Sharon West Email & Phone Number

Washington, Dc, Us

Washington, Dc, Us

Washington D.C. Metro Area

Thought leader to committees and work groups achieving consensus positions, developing and executing advocacy strategies and engaging applicable federal agencies, Medicare Administrative Contractors, health plans, stakeholders, and states to elevate awareness and influence policies affecting laboratory services and improving the delivery of health care services. Key issues: coverage, reimbursement, legal issues, prior authorization, surprise billing, remote pathology, DOS rule (OPPS rule), burden reduction, PAMA, IOAS Stark law exception.

Washington, D.C.

Attorney manager, architect of health plan strategy and professional/regulatory affairs staff and committee.•Guided effective health plan relationships, policies, and program; •Positioned organization for value-based care, alternative payment models and delivery system transformation;•Assessed impact of regulation, legislation, and policies crafting advocacy strategies on high impact health care issues (eg, reimbursement, Medicare coverage, fraud and abuse, privacy, transparency); •Developed legal advocacy program for litigation support at state and federal levels.

Tampa, Fl

Charter attorney on health plan operations practice group at national government programs health plan. Primary focus: furnishing strategic counsel to plan's provider relations and contracting areas.

Falls Church, Va

Lead negotiator and relationship manager for company’s largest and/or most critical health systems, hospitals, facilities and other physician organizations in metropolitan Washington, D.C. Counsel on insurance regulatory matters, contract review, disputes, and other legal matters.

Greenbelt, Md

Oversight of provider contracting for all of Maryland, Virginia, and Washington, D.C. including delegated and global risk arrangements and credentialing committee for Medicare and commercial HMO networks and management of contracting professional team.

Lanham, Maryland

Lead for metropolitan Washington, D.C. provider network for company’s Medicare, Medicaid, and commercial managed insurance products including 17 member provider relations team and site manager for DC market overall.

Juris Doctor (J.D.)

Bachelor’S Degree, Mass Communication/Broadcast Journalism & Political Science

Activities and Societies: Alpha Delta Pi