Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Kimberly Cavett

Kimberly Cavett

Ooltewah,TN

Summary

Experienced and forward-thinking Relationship Manager with a proven track record of cultivating and managing strategic business opportunities. Delivering exceptional, client-focused solutions. Adept at building and maintaining strong, long-term relationships with key stakeholders to ensure client satisfaction, retention, and business growth. Expertise in risk management allows identification and mitigation of potential challenges while optimizing financial and operational performance. Results-driven professional consistently exceeds expectations through innovative problem-solving, data-driven decision-making, and a proactive approach to business development. Passion lies in driving growth, enhancing customer experiences, and fostering partnerships that create sustainable success within competitive markets.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Supplier Relationship Manager Senior

WellSense Health Plan
02.2023 - Current
  • Foster and maintain strong, long-term relationships with key suppliers to drive collaboration and mutual success
  • Support the sourcing team in supplier contracting processes to ensure alignment with business objectives
  • Collaborate with business owners, strategic sourcing, and legal teams to ensure timely and accurate documentation of change orders, change requests, and contract amendments
  • Establish and track performance standards to assess supplier performance, ensuring compliance with contractual and regulatory requirements while mitigating risk
  • Review and distribute regulatory and operational reports to internal stakeholders, adhering to established business rules and guidelines
  • Implement and monitor corrective action plans to address supplier performance issues and improve outcomes
  • Lead quarterly business reviews (QBRs) with suppliers, fostering discussions around performance, issue resolution, and process optimization to drive operational efficiency improvements
  • Support the implementation of a supplier segmentation strategy, categorizing suppliers by risk and importance to optimize resource allocation and prioritization
  • Manage supplier regulatory audits with a 100% score rate
  • Manage compliance checks for the team to ensure adherence to company policies, regulatory standards, and ethical practices
  • Assist in identifying and mitigating supplier risks by collaborating with suppliers to develop and implement risk mitigation strategies
  • Chair the Supplier Oversight Committee, contributing to the development of supplier relationship governance models, policies, and processes
  • Devised and maintained an up-to-date database of supplier and vendor performance metrics.

Business Systems Analyst

Transport Enterprise Leasing
06.2022 - 11.2022
  • The intermediary between the company's business units and application development
  • Understanding of the Salesforce platform and products (Sales, Service Clouds), Domo Business Cloud and legacy systems
  • Create requirements, specifications, business processes and recommendations related to proposed solutions
  • Develops functional specifications and system design specifications while identifying system constraints
  • Ensure issues are identified, tracked, reported on, and resolved in a timely manner
  • Support with Testing efforts in lower environments and coordination of UAT with business units
  • Communicate needed changes to development team or software vendor
  • Enforcement of project deadlines/schedules and management of project scope

Business Systems Analyst Specialist

BCBST
04.2020 - 05.2022
  • Managing high priority and large-scale projects in a fast-paced environment as well as leading the day-to-day application production support or enhancements
  • Liaison between Business and technical teams
  • Collaborate with Vendors and ensure adherence to project implementation scope and/or contractual agreements
  • Ensure Vendor compliance with health plans product
  • Collaborated with subject matter experts, project, consulting, and technical teams, and various levels of management to execute quick resolution to issues or risks and identifying interdependencies across the projects
  • Captured the project requirements, scheduled business requirements review meetings, gap analysis and architectural design discussions
  • Collaborated with development team to complete project intake, assessment of risk/assumptions and timeline for creating the ROM
  • Demonstrating relationship management and negotiations skills with partners while driving projects to completion
  • Analyze processes to improve best business practices
  • Collaborate with the technical and SQA teams to ensure that results of the project fully satisfy the requirements
  • Manage project release preparations
  • Mentored team BSA's

Clinical Training & Learning Consultant

BCBST
11.2019 - 04.2020
    • Maintained and/or developed workflows to meet business, Systems, and CMS/regulatory requirements
    • Ensured that staff were trained in the specifications of standard system templates and are written in clear, explicit, and summarizing terms
    • UAT testing for large corporate initiative
    • Proactively identify opportunities for improvement

Vendor Management Consultant

BCBST
08.2016 - 11.2019
    • Business and Technical relationship and methodology management
    • Determine required workgroups to support projects Partners with technical and business SMEs to ensure deliverables and requirements for projects are gathered, elaborated, and approved
    • Oversaw and tracked all tasks to completion, following up with contacts for updates and issue resolution
    • First point of contact for any technological issues/troubleshooting
    • Issue resolution involved multiple technological variable analysis including the 270/271 eligibility process, XML validation, SSO functionality and workflow
    • Led questions/tasks/assignments/decision between multiple business areas, technology partners, and the Supplier
    • Technical and Project Lead for Implementation Projects (Genetic Testing and MSK Programs)
    • Led business, technical requirements analysis and verification, ensuring that requirements are complete, consistent, and demonstrable
    • Defined quality attributes, external interfaces, and constraints
    • Single Sign on Transactions
    • CareAdvance Web Service
    • Managed change requirements by communicating with technical SMEs, business and the external supplier
    • Collaborated with the technical and SQA teams to ensure that the results of the project fully satisfy the requirements
    • Proactively identified opportunity for improvement or expanding in technological and/or business obligations
    • Collaborate with Delegate Oversight team for vendor performance reviews and SLA's as well as monitoring corrective action plans that may result from those review

Utilization Management Nurse Clinician

BCBST
11.2013 - 08.2019
  • Evaluation of the appropriateness and medical need of health care services, procedures and facilities according to evidence-based criteria or guidelines
  • DME (durable medical equipment) supplier management
  • Assisted in coordination of audit projects, reports, and DME Supplier adherence to health plan contractual requirements

Education

Associate of Applied Science - Nursing

Cleveland State Community College
Cleveland, TN
05-2011

Skills

  • Customer relationship management
  • Regulatory Standards Oversight
  • Relationship management
  • Conflict Resolution
  • Performance analysis
  • Strategic planning
  • Excellent communication
  • Risk mitigation
  • Project Management

Certification

  • Certified Supplier Relationship Management Professional, SIG - 2024
  • Certified Professional Scrum Product Owner, Scrum.org - 2021
  • Certified Scrum Master, Scrum.org - 2021
  • Certified Six Sigma Yellow belt, Lean Six Sigma
  • Lean Six Sigma DMAIC Training

Timeline

Supplier Relationship Manager Senior

WellSense Health Plan
02.2023 - Current

Business Systems Analyst

Transport Enterprise Leasing
06.2022 - 11.2022

Business Systems Analyst Specialist

BCBST
04.2020 - 05.2022

Clinical Training & Learning Consultant

BCBST
11.2019 - 04.2020

Vendor Management Consultant

BCBST
08.2016 - 11.2019

Utilization Management Nurse Clinician

BCBST
11.2013 - 08.2019

Associate of Applied Science - Nursing

Cleveland State Community College
Kimberly Cavett