Tina Rivera

Strategic healthcare executive with 20+ years extensive experience leading public health, behavioral health, social service systems, and fiscal operations. Proven success in fiscal oversight of complex, multimillion-dollar budgets, personally securing over $100M in grant funding, and achieving CARF accreditation. I am passionate about driving patient-centered excellence and organizational growth.

Lead technology driven implementations creating organizational efficiencies, such as Electronic Health Record systems and Software payment systems. Skilled in continuous quality improvement, compliance, and equity-driven leadership, with a track record of building cross-sector partnerships that expand access and impact.

Professional Experience Summary

• Consultant Independent Executive & Strategic Advisor 2025 – Present

Provide consulting services to healthcare and human services organizations, specializing in continuous quality improvement, fiscal oversight, equity-driven reforms, and strategic planning. Support executive teams in accreditation readiness, organizational restructuring, and partnership development.

• Interim to Director of Health Services County of Sonoma 2021 – 2024

Directed public health, behavioral health, and homelessness services with a $400M+ budget and 750+ staff. Led COVID-19 crisis response, advanced equity-driven reforms, and implemented CQI and accreditation compliance.

• Assistant Director Department of Health & Community Development Commission, County of Sonoma 2020 – 2021

Managed a $453M budget and homelessness interventions, securing permanent housing for 300+ individuals. Oversaw fiscal operations, program development, and cross-sector partnerships to expand housing and health services.

• Director of Administrative Services Human Services Department, County of Sonoma 2018 – 2020

Oversaw fiscal operations, human resources, contracts, and facilities for a large county agency. Directed budget development, risk management, IT/security initiatives, and supervised multidisciplinary teams to ensure compliance and efficiency.

• Chief Financial Officer / Administrative Services Director Louisiana Department of Health & Hospitals 2013 – 2018

Managed statewide behavioral health clinics and facilities, overseeing CARF accreditation, electronic health record implementation, and CQI audits. Increased agency revenue by 20% annually, directed multimillion-dollar budgets, and strengthened fiscal transparency.

• Federal Grants Manager City of Shreveport 2011 – 2013

Administered federal grants for the Police Department and other agencies, serving as Title VI Representative and Equity Officer. Ensured compliance with federal regulations, expanded funding opportunities, and advanced equity initiatives.

• Executive Director / Chief Financial Officer Compassion Center 2000 – 2011

Supervised case management and behavioral health teams, authored and managed major grants securing significant funding, and expanded services for vulnerable populations. Provided strategic leadership in program development, fiscal oversight, and staff supervision.

• Vice President, Board of Directors Community First Credit Union 2015 – Present

Provide governance and fiduciary leadership, ensuring financial sustainability and strategic growth for a member-focused financial institution.

Education Summary

• Bachelor of Science in Business Administration

Northwestern State University, Natchitoches, Louisiana — May 2013

Concentration in Finance, providing a strong foundation in fiscal management, strategic planning, and organizational leadership.

• Finance Studies

Louisiana State University

Completed advanced coursework in finance, strengthening expertise in budgeting, forecasting, and fiscal oversight.

• Professional Certifications (In Progress)

Healthcare Financial Management Association (HFMA)

• CSBI – Certified Specialist in Business Intelligence
• CHFP – Certified Healthcare Financial Professional
• Institute of Certified Professional Managers (ICPM)
• CM – Certified Manager
• Executive & Professional Development

Extensive training in trauma-informed care, equity-driven leadership, health systems reform, and continuous quality improvement (CQI).