Ninfa Montez

Oversee end-to-end provider credentialing and enrollment, ensuring NCQA/CMS/state compliance and using AI automation to reduce credentialing turnaround time by 40%. Lead credentialing database management, payer coordination, and staff training to prevent lapses and improve accuracy.

Implemented AI-driven patient communication and analytics platforms to streamline interactions, reduce wait times, and improve patient satisfaction. Led staff training using AI-based modules to standardize care and enhance team dynamics.

Led performance improvement projects that streamlined patient flow and boosted operational efficiency through audits and interdisciplinary workshops. Drove measurable gains in care outcomes and sustained process improvements.

Managed 50–60 cases remotely to improve post-reunification outcomes and ensured safety compliance for unaccompanied minors; trained new managers on Workday to boost onboarding efficiency.

Led accreditation readiness and redesigned the Joint Commission Tracer curriculum, organizing training for 98% of staff and maintaining policies to ensure regulatory compliance across facilities.

Built state partnerships that increased program capacity by 43% and managed over 50 cases delivering person-centered crisis intervention, training, and psychiatric admission facilitation.

Sold auto, home, commercial, and supplemental insurance while improving claims processes and client retention; implemented training and streamlined policy management to boost team productivity and service.

Master of Science in Organizational Leadership with a minor in Healthcare Administration from Northcentral University (2019–2020), with coursework in Leadership Development, Organizational Strategy, and Strategic Planning.

Bachelor of Arts in Psychology with a minor in Social Work from The University of Texas Rio Grande Valley (2007–2011), including coursework in Clinical Counseling, Industrial-Organizational Psychology, Research Methods, and Social Work Legislation.

Associate's Degree in Social Work from The University of Texas Rio Grande Valley (2005–2007), with coursework including Clinical Counseling, Industrial-Organizational Psychology, Research Methods, and Social Work Legislation.