يحيى مسعد عبد الغني عيد, Deputy Operation Manager

يحيى مسعد عبد الغني عيد

Deputy Operation Manager

international Hospital

البلد
مصر - الإسكندرية
التعليم
بكالوريوس, Commerce & Business Administration
الخبرات
19 years, 11 أشهر

مشاركة سيرتي الذاتية

حظر المستخدم


الخبرة العملية

مجموع سنوات الخبرة :19 years, 11 أشهر

Deputy Operation Manager في international Hospital
  • الكويت - السالمية
  • أشغل هذه الوظيفة منذ فبراير 2020

• Reporting to Operation Manager / CEO
• Preparing the opening plan and procedures
• Hiring CS, GS, Security, staff
• Planning the out sources partner’s strategies
• Planning the internal direction, layout & guide signs
• Participating in hunting new qualified doctors
• Medical market study & analyses
• Prepare the training material for all department
• Create the policy and procedures and match it with related ACI protocol
• Supervise daily administrative operations
• Monitor expenses and suggest cost-effective alternatives
• Create quarterly and annual budgets
• Deliver a range of objectives and performance indicators
• Ensure systems are in place to monitor and evaluate performance against service objectives
• Ensure systems are in place to monitor compliance with CQC standards
• Prepare and annually update service development plans
• Keep abreast of current affairs and identify potential threats and opportunities
• Contribute to the effectiveness of the team by reflecting on own and team activities and
making suggestions on ways to improve and enhance the team’s performance and service
expansion
• Develop expertise and day to day operational knowledge of IT systems and databases

Deputy Branch Manager في (MedNet TPA Co ( Munch Re
  • الكويت - الكويت
  • أكتوبر 2014 إلى مايو 2020

• Reporting to Regional Manager
• Managing all activities of the branch
• Coordinate with all other Branches
• Manage all the contracts with health providers
• Manage the addition and the deletion of the network providers
• Negotiate the best prices and discount
• Check and resolve all the finance issue with the providers and provide commercial agreement when needed
• improve the relation between the company and the providers
• participating for the new system and the CPT codes
• Handling all customers complains
• Manage claims Reimbursement
• Printing the card for new groups in Kuwait
• Support the approvals team
• Monitoring the approvals quality and prepare periodical report for the GM and the medical team
• Manage the V.I.P issues
• Representing the company in the events and the conferences
• Ensures successful planning and implementation of network development
• Implement strategy and standards
• Prepare annual reports and statistic reports
• Monitoring the quality and effectiveness of network service and performance to meet business and company objectives
• Administer and direct insurance programs,
• Ensure compliance with insurance processes and procedures.
• Provide guidance and advice to management on developing, implementing and revising insurance programs and policies.
• Studying & discussing quotations with clients in order to ensure compliance and sufficiency of the quotations to cover all potential risks.
• Administer the online system and provide manuals and training to providers
• Prepare report about the market and the opportunity of adding new business
• Study Marker prices and new services to advise the underwriting team
• Conducting audits of policy and compliance to standards, including liaison with internal and external auditors
• Tracing all fraud cases including doctors and providers
• Analyzing all incident reports from year to year to insure measurable tools for highest possible quality standards
• Hiring new staff

Network Providers & CR Manager في WAPMED TPA
  • الكويت - الكويت
  • مايو 2010 إلى أكتوبر 2014

• Reporting to GM
• Coordinate with all insurance department in all healthcare providers
• Manage all the contracts with health providers
• Manage the addition and the deletion of the network providers
• Check and resolve all the finance issue with the providers and provide commercial agreement when needed
• Visits and improve the relation between the company and the providers
• Manage the GCC network providers plus Egypt and some other countries
• Handling all customers complains
• Manage claims and underwritten team
• Support the approvals team
• Manage the V.I.P issues
• Handling big clients account like (ZAIN- NBK - AUB- VIVA- WATANIYA- WAFRA- HISCO)
• Representing the company in the events and the conferences
• Organizing health day for important clients
• Ensures successful planning and implementation of network development
• Implement strategy and standards
• Ensures consistent support for internal and external clients
• Monitoring the quality and effectiveness of network service and performance to meet business and company objectives
• Administer and direct insurance programs, including the handling of claims from origination to completion.
• Analyzing insurance requirements of the company and carry out the risk evaluations and assessments.
• Ensure compliance with insurance processes and procedures.
• Provide guidance and advice to management on developing, implementing and revising insurance programs and policies.
• Studying & discussing quotations with clients in order to ensure compliance and sufficiency of the quotations to cover all potential risks.
• Following & handling all claims (physical, injuries) discussing them with Insurance Co. & Loss Adjusters.
• Monitoring the coverage for all insurance companies
• Represent the organization in formal meetings with outside organizations on matters dealing with insurance matters.
• Providing support, education and training to staff to build risk awareness within the organization.

• Administer the online system and provide manuals and training to providers
• Implementing health and safety measures and looking for ways to reduce risk and add value.
• Conducting audits of policy and compliance to standards, including liaison with internal and external auditors
• Tracing all fraud cases including doctors and providers
• develop SFC program in Kuwait
• analyzing all incident reports from year to year

Customer Care Manager في Al Salam International hospital
  • الكويت - الكويت
  • سبتمبر 2008 إلى أبريل 2010

• Reporting to hospital director
• Co-leader of OHS committee
• Member of the Middle management committee
• Member of the EOC workforce for achieving the Canadian accreditation
• Making sure all operations running smoothly within the hospital
• Promoting and marketing department new ideas
• Responding and analyzing outpatient and inpatient surveys
• Managing year by year budgets and financial plans and controlling expenditure
• Maintaining statistical records and publishes it to another department when needed
• Recruiting, training, monitoring and evaluating staff
• Dealing with contractors and suppliers and studying the market
• Ensuring security is effective
• Carrying out inspections of property and services
• Dealing with patient complaints and comments
• Establishes priorities and distributes tasks according to level of urgency
• Supervising maintenance, supplies, renovations and furnishings
• Responsible for the day-to-day management of the department and its staff
• Implement commercial accountability for planning, organizing and directing all hospital services, Including, food and beverage operations, housekeeping and patient services
Maintaining lowest level of infection in all critical areas (LAUNDRY- ICU -NICU- LDR…etc)
• Ensuring compliance with licensing laws, health and safety and other statutory regulations
• Supervising maintenance, the Autoclave and the west management operation in the hospital
• Making sure the rooms are kept clean and comfortable, food is enjoyable and
As per dietitian recommended, and the staff is helpful and accommodating

CS & FO Senior Supervisor في Dar al shifaa hospital
  • الكويت - حولي
  • أبريل 2002 إلى مايو 2006

• Providing help and advice to customers,
• Communicating courteously with customers by telephone, email and face to face
• Investigating and solving customers' problems
• Prepare periodical department newsletter
• Keeping ahead of developments in customer service by reading relevant journals
• keeping accurate records of discussions or correspondence with customers
• Producing written information for customers
• Writing reports analyzing the customer service that the hospital provides
• Visiting customers to provide a one-to-one service
• Developing customer service policies and standards for the new events or service
• Being involved in staff recruitment and appraisals
• Training staff to deliver a high standard of customer service
• Leading the customer service supervisors team
• Train, coach and manage all cashiers in all front-end policies and procedures, including new cashiers and cross training of other associates, and conduct monthly customers service audits
• Handling customer complaints or any major incidents, such as a security issue or DAMA cases Meeting with other managers to discuss possible improvements to customer service provided
• Train the staff about hospital system and services and keeping them up to date with any changes

الخلفية التعليمية

بكالوريوس, Commerce & Business Administration
  • في Tanta University
  • مايو 2000

BA of Commerce & Business Administration Good

Specialties & Skills

Management
Customer Care
Networks
Public Relations
Insurance
Time Managing
Prioritizing Tasks
Ability to Process Information Through Computer System and Register System
Hard Worker and Ambitious
Ability to Manage Front end Operations Effectively
Understand material, and provide instructions to all employees
Ability to maintain records and documentation pertaining to work force
Ability to communicate in a clear, concise, understandable manner, and listen attentively

اللغات

الانجليزية
متمرّس
العربية
متمرّس

العضويات

The Chartered Insurance Institute
  • Member
  • April 2011
Insurance Institution of Egypt
  • Member
  • October 2016

التدريب و الشهادات

Anti-Corruption (تدريب)
معهد التدريب:
Munch RE Training Center
تاريخ الدورة:
November 2016
المدة:
10 ساعات
Organization Behaviors (تدريب)
معهد التدريب:
H&M Training Center London
تاريخ الدورة:
July 2006
المدة:
6 ساعات
Leadership Skills (تدريب)
معهد التدريب:
Future Generation Found
تاريخ الدورة:
January 1999
المدة:
10 ساعات
Customer Service and Satisfaction (تدريب)
معهد التدريب:
Brain Power Institute Kuwait
تاريخ الدورة:
June 2005
المدة:
30 ساعة
Basic Business Skills Acquisition (BBSA) (تدريب)
معهد التدريب:
Future Generation Foundation (FGF) Egypt
تاريخ الدورة:
January 1999
المدة:
10 ساعات
Stress Management (تدريب)
معهد التدريب:
H&M Training Center London
تاريخ الدورة:
July 2006
المدة:
6 ساعات
Strategic Management in Healthcare Organizations (تدريب)
معهد التدريب:
Reach Group Kuwait
تاريخ الدورة:
August 2008
المدة:
30 ساعة

الهوايات

  • Gymnastics
  • Table tennis
  • football
  • chess
  • Research