Prior to her service on the King County Council, Sarah has worked as the Chief Development Officer for Social Venture Partners International, Executive Director at Eastside Housing (now Springboard Alliance) on Avondale in Redmond, and the Sr. Director of University Initiatives at Seattle University. She also worked at Encompass (called Children's Services of Sno-Valley then) and co-founded the Si View Indoor Playground, which is still running in North Bend and supporting families of all ages today.

Sarah received the 2018 Campaign Heroine Award from the National Women's Political Caucus for her organizing work to support the successful election of Rep. Lisa Callan. She is deeply committed to civic engagement at all levels, and in 2017 she won the Magnuson Award for Western Washington Organizer of the Year from the Washington State Democrats.

A dedicated community leader and volunteer, Sarah is a member of the Issaquah Kiwanis Club, Sno-Valley and Greater Issaquah Chambers of Commerce, One-Redmond, and formerly with the National Alliance on Mental Illness (NAMI). Sarah also volunteers at the Issaquah Meals Program and Issaquah Food and Clothing Bank through both Kiwanis and her church, Spirit of Peace UCC.  

An Issaquah neighbor for 21 years, Sarah lives with her husband, Bill Ramos, and their dog, Sadie.