Summary
Overview
Work History
Education
Skills
Technology Languages
Certifications Affiliations
Timeline
Generic

Judy Quiroz-Lafon

Henderson,NV

Summary

Enterprise-level healthcare operations leader with 10+ years of experience across behavioral health, skilled nursing facilities (SNFs), psychiatry, oncology, pulmonology, and managed care. Demonstrated success in collaborating with executive leadership to develop scalable workflows, enhance documentation accuracy, optimize payer and credentialing processes, and improve multi-state care delivery. Recognized for translating strategy into execution, building high-performing teams, and leveraging EMR systems and analytics to drive operational performance.

Overview

17
17
years of professional experience

Work History

Director of Operations, SNF Psychiatry Division

Behavioral Health Solutions
Las Vegas, NV
07.2020 - Current
  • Lead multi-state SNF Psychiatry operations (8+ states), overseeing workflows supporting 30,000+ monthly encounters and scaling the service line to increase annual encounter volume from 211K to 369K (+74%) within two years.
  • Serve as operational partner to executive leadership, providing data-driven insights, operational analysis, and implementation support for strategic initiatives.
  • Led a division-wide operational restructure, introducing new clinical leadership, scheduling, and eligibility roles to improve accountability, continuity of care, and workload distribution.
  • Built and maintain Athena & PowerBI dashboards to monitor encounter capture, provider productivity, payer mix, documentation backlogs, and quality measure performance.
  • Oversee a multi-vendor scribe ecosystem including MedVA and FreedAI, improving documentation turnaround, reducing provider burden, and accelerating backlog resolution.
  • Lead telehealth program expansion across SNF partners, improving access to psychiatric care in underserved markets.
  • Coordinate provider scheduling, credentialing, and payer enrollment workflows to ensure continuity of services and prevent revenue leakage.
  • Spearheaded MIPS performance turnaround across six provider groups, implementing quality measure optimization, provider training, and reporting workflows that converted a negative CMS payment adjustment to positive Medicare reimbursement (+1–2%).
  • Foster collaboration between clinical teams, revenue cycle, compliance, IT, and site leadership to improve operational cohesion and patient outcomes.

Clinical Administrative Coordinator

UnitedHealthcare
Las Vegas, NV
10.2017 - 07.2020
  • Managed medical prior authorizations, appeals, and enrollment workflows in a high-volume managed care environment.
  • Delivered bilingual interpretation services to Spanish-speaking members.
  • Supported claims processing accuracy across payer products.

Community Health Needs Assessment & Implementation Project

Summerlin Hospital Medical Center
Las Vegas, NV
01.2020 - 05.2020
  • Conducted cancer prevention and screening data analysis using state and county health resources.
  • Developed a community implementation plan in partnership with the Nevada Cancer Coalition.

Office Administrator / Interpreter – Oncology & Hematology

HealthCare Partners Nevada
Las Vegas, NV
05.2012 - 06.2017
  • Led front-office operations including scheduling, intake, collections, and insurance verification.
  • Verified Medicare, Medicaid, and commercial coverage.
  • Provided Spanish medical interpretation services.

Front & Back Office Administrator

Children’s Lung Specialists
Las Vegas, NV
10.2008 - 04.2012
  • Coordinated insurance verification, patient triage, and medical record management.
  • Translated clinical information for families and supported cystic fibrosis clinical trial workflows.
  • Supervised front-office staff in manager’s absence.

Education

Bachelor of Science - Health Care Administration & Policy

University of Nevada, Las Vegas (UNLV)
Las Vegas, NV
12.2020

Associate of Arts - International Languages (Spanish Emphasis)

College of Southern Nevada
Las Vegas, NV
12.2018

Skills

  • Multi-state SNF operations
  • Clinical workflow optimization
  • Data-driven insights
  • Cross-functional team leadership
  • Quality measure reporting
  • Patient encounter optimization
  • Telehealth program management
  • Project management

Technology Languages

Athena EMR | PowerBI & Operational Dashboards | Telehealth Platforms
Microsoft Office Suite | Digital Collaboration Tools
Bilingual: English & Spanish

Certifications Affiliations

  • IC3 Digital Literacy Certification, Certiport
  • National Society of Leadership and Success, Active Member

Timeline

Director of Operations, SNF Psychiatry Division

Behavioral Health Solutions
07.2020 - Current

Community Health Needs Assessment & Implementation Project

Summerlin Hospital Medical Center
01.2020 - 05.2020

Clinical Administrative Coordinator

UnitedHealthcare
10.2017 - 07.2020

Office Administrator / Interpreter – Oncology & Hematology

HealthCare Partners Nevada
05.2012 - 06.2017

Front & Back Office Administrator

Children’s Lung Specialists
10.2008 - 04.2012

Bachelor of Science - Health Care Administration & Policy

University of Nevada, Las Vegas (UNLV)

Associate of Arts - International Languages (Spanish Emphasis)

College of Southern Nevada
Judy Quiroz-Lafon