Kimberlee Langford, BSN, RN, CCM, CRMT, CPC
Kimberlee Langford, BSN RN CCM CRMT CPC, is a seasoned Nurse Executive and healthcare strategist with deep expertise in medical management, utilization management, care management, and clinical innovation. In her role as Vice President of Medical Management, she partners with employers, health plans, and third-party administrators to design, implement, and scale high-performing clinical programs that reduce high-cost claims, improve population health outcomes, and elevate the overall member experience. Her clinical focus includes specialty pharmacy, infusion therapy, chronic kidney disease, dialysis, oncology, and complex chronic disease states, where she integrates evidence-based practice with advanced data analytics to drive measurable clinical and financial impact.
Throughout her more than 20-year career in healthcare, Kimberlee has led transformative initiatives across acute care, chronic care management, and value-based care environments. She is widely recognized for her ability to develop and operationalize scalable care models, predictive risk stratification tools, and upstream intervention strategies that proactively address high-cost and high-risk populations. Her leadership spans cross-functional team development, operational optimization, and health informatics, with a strong emphasis on improving clinical workflows, strengthening quality outcomes, and enabling clinicians to practice at the top of their licensure. She is equally known for building and mentoring high-performing teams that are aligned, empowered, and driven by both performance excellence and professional fulfillment.
In addition to her executive leadership, Kimberlee is a co-author, healthcare advisor, and thought leader dedicated to advancing a more human-centered and sustainable healthcare system. She brings a unique blend of clinical expertise, business acumen, and empathetic leadership to every engagement, with a focus on aligning financial stewardship with compassionate care delivery. Her work emphasizes upstream risk mitigation, innovation in care delivery, and the integration of clinical intelligence with operational strategy. Ultimately, she is committed to transforming healthcare systems in ways that improve outcomes, reduce costs, and most importantly ensure that patients remain at the center of every decision.
• Certified Professional Coach
• Certified Qigong Practitioner
• Reiki Master
• Certified Sound Healing Methods
• Expert Level Sound Healing
• Quantic School of Business and Technology - MBA, Nursing Practice
• Lewis-Clark State College - BSN
• North Idaho College - ASN
• Los Angeles Community College District - ASN
• Scholarship from Quantic University Valor Institute
• Finalist nominee “Most Influential Clinician in Insurance” - 2024 YOU Powered Symposium
• Honorable discharge, marksman, sea service, BUC award, Desert Storm, Good Conduct- US Coast Guard
• Diabetes Association
• National Kidney Foundation
• Oncology Nursing Society
• American Organization for Nurse Leadership
• Gathering of White Workers
• Former President of Holistic Chamber of Commerce
• Meridian Idaho Chamber of Commerce
• Sandpoint Chamber of Commerce
• La Leche League Leader (breastfeeding support)
• American Red Cross
• Avaita Nova Board Member (developing non-profit healing center)
• The Church of Jesus Christ of Latter-day Saints
• Boy Scouts of America
• Bonner General Health
• La Leche League International
• Red Cross San Pedro, California
• Navy-Marine Corps Relief Society
What do you attribute your success to?
I've been blessed to work with some really incredible leaders throughout my career, and I've even had the opportunity to work with some very successful, famous folks in a professional capacity. Three people have had the biggest impact on shaping my career. Most recently, Craig Clemente, the CEO of Specialty Care Management, and his father Bob Clemente had a huge impact on my career growth and helping me find my voice as a leader. Craig let me run and work for him like it was my own company - not many people get that opportunity. Carrie Niblack, the president of the company I work for now, has also been an incredible mentor. I've known her for many years, and she's led many top TPAs. The opportunity to work with her here at Boone Chapman has been a real thrill. I also serve as a mentor to others - I have a handful of graduates from the Nurse Leadership Program that I continue to mentor formally, and I'm also a Reiki master, so I have Reiki students that I mentor throughout life. Anybody who goes through my nurse leadership program has got me for life as well.
What advice would you give to young women entering your industry?
I would say if your why is in the right place, you'll be wildly successful. I mentored a nurse some years ago who wasn't doing well in her role, and when I asked what made her want to go into nursing, she said she thought she'd make good money. I really believe that if you're chasing a profit, you're going to always be chasing after it, and that's a hard way to make a living. But if you're chasing after impact, if you find out what your why is that you really can't put a dollar amount on - something that you feel - and you can find a way to tie a profession to that, profit will be chasing you. That's a really fun way to make a living and make a career. Find something you like, that you really enjoy, something that you lose track of time in because you're enjoying it so much. It doesn't mean it's not easy - I love what I do, but it's not easy. Find something you're passionate about, because if you're not passionate about it and you're just clocking in and out, that's hard. I've seen a lot of people do that their whole lives, and then they retire and they die. They wait their whole lives to live. A lot of people don't know how to find their purpose, and one thing I really love is helping people figure out what is it for you, what do you want. If you could design your dream job, what would it be? As a good leader, you help people get what they want out of life, and when you do that without regard for what's going to come back to you, it's inevitable that everything your heart desires will come to you.
What values are most important to you in your work and personal life?
My personal and professional life's mission has been to help other people live their best life, and I count myself as one of those other people. If it could get any better than loving on people all day long and helping them improve their lives, it's giving nurses a place to practice their craft to the top of their licensure and find joy in the work, because that's been beaten out of a lot of us. Nurses, providers, physicians, and patients have really been beat up over the last two years. Being able to help nurses tap into what brought them to their field in the first place - which for most of us is to help people live well - that's what we do. When I was asked about my most notable achievement, I said it's the impact I've had on the nurses I've worked with. One person can do a lot of good, but you'll never do as much on your own as you will when you leverage 5, 8, 10, 15, 20 nurses. Now you've got an army of people who do the same thing. Teaching nurses that they have leadership skills has been so important, because a lot of nurses have been told to sit down and shut up for a long time, and we lose a lot when we do that instead of empowering folks to lead at any title, at any level. When you lead from wherever you are, it can impact an entire company in really profound ways. Building the nurse leadership program and helping nurses step up into leadership has been my most heartwarming achievement.