Nikesha Gardner
Hazlehurst,MS
Overview
7
7
years of professional experience
Work History
Provider Relations Manager
American Health Plans
07.2024 - Current
- Creates educational materials regarding program policies, procedures, and regulations for providers
- Conducts site visits to assess provider performance against contractual requirements
- Facilitates meetings between providers and internal teams to align goals and expectations
- Conducts structured interviews to assess candidate qualifications and fit
Provider Relations Representative
Evernorth, Inc.
04.2022 - 06.2024
- Developed and maintained strong relationships with providers by responding promptly to inquiries, resolving issues, and providing ongoing support
- Provided guidance on contract language, policy interpretation, and reimbursement procedures to providers
Member Benefit Advocate
United Healthcare Group
10.2020 - 01.2022
- Resolved member inquiries regarding claims and coverage issues
- Collaborated with healthcare providers to ensure seamless member support
- Updated member records in the internal database accurately and efficiently
Customer Support Team Lead
Conduent, LLC
09.2018 - 05.2020
- Trained new team members on customer service protocols and systems
- Monitored team performance and provided feedback for improvement
- Facilitated regular team meetings to discuss goals and strategies
- Resolved escalated customer issues professionally while maintaining positive relationships with customers
Education
Bachelor of Science - Education And Human Sciences
The University of Southern Mississippi
Hattiesburg, MS12-2025
Bachelor of Arts - Business Administration And Management
Copiah-Lincoln Community College
Wesson, MS05-2017
Accomplishments
Phi Theta Kappa Honor Society, January 2017
Memberships
American Association of Family & Consumer Sciences (AAFCS)
National Association for the Education of Young Children (NAEYC)
Affiliations
Volunteer, Student Teacher - Blazing Kidz Academy - 50 hours
Timeline
Provider Relations Manager
American Health Plans
07.2024 - Current
Provider Relations Representative
Evernorth, Inc.
04.2022 - 06.2024
Member Benefit Advocate
United Healthcare Group
10.2020 - 01.2022
Customer Support Team Lead
Conduent, LLC
09.2018 - 05.2020
Bachelor of Science - Education And Human Sciences
The University of Southern Mississippi
Bachelor of Arts - Business Administration And Management
Copiah-Lincoln Community College