Omar Hamdy AbdulGhany
Cario, Egypt,Egypt
Summary
Ophthalmology MSc and MBA candidate with expertise in healthcare management and pre-certification leadership at Next care. Proven track record in optimizing hospital and insurance operations, enhancing access efficiency, and ensuring clinical alignment. Former ERC youth representative for IFRC MENA region, demonstrating commitment to community health initiatives. Skilled in strategic planning and execution within healthcare environments.
Overview
4
4
years of professional experience
8
8
years of post-secondary education
1
1
Certification
Work history
Precertification Team Leader, Outpatient (UAE)
NextCare, Allianz Partners
Cairo
2025.01 - 2026.03
Leading high-volume pre-certification team, overseeing medical insurance claims across multiple specialties in GCC. Focused on improving turnaround times through workflow optimization, quality audits, and digital integration. Managing and mentoring team of 70+ professionals handling nearly half of business demand, while ensuring compliance, accuracy, and strong stakeholder communication. Driving performance, efficiency, and strategic alignment with organizational goals.
Ophthalmologist
Al-Azhar university medical administration
2024.04 - 2026.03
Precertification Process Lead, Outpatient (UAE)
NextCare, Allianz Partners
2024.06 - 2024.12
- Defining roles, responsibilities, and metrics for each designed process, feedback collection, data analysis, performance review, root cause analysis, and ensures that they are clear, consistent, and compliant with standards and regulations to identify areas for improvement, and implement strategies that optimize operational performance, reduce costs, and enhance quality of service.
Senior precertification Officer, Outpatient (UAE)
NextCare, Allianz Partners
2024.01 - 2024.05
- Assess and provide decisions on high cost and complicated cases. Providing support in capacity building plan of team and new joiners trainings to gain needed experience and knowledge in distinctive timeline.
House Officer (General Practitioner)
Sayed Galal University Hospital
2023.03 - 2024.02
- Comprehensive Medical Training Program on Essential medical specialties.
Precertification Officer, Outpatient (UAE)
Nextcare, Allianz Partners
2023.05 - 2023.12
- Assess approval of medical approvals as well as policy use. Check particular treatment plan necessity for patient. Input verbal and written claims approvals regularly. Decide approvals as per policy conditions.
Health officer
Health and Care Department, Egyptian Red Crescent
2022.06 - 2022.09
- Coordinating medical convoys in North Sinai (UNICEF program). Co-planning and Facilitating implementation of RCCE - COVID-19 vaccination project. Assisting of whatever needed in department in different aspects as requested.
Education
Master of Business Administration - Health Care Management
Arab Academy For Management, Banking And Financial Sciences
Cairo /2026 -
MSc, Master's Degree - Ophthalmology
Faculty of Medicine, Al-Azhar University
Cairo, Egypt 2024.10 - 2026.03
Health Care Facilities Administration/Management - Health Care Management
Sadat Academy For Management Sciences
Cairo 2024.10 - 2025.06
MBBS, Bachelor of Medicine and General Surgery - Medicine And Surgery
Faculty of Medicine, Al-Azhar University
Cairo, Egypt 2016.10 - 2023.01
Skills
- Strong training and coaching abilities
- Effective communication and presentation skills
- Proven leadership and team management
- Ability to work independently and collaboratively
- Excellent time management and multitasking
- Thrives under pressure
- Skilled planner and organizer
- Proficient with various technologies and digital tools
Certification
- Principles of Tissue culture and stem cell isolation - Al-Azhar faculty of Medicine - Dec 2016
- Community-based psycho-social support - Egyptian red crescent - Jul 2018
- Basic life support (BLS) and first aid - Egyptian red crescent - Aug 2018
- Health services in emergency - Egyptian red crescent - Sep 2018
- Advanced psycho-social support for children - Egyptian red crescent - Feb 2019 - Mar 2019
- Emergency response team training - Egyptian red crescent - Oct 2019
- Principles of volunteering - Egyptian red crescent - Sep 2019
- Community-based health and first aid in action (eCBHFA) - Egyptian red crescent - Sep 2020 - Oct 2020
- Social mobilization for COVID-19 vaccination - The International Federation of red cross and red crescent societies (MENA) - Apr 2021
- Design thinking methodology - Centre for Cooperation in the Mediterranean IFRC (As a part of the Mediterranean youth campus) - Jul 2021
- Volunteering in emergency - Egyptian red crescent - Sep 2021
- Medical Clinical Skills Courses - Incision Academy Accredited by the Royal college of Surgeons UK (More than 80 Mini courses) - Mar 2023 - May 2023
LANGUAGES
Arabic
Native
English
Advanced (C1)
German
Beginner
Accomplishments
The top 10 worldwide Innovative prototypes to deal with the effects of COVID‑19
pandemic (IFRC Solferino Academy ‑ more than 500 participants) (Implemented as
the JQA project in cooperation with Egyptian Red Crescent and honored by the
Minister of Social Solidarity).
VOLUNTARY EXPERIENCE
Egyptian Red Crescent, 2018, 2024, Participated in the psycho-social support provided to the victims of the Masr Station accident, to those affected by the Oncology Institute accident and to the African people in ArdAllwaa., Participated in many health care and awareness campaigns provided to the Syrian people with Madad project and to the African people in AMIRA Project., Participated with the Emergency response team for delivering basic life support and first aid services at African special Olympics, and in helping people in Decemi town who are affected by the flood of March 2020., Participated in making "Volunteering guidelines book during COVID-19" which is confirmed to be used as a guidebook for Egyptian volunteers during the pandemic., Participated in initiating and managing "Volunteer in each street" online campaign which responded to Corona pandemic by spreading health awareness for Millions of people., Restored family links of a stuck Kyrgyzstani family to their country due to COVID-19., Participated in health awareness campaigns to international schools about COVID-19 with school reopening., Delivered relief materials to North Sinai in November 2020 in continuous 24 hours going and coming back alone and participated as a medical field coordinator in different convoys at Nekhel, Sheikh Zouwid and Al-Arish., Participated in Limitless academy competition and was the one who was selected from Egypt to test his idea about innovation to deal with COVID-19 effects on the society., Represented the Egyptian youth in Middle East and North Africa youth network, IFRC (July,2020 to December,2021)., Organizing many events for ERC and Ministry of Social Solidarity particularly the IFRC International Humanitarian conference which involved 192 national societies, +7000 hours of voluntary service
INTERESTS
Content Creation, Filmmaking, Video Editing, Voiceover, Psychology
CONFERENCES
6th Egyptian international trauma conference.
REFERENCES
References available on request.
Timeline
Precertification Team Leader, Outpatient (UAE)
NextCare, Allianz Partners
2025.01 - 2026.03
MSc, Master's Degree - Ophthalmology
Faculty of Medicine, Al-Azhar University
2024.10 - 2026.03
Health Care Facilities Administration/Management - Health Care Management
Sadat Academy For Management Sciences
2024.10 - 2025.06
Precertification Process Lead, Outpatient (UAE)
NextCare, Allianz Partners
2024.06 - 2024.12
Ophthalmologist
Al-Azhar university medical administration
2024.04 - 2026.03
Senior precertification Officer, Outpatient (UAE)
NextCare, Allianz Partners
2024.01 - 2024.05
Precertification Officer, Outpatient (UAE)
Nextcare, Allianz Partners
2023.05 - 2023.12
House Officer (General Practitioner)
Sayed Galal University Hospital
2023.03 - 2024.02
Health officer
Health and Care Department, Egyptian Red Crescent
2022.06 - 2022.09
MBBS, Bachelor of Medicine and General Surgery - Medicine And Surgery
Faculty of Medicine, Al-Azhar University
2016.10 - 2023.01
Master of Business Administration - Health Care Management
Arab Academy For Management, Banking And Financial Sciences
/2026 -