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confluescent.com
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Shana Montrose

Principal Consultant

 Shana Montrose is a strategist, facilitator, and executive coach who helps mission-driven leaders turn bold ideas into operational success. As the founder of Confluescent Consulting LLC, she partners with nonprofits, public health agencies, and purpose-driven businesses to bridge the gap between strategy and execution.


Shana offers a full spectrum of support: strategic planning with a focus on implementation, fractional COO services to maintain momentum, leadership development workshops to build team capacity, and executive coaching to help leaders stay grounded, focused, and effective. 


With 20 years of experience in leadership, strategy, and operations across healthcare, public health, nonprofit, and government sectors, Shana brings hands-on leadership experience. As an executive at a Federally Qualified Health Center, she spearheaded growth strategies, optimized operations, and forged new partnerships. She also served as a strategy execution consultant within a multi-billion-dollar, matrixed healthcare delivery system, where she led large-scale prevention initiatives that improved patient outcomes and she also created a best-in-class multidisciplinary chronic pain center.


Now, as the CEO and Principal Consultant of Confluescent, Shana combines her deep expertise in operational systems with a results-oriented approach to leadership coaching. Her no-nonsense style equips nonprofit and business leaders with the tools and mindset needed to improve efficiency, increase impact, and foster a culture of collaboration and continuous improvement. 


Shana’s work is rooted in one simple belief: when people align their operations with their strategy—and their actions with their values—real transformation becomes possible. 

The Story Behind Confluescent

A longtime curious adventurer, I once stood at the confluence of the Rio Negro and the Solimões rivers in Brazil. Because the properties of the waters are so different, they don’t immediately blend together. Instead, for miles, black water runs alongside mineral-infused tan water. Eventually, the two converge to form the Amazon, the largest river on the planet.


When creating Confluescent, this was the image that came to mind. Something powerful happens when multiple perspectives come together. I’m exhilarated by weaving together ideas that appear disparate on the surface to create something more profound. So often, it’s the unexpected ingredient that amplifies value. And together these ideas are more catalytic because the sum is greater than its parts. 

Confluence of the Rio Negro and the Solimões rivers in Brazilian Amazon.

Values

Confluence

Connecting people and ideas to achieve more.

Influence

Expanding the reach and impact of your mission.

Fluorescence

Shining light to better understand problems and proposing clear solutions.

Essence

Getting back to your purpose and the smallest viable product to wow loyal customers.

Ascend

Finding the best path to improve, grow, and actualize with integrity.

Confluescent Certifications

Shana Montrose is a member of the International Coaching Federation which certifies coaches.
Shana Montrose, Everything DiSC certified practitioner: team-building and leadership development
Shana Montrose earned a gold certification in LAEN Management Systems. Confluescent offers training.
Shana Montrose is certified by Geogretown CNDLs in training and instructional design.

Who we serve

Public Health - System Building

Public Health - System Building

Public Health - System Building

Strengthening public health systems through collaboration, strategy, and capacity building.

Improving public health through system strengthening. Working at the intersection of health and social issues.

Healthcare - Business Strategy

Public Health - System Building

Public Health - System Building

Drive healthcare success with strategic planning, operational efficiency, and market insights.

Reducing costs while improving quality and customer experience. Improving access to healthcare. 

Social Impact - Innovation

Non-Profit & Government - Leadership

Non-Profit & Government - Leadership

Fostering social impact through innovative solutions in healthcare, public health, and non-profits.

Taking responsibility for environmental and social impact. Improving governance. Bringing in the voice of the community. 

Non-Profit & Government - Leadership

Non-Profit & Government - Leadership

Non-Profit & Government - Leadership

Empowering non-profit and government leaders to excel through strategic vision and collaboration.

Being a good steward of tax dollars and philanthropy means making smart business decisions and leading with integrity.

Clients

Research, program evaluation, focus groups, stakeholder interviews, survey, survey design, strategy
Grant reviewer for New Access Point Funding Opportunity with HRSA Bureau of Primary Care
Provided leadership coaching and training for Colorado Association of Local Public Health Officials
Operational excellence training and standard operating procedures for large county in California
Public Health Commuity Needs Assessment using MAPP 2.0 methodology.
Strategic planning for healthcare tech company.
Business planning for start-up arts and social justice organization.
Confluescent Consulting completed strategic plan for growing health center.
Strategic planning, operational excellence training and leadership coaching for large non-profit

Speaking Engagements

Shana Montrose presented on SMART goals for students learning about health information technology.
Shana Montrose: mentoring, coaching, careers, public speaking, youth engagement.
Shana Montrose presented on FQHC leadership, health policy, and community health centers.
Presenting on using MAPP 2.0 methodology for Community Health Needs Assessment.

Published Articles

Shana Montrose, Confluescent Consulting, published author and thought leader on health policy.
Shana Montrose, Confluescent Consulting, published author and thought leader on change management.
Shana Montrose, Confluescent Consulting, published author, thought leader, trainer and facilitator
Shana Montrose, Confluescent Consulting, published author and thought leader on change management.

testimonials

Monica V

Monica V

Monica V

Shana is a star. Her combined expertise in health policy, analytics, stakeholder management, and strategy made her invaluable. When our executive team had a high profile initiative that crossed departments, it was clear Shana would lead it to success. She's a consistent high performer, and I would relish the chance to do critical work with her again. 

Hanah P

Monica V

Monica V

 Shana is one of the most innovative and creative people I have worked with. She is an out-of-the box thinker who can inspire teams to work at the highest level of engagement. Her superb work-ethic, organizational skills and laser focus on process and outcomes make a successful project completion a sure thing. 

Annalise S

Annalise S

Annalise S

 Shana is thoughtful and passionate about improving access to care and service provision, and truly believes in bettering the communities she serves. She is a highly intelligent and strategic partner, and has a keen ability to lead teams. Her thoughtful approach to problem solving and her collaborative management style made it easy and fun to work with her.  

Laurel B

Annalise S

Annalise S

Through Confluescent’s diligent and thoughtful approach, this project was completed on budget and ahead of schedule, and left us with insights that were both immediately actionable and informative on a broader scale... We went into the study with a vague set of notions about what we didn’t know; we left the study with a deeper understanding and exactly the insights we needed to take action.

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Woman Owned Business (EDWOSM) Based in Denver

Serves Boulder, Colorado Springs, Fort Collins, and Surrounding areas

Serving Rural, Mountain, and Frontier Colorado

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