compliance of state and federal laws and regulations.• Researched and analyzes complex legislative and regulatory matters and recommends possible solutions and strategies related to compliance.

Pittsburgh, Pennsylvania

- Managed Third Party Administrator audits in compliance with state and federal laws; assisted in the creation of audit procedures; created audit schedules and coordinated meetings with internal and external business partners; gathered and analyzed audit data; compiled, quality checked and logged audits; and additionally, assisted in remedying deficiencies.- Worked with internal business partners across the organization to effectuate compliance with policies, procedures, laws, and regulations by testing daily activities against established standards, reporting on findings, and discussing the results, including plans for deficiency resolutions. - Participated in root cause analysis, mitigation, and documentation of compliance incidents.- Conducted legal research and analysis to provide consultative guidance to business areas and assisted in the creation and upkeep of business tools, policies, and procedures. - Key focus on areas of Fraud, Waste, and Abuse (remedying deficiencies within the Fraud Hotline Call process, OIG, MEDIC Requests), Senior Markets Product (Medicare Bid Submission), Finance (annual CMS Financial Examination Audits), and Risk Revenue.

Remote

- A for-profit subsidiary of the Center for Telehealth and e-Health Law (CTeL), Innovations works to bridge the knowledge gap for corporations, health systems, venture capital firms, pharmaceutical firms, insurers, law firms, industry organizations and others.- Provided consulting services and legal research per client specific requests.- Created legal/regulatory matrices optimized to client business models; applied matrices to model specific jurisdictions.

Remote

Use of extensive policy experience and knowledge in the areas of telemedical pharmacy laws, the Ryan Haight Act and controlled substance compliance, private payer reimbursement, Medicaid reimbursement, physician licensure, and Internet prescribing to provide legal research in the form of 50 state surveys, white papers, and Webinar presentations.As a legal fellow for the Center for Telehealth & e-Health Law, published works include the white paper "The Ryan Haight Online Pharmacy Consumer Protection Act of 2008: Key Aspects and Implications for Telemedicine," the "20 State Survey on Telehealth and Private Payer Reimbursement," and the "50 State Medicaid Reimbursement Report." I have also co-authored the "50 State Survey on Pharmacy Laws Pertaining to Telemedicine and E-Prescribing" as well as the "Survey of Private Payer Telehealth Reimbursement Policies from Select Major Medical Insurance Companies" and the "50 State Survey on Prescriptive Authority: Controlled Substances, Non-controlled Substances, Telemedicine, and Internet Prescribing."Additionally served as interim membership director with CTeL from August 2012 to December 2012, managing correspondence and membership services.

Springfield, Ma

Focus on public interest projects; aided in the design of pro bono program for Fall 2012 implementation

Waterbury, Ct

Provided legal advice to agency social workers; prepared and reviewed case files; made recommendations regarding cases; assisted in administrative hearings

Washington, D.C.

Provided legislative research; assisted in daily operations; notated hearings; aided constituents.

Doctor Of Law (J.D.)

Activities and Societies: Womens Law AssociationMerit Scholarship Recipient CALI Award Recipient in Constitutional History.

Bachelor Of Arts (B.A.), Interdisciplinary Anthropology, Graduated Summa Cum Laude

Activities and Societies: Honors Society Anthropology ClubHonors College Academic Scholarship Paul E. Martin Award for Conflict Management.