Sharon A. Williams

Health Care Executive and Entrepreneur

Greater Atlanta Area

Summary
Preventive healthcare Operating Strategy Healthcare Analytics Product-Market Fit Healthcare Industry Healthcare Consulting
I have more than 25 years of experience in health care operations and policy with over a $1 billion P&L responsibility.

I have extensive experience working with health care payers, providers and managed care organizations in creating ACOs, risk agreements, the development and evaluation of health care delivery and reimbursement systems, health care compliance programs, health care reform options and health care data analysis.

I have worked with health plans, employers and unions in assessing opportunities for improving health insurance benefit design, contracting and pricing strategies, performance improvement (including HEDIS), the analysis and design of cost containment options, and contracting and pricing strategies.

As a senior executive for several health plans, I was responsible for the overall operations of the health plan, including strategic direction, administration for all existing programs and the development of new programs to ensure goals and objectives were met or exceeded.

I led, and directed the overall improvement of operations including: provider contracting and relations, sales and marketing, claims operating system, call center responsiveness, medical management, regulatory compliance and finance.

I have served as the representative of the health plan to government entities and other external agencies and ensures compliance with all relevant regulatory agencies.

I realigned provider network contracts and launched pay for performance initiatives and risk contracts for government sponsored and employer based products.

I developed processes and production standards to improve the quality of contract loading and claims processing.

Specialties: Medicaid and Medicare Managed Care and Duals
Operations, Sales, Network Development, Government Relations, Staff Development and Mentoring, Strategic Planning, Managed Care Negotiations, Hospital Payment Benchmarking, ACO Development, Bundled Payment
Experience

President, Co-founder, Angel Investor, at GoBlu Technology . gobutech.com

Apr 2016 - Present

Launching and operationalizing a mobile device charging network - B2B/B2C integration. GoBlu connects consumers needing to recharge their mobile devices to a network of businesses that have installed our wireless charging tiles.

Consultant, Owner at SWB Consulting Group . https://sharonwilliamsportfolio.com

Jan 2014 - Present

Assists healthcare organizations with challenging transitions and new initiatives. Examples of recent client experience include: - Currently assisting a health plan launch a Medicare Plan • Interim Centene of South Carolina VP of Operations (Acute Medicaid, LTC demonstration product launch) Helped both SC and CMS develop membership reconciliation processes • Shared savings contracts between health systems and payers and between payers and FQHCs/providers. • Provided subject matter expertise to equity and consulting firms • Executive coaching for several clients looking to make a career transition in health care • GoBlu Application (hardware/software) Product Launch

Education

Health Administration and Public Policy at University of Chicago

Sep 1989 - Aug 1991

I studied Health Administration through the Booth's Center for Health Administration Studies and Public Policy through the Harris School of Public Policy

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