Dr. Sameh Sanad - MD, IFCE, ACFS

Experience

• 

  Ministery of Health- Egypt

  Mar 1988 - Feb 1989

  General Practitioner

  o Reviewing and examining patients as a general practitionero Prescribing medicationso Emergency medicine practicing

• 

  Hospital Al Mabarra

  Mar 1989 - Oct 1992

  Orthopaedic Surgery Resident

  o Assisting in major & special skills surgeries with 5 orthopedic consultantso Doing minor & some major orthopedic surgerieso Examining & treating patients in Orthopedic clinics

• 

  Al Mabarra Hospital

  Oct 1992 - May 2001

  Orthopedic Specialist

  o Doing minor, major & special skills orthopedic surgerieso Examining & treating patients in Orthopedic clinics

• 

  Al Barakat Medical Center

  May 2001 - Jun 2004

  Orthopedic Specilaist

  o Doing minor & major orthopedic surgeries in Dar Al Shifa Hospital (Riyadh)o Examining & treating patients in Orthopedic clinic (with majority of different insurance companies' patients)

• 

  Bupa Arabia

  Jun 2004 - Jun 2012

  Hospital Audit Doctors Manager

  o Managing hospital audit doctors team (16 doctors all over Saudi Arabia), to monitor the inpatient members of Bupa during the admission.o Control claim cost through raising the medical, insurance, communication skills, and negotiating skills of the teamo Defining and implementing fraud policy and strategy in KSA

• 

  AXA

  Jun 2012 - now

  Defining and implementing fraud policy and strategy in KSA.Driving actions to accelerate Healthcare Business transformation.Driving the technical excellence within healthcare operations to achieve Healthcare Business Strategy.Create ant-fraud culture in AXA Cooperative organization Defined and implement fraud Policy and strategy in KSA.Planned and led Counter-fraud campaigns each year in KSA.Auditing of healthcare medical providers and financial records.Closed file review and internal audit for internal healthcare claims

  • Senior National Healthcare Investigation & Audit Manager

    Jun 2014 - now

  • Counter Fraud Senior National Manager

    Jun 2012 - May 2014