Sarah Victoria Galloway, JD

**** * ****** ***, ******, CO 80015 303-***-**** adkggn@r.postjobfree.com

Education

DOCTOR OF JURIS PRUDENCE MAY, 2002 UNIVERSITY OF COLORADO AT BOULDER

· Rothgerber Johnson & Lyons Teaching Fellow, Dean’s List, top 12% BACHELOR OF ARTS-HISTORY JUNE, 1999 UNIVERSITY OF OREGON

· Phi Beta Kappa, Presidential Scholar, Dean’s List, Alpha Lambda Delta Honor Society, Phi Eta Sigma Honor Society

Experience

GENERAL COUNSEL BRIDGEHEALTH MEDICAL, INC. July 2018-Present).

· Conduct due diligence for planned merger and lead transition team post-merger.

· Review, draft, and negotiate contracts with enterprise clients, including fortune 500 companies.

· Review, draft, and negotiate contracts with hospitals, ASCs, GPOs, and physician groups for bundled surgical procedures.

· Counsel and advise senior leadership and the C-suite on a variety of legal issues including ERISA, FAR, FEHBAR, risk management, and contract principals.

· Analyze corporate risks and prepare business wide strategic risk assessments including potential mitigation strategies.

· Act a strategic business advisor for both legal and non legal matters.

· Develop and maintain business wide internal control system and legal and contract management systems

· Serve as Compliance Officer and supervise all aspects of the Internal Controls department. PRINCIPAL CONSULTANT LIGHTWELL CONSULTING, INC. June 2017-July 2018.

· Develop and implement insurance appeal strategy for emerging technologies to build precedent of approvals and/or denials for subsequent strategic discussions with payers. SENIOR MANAGER- PRICING AND MARKET ACCESS CONFORMIS, INC. June 2015-June 2017).

· Develop pricing strategies based on product differentiation and value. Strategies include, but are not limited to, rebate programs, volume discounting, and risk-based agreements.

· Develop and deliver company value proposition including clinical and economic data to hospital and IDN executives.

· Negotiate with C-Suite hospital executives to achieve premium pricing.

· Negotiate pricing and business terms for contracts with hospitals, IDNs, and GPOs.

· Coordinate with sales team to achieve pricing and access goals, and address hospital concerns at the local, regional, and national levels

· Launch and direct contract compliance program for IDNs and major hospital systems to monitor key contract terms, system membership, and to fulfill reporting and fee requirements.

· Monitor and report on reimbursement trends, focusing on coverage policy decisions at major payers

(BCBS, Cigna, Aetna, etc) to inform C-suite about risks and opportunities within the payer market.

· Analyze hospital data including information on complications, readmissions, reimbursement, expenses, and patient volume and mix to personalize presentations and deliver the most relevant and compelling parts of the value proposition to individual facilities and small health systems. PRINCIPAL CONSULTANT LIGHTWELL CONSULTING, INC. January 2013-June 2015).

· Draft, review, and negotiate, business contracts in the medical device and innovative biologics space including contracts with hospitals, IDNs, and GPOs, as well as vendor agreements.

· Negotiate premium pricing for innovative medical technologies.

· Create and implement pricing strategies for multiple medical device and biologic manufacturers, with a focus on orthopedics, biologics (focusing on stem cell and amnion technologies for surgical and wound/burn applications), and spine (focus on fusion and kyphoplasty).

· Create and implement reimbursement strategies for pharmaceutical, medical device, and biologic manufactures.

· Manage reimbursement hotline to provide compliant and accurate coding, coverage, and payment information for sales representatives, facilities, surgeons, and their staff. This includes help with CPT, ICD-9, ICD-10 HCPCS, and DRG information, as well as estimated reimbursement amounts by region or facility.

· Monitor and report on changes in coding and reimbursement across multiple procedures and technologies.

· Successfully led the application process to obtain new coding pathways with CMS including Q codes and J-Codes.

PARTNER/FOUNDER THE POTTER LAW FIRM October 2002-January 2013

· Represented a wide variety of clientele in the areas of business law, contracts, healthcare, and wills and trusts.

· Responsible for advising physicians and surgeons in relation to their practices, including physician group arrangements and partnerships, contracts with local facilities, contracts for equipment and supplies, and hospital access issues.

· Investigated complex allegations of Medicare fraud for facility owners to determine whether managers, physicians, or other key staff members were aware of and perpetrated the actions resulting in the fraud investigation. Work included examination of business records, chart notes, submitted bills and analysis of these bills in light of Medicare laws. REFERENCES AVAILABLE UPON REQUEST

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