Sami El-Khassawneh

Independent consulting on global health insurance projects for large consulting firms in US and Canada:
 Chronic disease management programs in US, Canada, and UK.
 Population management of diabetes patients and solutions for remote/mobile app/telehealth management.
 Oncology cover for private medical insurance markets: levels of coverage according to insurance product (e.g. genetic testing, chemotherapy, oncovaccines).
 Medical assistance: International case management and medical evacuation solutions for high-risk countries.

 Management of all operations in the Medical Claims and Call Centre
 Leading a team of medical professionals: pharmacists, nurses, and doctors
 Overall responsibility of Medical Coding, Medical Underwriting, Medical Claims, Medical authorizations and Customer Care
 Provider network audits and trend analysis leading to expansion, diversification, and consolidation
 Set up of departmental training and best practice manual reducing onboarding time of new medical staff from 6 months to 3 months
 Preparation and management of department budget
 Successful digitalization of chronic medication system increasing department efficiency by 10%
 Increasing departmental KPIs by 15% while reducing staff volume by 20% within a period of 6 months, leading to excellent feedback from client satisfaction and quality of service
 Set up and overall responsibility of company-wide management weekly forum and project management processes
 Set up and overall responsibility of medical training content, programs and delivery for all medical and non-medical staff

 Establishment and implementation of all aspects of Global Medical Quality and their alignment along all business units worldwide
 Operations Risk Management planning and coordination
 Overall responsibility of Global Disease Management Programs
 Overall responsibility of Global Medical Evacuations including setup of tailored emergency protocols and drills
 Developing the regional medical strategy including process development and process innovation
 Point of escalation for complex and high cost cases (> 100k EUR) within Medical Services
 Overall responsibility of medical training content, programs and delivery for all medical and non-medical staff
 Medical Representative on client and site visits (sales, client relationship management, regional offices, and medical operations)

 Execution of quality, performance, and cost containment strategies within the Medical Services department
 Overseeing global hospital and medical assessments for the set-up of new Health and Evacuation products/benefits and networks
 Overseeing global high cost case management
 Complaints and member disputes resolution
 Point of escalation for complex and high cost cases (> 100k EUR) within Medical Services department
 Advisor for all internal departments on medical cases (Helpline, Critical Illness and Disability, Pricing, Sales, Product development, Marketing, Reinsurance, etc.)
 Overall responsibility of medical training content, programs and delivery for all medical and non-medical staff
 Management of a team of doctors, nurses, logistical experts, and technical specialists
 Medical Representative on client and site visits (sales, client relationship management, regional offices, and medical operations)
 Overseeing all medical evacuations and repatriations

 Global high cost cases management
 Management of a team of in-house and regional doctors
 Management of all evacuations and repatriations
 Point of escalation of all queries within Medical Services department
 Advisor for all internal departments on medical queries (helpline, pricing, sales, marketing, etc.)
 Set up and ownership of medical training content, programs and delivery for all medical and non-medical staff
 Set up and ownership of Health & Well-being initiatives for all staff in conjunction with the HR department
 Underwriting, Claims, Disability case reviews

 Global high cost cases review and management
 Set up of evacuation procedures: design of guidelines, templates, logistic procedures and communication process with internal and external stakeholders
 Expansion of provider networks: liaison with Provider Services team to get new required contracts in place, in all regions of the world
 Underwriting and claims cases review, medical invoices auditing
 Medical Training of non-medical staff and presentations on various medical topics

 Professional medical and legal translation for English-Arabic and English-Romanian (prisons, probation offices, solicitors' offices, child protection departments, hospitals, mental health clinics etc.)

 Comprehensive diagnostic and therapeutic services in the fields of internal medicine, nephrology, respiratory medicine, haematology and oncology, neurology, endocrinology, gastroenterology, dermatology and venereology.
 King Hussein Medical Centre is the largest and most prestigious multidisciplinary medical institution in Jordan dedicated to providing the utmost in patient care and professional training. Annual admissions exceed 25, 000 patients including most of the Jordanian Military personnel.

 Colentina Hospital is one of the first hospitals built in Bucharest (800 beds). It is a multidisciplinary hospital with a strong focus on internal medicine, infectious diseases, dermatology, and research. Currently there is an important core of researchers in the Hospital and elite cadre of the University of Medicine and Pharmacy "Carol Davila" from Bucharest.

 The Clinical Municipal Hospital is a major hospital located in Arad, Romania (630 beds). It is the headquarters of the regional medical emergency centre, which operates the (air) ambulances in the county. The hospital serves the whole of the Arad County and is a multipurpose facility with sections for each branch of medicine and has two operating blocks, each of them being able to sustain neurosurgery.