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Haytham Soliman, Manager - PreAuthorisation Department

Haytham Soliman

Manager - PreAuthorisation Department·Bupa Arabia

Saudi Arabia

Diploma, Advanced Trauma Life Support (ATLS)

Work experience

Total years of experience: 19 years, 0 months

Manager - PreAuthorisation Department

August 2013 - Present

Bupa Arabia

Jeddah, Saudi Arabia

August 2013 - Present

As a process manager in PA dept., i am leading a team of 15 doctors and nurses. My key accountabilitis include:
- Ensure proper Medical cost and Service management.
- Improve and maintain Quality of medical decisions and patient safety.
- Manage the team efficiency as per common medical practice and alligned with Bupa protocols and policy.
- Process improvement and operation excellence.
- Capability building and people management.
- Support the business and communicate effectively through discussion and reporting of high value calims &/or critical cases with involved parties, take an active part in complaint management and manage any crisis effectively based on already set business continuity plan.
- Compliance to policy and regulation.

Company industry:
Insurance & TPA
Job role:
Medical, Healthcare, and Nursing

Clinical attachment doctor

March 2013 - April 2013

Blackpool Victoria Hospital

United Kingdom

March 2013 - April 2013

Clinical attachment doctor, Victoria Hospital, Blackpool, UK
✓ I was honored to shadow Mr. Arshad Javeed, Consultant Orthopedics and Sports Medicine, attending OP clinics, knee and shoulder arthroscopies.
✓ I got an opportunity to attend trainings and some official matches with Blackpool FC.

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Senior Medical Officer

August 2011 - April 2013

Bupa Arabia for health Insurance

Jeddah, Saudi Arabia

August 2011 - April 2013

Senior Medical Officer, Bupa Arabia for health Insurance, Saudi Arabia.
✓ Being part of Pre-authorization Department under umbrella of Operations; proper medical and policy adjudication are my main roles.
✓ Case management and proper medical decisions in cooperation with treating physicians to insure best service to Bupa member is my mission.
✓ Internal quality checks on medical decisions, capability building of medical officers are my targets.
✓ Proper knowledge of Saudi medicines and health care providers are the main benefits from working in Bupa Arabia.

Company industry:
Insurance & TPA
Job role:
Medical, Healthcare, and Nursing

Brand Technical Manager

November 2009 - August 2011

Fitnesspro

Cairo, Egypt

November 2009 - August 2011

Brand Technical Manager, Polar Heart Rate Monitoring Equipment.
✓ Designing heart rate monitoring fitness programs for professional athletes and teams.
✓ Proper calculation of training load and recovery time for injury prevention.
✓ Educational sessions to fitness trainers, coaches and field doctors.
✓ Designed seasonal fitness programs to AlAhly FC, Wadi Degla FC, Egyptian Hockey team and Egyptian Pentathlon team.

Company industry:
Sports & Outdoor Activities
Job role:
Management

Sports Medicine Physician

March 2007 - August 2011

AlNasr Sporting Club, Cairo

Cairo, Egypt

March 2007 - August 2011

Sports Medicine Physician, AlNasr Sporting Club, Cairo, Egypt.
✓ Pre-season medical checkup, lab. & radiological investigations.
✓ Proper sports related injury diagnosis, follow up rehabilitation program and decision when to return to participate.
✓ Follow up nutrition programs, psychological support for athletes.
✓ Emergency management of sports related field injury.

Company industry:
Sports & Outdoor Activities
Job role:
Medical, Healthcare, and Nursing

Resident of Orthopedics and Traumatology

October 2009 - January 2011

AlHelmiya Military H

Cairo, Egypt

October 2009 - January 2011

Resident of Orthopedics and Traumatology, AlHelmiya Military H.
✓ Manage A&E cases, orthopedics emergency case management.
✓ Orthopedics OP clinic.
✓ Knee/Hip transplantation, internal fixation (Open or closed) & arthroscopies surgeries.

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Clinical attachment doctor

September 2009 - October 2009

Blackpool Victoria Hospital

United Kingdom

September 2009 - October 2009

Clinical attachment doctor, Victoria Hospital, Blackpool, UK.
✓ I was honored to shadow Mr. M. Ravi, Consultant general surgery and Mr. Duthie, Consultant Ob/Gyn through various OP clinics, ward management and OR skills.
✓ I got acquainted to British healthcare system through NHS with proper management of various surgical and gynecological cases.

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Resident of Obstetrics & Gynecology

March 2007 - September 2009

Ain Shams Maternity Hospital

Cairo, Egypt

March 2007 - September 2009

Resident of Obstetrics & Gynecology, Ain Shams Maternity Hospital.
✓ Manage obstetrics ER, Delivery room and post-delivery care.
✓ Obstetrics & Gynecology OP clinics and wards management.
✓ Gynecological surgeries, laparoscopies &/or Hysteroscopy.

Company industry:
Medical Hospital
Job role:
Medical, Healthcare, and Nursing

Education

American College of Surgeons

July 2013

July 2013

Diploma, Advanced Trauma Life Support (ATLS)

Saudi Arabia

American Heart Association

April 2013

April 2013

Diploma, Advanced Cardiac Life Support (ACLS)

United States

Al Azhar University

April 2011

April 2011

Master's degree, Orthopedics & Sports Medicine

Egypt

Masters' degree in Orthopedics & Sports Medicine

Ain Shams University

September 2009

September 2009

Master's degree, Obstetrics & Gynecology

Egypt

Masters' degree in Obstetrics & Gynecology, Ain Shams University.

Ain Shams University

December 2005

December 2005

Bachelor's degree, Bsc in Medicine and General Surgery

Egypt

B.Sc. of Medicine and Surgery, Ain Shams University, Cairo, Egypt. Final grade: Excellent with honor.

St. George College

June 1999

June 1999

High school or equivalent,

Egypt

High school: St. George College, Cairo, Egypt.

Skills

Sports Medicine
Expert
Sports Medicine
Expert
Orthopedics
Expert
Orthopedics
Expert
Health Insurance
Expert
Health Insurance
Expert
Obstetrics
Expert
Obstetrics
Expert
Sports
Expert
Sports
Expert
Medical Terminology
Expert
Medical Terminology
Expert
Quality management
Intermediate
Quality management
Intermediate
Health Care Medical Management
Expert
Health Care Medical Management
Expert
Sports Medicine
Expert
Sports Medicine
Expert
Orthopedics
Expert
Orthopedics
Expert
Health Insurance
Expert
Health Insurance
Expert
Obstetrics
Expert
Obstetrics
Expert
Sports
Expert
Sports
Expert

Languages

Arabic

Expert

English

Expert

French

Intermediate

German

Intermediate

Memberships

MRCOG (Member of Royal College of Obstetricians & Gynecologists)

Member

September 2008

iMRCS (Intercollegiate Member of Royal College of Surgeons of England)

Member

September 2013

Training and Certifications

Certifications
Intermediate First Aid for Sport (IFAS)
St. George's Park, British Football Association
Mar 2013 - Mar 2016