Hossam El Dien Galal
Cairo,Egypt
Summary
Accomplished professional with over 10 years of expertise in leadership competence and operational efficiency. Proven ability to delegate effectively, priorities tasks, and coordinate scheduling to enhance performance evaluation and implement cost-reduction strategies. Adept at improving operational processes to achieve organizational goals. Proven track record in implementing automation solutions, including medical necessity, periodicity and other expert rules, utilizing ICD 10 & CPTs.
Resourceful employee with outstanding knowledge to develop and maintain healthy customer pipeline. Consistently works to attract new business opportunities.
Certified CII & Certified PAHM, recognized for driving efficiency and innovation in healthcare processes.
Overview
15
15
years of professional experience
2010
2010
years of post-secondary education
1
1
Certification
Work History
PSD Approvals Supervisor
Globemed Egypt
Cairo
06.2021 - Current
- Facilitated monthly training sessions for enhanced staff performance.
- Identified potential risks and mitigated them through proactive measures.
- Ensured smooth operations with regular maintenance checks.
- Improved team efficiency by implementing new scheduling practices.
- Delegated tasks appropriately, achieved balanced workload among team members.
- Monitored employee attendance records for maintaining discipline within the team.
- Promoted a safe work environment by enforcing strict adherence to safety regulations.
- Provided constructive feedback to staff for improved performance levels.
- Led team meetings, ensured clear communication amongst all members.
- Assisted in the recruitment process for hiring quality staff members.
- Conducted performance appraisals with employees for career development discussions.
- Trained new hires and set up mentoring relationships to drive team performance.
- Updated staff on changes to internal policies and procedures for continued compliance and standardisation.
Pre Authorizations Team Leader
GLOBEMED
05.2019 - 06.2021
- Fostered a high-performing environment to drive productivity and quality.
- Streamlined workflow for a more efficient process.
- Ensured adherence to company policy by all team members, maintaining professionalism at all times.
- Handled employee grievances professionally, minimizing potential workplace disputes.
- Prioritised tasks according to urgency and importance, optimising workload allocation among team members.
- Increased team cohesion by implementing regular feedback sessions.
- Improved customer satisfaction through close collaboration with the team.
Senior Pre-Authorization Agent
GLOBEMED
02.2018 - 05.2019
- Shift leader maintaining offline and online approvals within due date and scheduling skills and responsibilities and insuring customer satisfaction and complaint handling, keeping medications updated on system
- Managed acute medical incidents to ensure optimal patient outcomes.
- Improved patient outcomes by coordinating with multi-disciplinary teams.
- Managed outpatient clinics for efficient service delivery.
- Explained diagnoses, prognoses and expected treatment interventions to alleviate patient stress and increase understanding.
- Analysed diagnostic images and test results to properly diagnose conditions.
Claims audit assistant Team Leader
NextCare - UAE offshore Team (Allianz worldwide Partner)
01.2017 - 06.2018
- Conducted thorough investigations into fraudulent claims to protect company assets.
- Managed portfolio of high-value claims, maintaining professionalism in challenging situations.
- Utilised detailed reports to review claim trends, supporting strategic decision-making.
- Saved potential losses by identifying suspicious activity during claim investigations.
- Enhanced productivity through effective delegation and team management techniques.
- Performed follow-up reviews of corrective actions taken by management in response to audit results.
Owner and Pharmacy Manager
Hossam El-Dien Pharmacy
08.2011 - 10.2017
- Streamlined operations for improved efficiency and productivity.
- Negotiated contracts with suppliers, reducing overall costs.
- Innovated product offerings to stay competitive in the market.
- Oversaw inventory management, preventing stock shortages or overages.
- Delegated tasks effectively amongst staff members, promoting teamwork.
- Maintained compliance with industry regulations to avoid any legal issues.
- Fostered relationships with key stakeholders, leading to valuable partnerships.
- Managed daily operations, ensuring smooth running of the business.
Pharmacy Assistant Manager
El-Rayan Hospital
10.2014 - 12.2015
- Improved patient care by providing professional advice on medications.
- Dispensed medications under supervision of pharmacist, ensuring safe practices at all times.
- Collaborated with multidisciplinary healthcare team for enhanced patient outcomes.
- Utilised comprehensive knowledge of over-the-counter medicines to provide accurate advice to customers.
- Educated customers about proper usage and potential side effects of prescribed drugs.
- Conducted regular stock checks to maintain an accurate inventory system.
Pharmacy Manager
El Maadi military hospital
10.2009 - 12.2010
- Oversaw medication dispensing, ensuring accuracy and quality control at all times.
- Ensured accurate prescription processing, enhancing patient safety.
- Streamlined inventory management for improved drug supply reliability.
Education
Bachelor's degree - Pharmaceutical Sciences
Ain Shams University
Cairo, Cairo Governorate /2004 - 06.2009
Skills
- Leadership competence
- Delegating effectively
- Performance evaluation
- Cost-reduction strategies
- Scheduling coordination
- Task prioritisation
- Operational efficiency
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Certification
CII , IF3 and PAHM certified
Languages
English
Upper intermediate
Previous projects:
1-I care implementation for TE staff (Telecome Egypt) – 2020
2-E-prescription Implementation – 2021
3-PBM processes with medications mapping and price amendments cycle implementation – 2023
4-Medical necessity rules implementation – 2024
References
References available upon request.
Timeline
PSD Approvals Supervisor
Globemed Egypt
06.2021 - Current
Pre Authorizations Team Leader
GLOBEMED
05.2019 - 06.2021
Senior Pre-Authorization Agent
GLOBEMED
02.2018 - 05.2019
Claims audit assistant Team Leader
NextCare - UAE offshore Team (Allianz worldwide Partner)
01.2017 - 06.2018
Pharmacy Assistant Manager
El-Rayan Hospital
10.2014 - 12.2015
Owner and Pharmacy Manager
Hossam El-Dien Pharmacy
08.2011 - 10.2017
Pharmacy Manager
El Maadi military hospital
10.2009 - 12.2010
Bachelor's degree - Pharmaceutical Sciences
Ain Shams University
/2004 - 06.2009
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