Sharon Castro

Sharon Castro

Senior Consultant

Tallahassee, FL

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Sharon Castro has over 20 years of experience in quality and accreditation and has been a National Committee for Quality Assurance (NCQA) surveyor since 2013.

Prior to joining HMA she worked as director for quality at various large managed care organizations such as Cigna, Kaiser Permanente, and Molina Healthcare. In this role she was responsible for regulatory and accreditation programs for commercial, Medicare, and Medicaid, including long-term services and supports and Marketplace lines of business.

Sharon has subject matter expertise in Centers for Medicare and Medicaid Services (CMS) requirements, NCQA standards and guidelines for health plan accreditation, health equity, utilization management, and credentialing among others, and state regulations. She has led the development and submission of the Centers for Medicare Special Needs Plans Model of Care achieving high scores.

She has successfully led organizations through other NCQA programs: Multicultural Healthcare Distinction and Patient Centered Medical Home (PCMH), Diabetes and Heart/Stroke recognition. As an NCQA surveyor she audits health plans, credentialing verification organizations and other types of organizations’ documentation and files against accreditation/certification/recognition requirements.

Sharon received a bachelor’s degree in information systems from the University of Phoenix, a master’s degree in project management from Colorado Technical University and a master’s degree in public health/health promotion and education from Walden University.

She is from the beautiful Caribbean island of Puerto Rico and enjoys going to the theater to watch musicals and traveling.