Dr. Mohamed Hamadain

Dr. Mohamed Hamadain

Medical claim supervisor

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location of Dr. Mohamed HamadainJeddah, Makkah, Saudi Arabia

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  • Timeline

  • About me

    Executive healthcare leader| Entrepreneur| Healthcare Strategy| Growth and Differentiation

  • Education

    • The National Ribat University

      2005 - 2012
      Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.) Medicine 2.95

      Activities and Societies: Aids Effects and dangers awareness society MBBS

    • Goethe institute

      2013 - 2014
      Coarse Photography

      Activities and Societies: Photography workshops Building photographic narrative and visual story telling teqnigues

    • SBS Swiss Business School

      2018 - 2021
      Master of Science - MS Healthcare Management
  • Experience

    • Demad Integrated Solutions

      Jan 2011 - Feb 2012
      Medical claim supervisor

      Medical Claims/Network Supervisor- Processing final due (sum) has to be paid on the official invoice report according to the table of benefits (TOP) and the contracting price lists with preset medical providers.- Coding of medical services according to the agreed list of services.- Operating efficiently with Insurance TPA business systems (clients data entry, classification, offering)- Tailoring approvals within the firm range of policies and standards of business - Importing and implementation of policies and operations to fulfil business requirements.- Archiving and documentation of business procedures.- Negotiation, contracting and formulation of collaborations with medical services providers in the market and expanding the scope of health services delivered to the customers.- Pre-Authorization for costumers provided claims. Show less

    • Khartoum public Hospital

      May 2014 - Aug 2015
      Medical GP

      -Attend word activities-Prescribe initial treatment for newly admitted patients.-Attend referred clinic 2 times/week.

    • UNICEF

      Aug 2014 - Sept 2015
      Photography Consultant(contract based)

      - Assist the communication section in any event, press conference, meeting when deemed necessary. - Prepare shot lists, in accordance with UNICEF standards - Use and deliver subject release forms when required, in accordance with UNICEF standards - Edit and clear photo stock with Communication Specialist and Chief, External Relations, in accordance with UNICEF standards - Supply edited photo stock per individual assignment, in accordance with UNICEF standards Show less

    • ICN Media Enterprises

      Sept 2014 - Oct 2015
      Executive Director

      - Approves Marketing strategies . - Identifies short term and long term opportunities. - Aggressively pursues new ways to contribute to overall agency and client profitability. - Accountable for maintaining relationship with the client satisfaction and management of Expectations while ensuring that the work is on strategy,time, and budget. - Participates in new business development. - Social media strategy management - Reviews and approves all running project. - Manage, develop, and promote team members. - Develops and negotiates staffing plans based on scope of work and upcoming challenges. - Holds weekly departmental staff meetings. - Collaborates with departments for creativity process. Show less

    • Fakeeh.care

      Jan 2016 - Sept 2020

      •Lead major ambulatory center initiatives such as new service development or enhancement.•Managed day-to-day operations of approximately 11 outpatient specialty clinics in the Executive clinic and 25 outpatient clinics in DSFMC center. •Oversighting the delivery of patient care by all professional and support staff within the specialty clinics and Ambulatory Services. • Developing, in conjunction with Financial Services, operating and capital budgets for the ambulatory center and Monitoring activity, revenue, expenses and capital budgets. Analyzing, monitoring and controlling allocations for financial, human and material resources. • Scheduling resources to provide patient care in a cost effective manner. • Managing and levering financial performance of the center to generate incremental increase in revenue by 30% from the last two quarters of 2019. • working closely with physician Division Chiefs on all aspects of patient care, business functions, scheduling and physician productivity metrics within the Specialty Clinics. • Responsible for assuring that Ambulatory Services are compliant with all accrediting bodies such as JCI, CBAHI and ACHSI. • participating regularly in the strategic planning process for those programs that are part of the Ambulatory group being managed. This planning would include delivery of care, facilities, marketing, staffing, capital equipment needs and information services. • Analyzing and measuring the core business processes of the specialty clinics. Developing and implementing new practices to improve the business process functions of the centers. • Assuring performance standards for all staff within Ambulatory Clinical Services are appropriate and with their scope. • participating in Implementation and evaluation of the organization’s mission, goals and objectives and lead development of the philosophy and strategic plan for Ambulatory Services. Show less • Initiated and participated in a hospital wide performance improvement project to address delayed discharge of inpatients which resulted in 30% reduction of delays, decreased losses by 6% and increased patient satisfaction.• Participated in new hospital information system implementation and support taskforce when I worked in a team of 10 leaders to support and direct the change initiatives across the operation and clinical departments as we achieved 80% of targets within Q1-Q4 2018.. Keep track of monthly, quarterly and yearly goals. Work with management to assess and improve processes and policies.. Address patient/employee complaints or performance issues as needed.. Supporting management create the department’s budget.Meet regularly with higher management to stay informed on the hospital issues. Over sighting security of the facility. Show less

      • Chief Of Staff - The Executive clinics

        Aug 2019 - Sept 2020
      • Medical Manager

        Feb 2016 - Aug 2019
      • Company physician

        Jan 2016 - Nov 2016
    • International Medical Center

      Sept 2020 - Mar 2021
      Outpatient Department Manager

      • Developed, in collaboration with relevant stakeholders, and implement an outpatient department strategy that is aligned to the hospitals vision and its current and long-term business objectives.• Liaised with other leaders across the organization to ensure that outpatient strategies and activities are integrated with other parts of the organization and align with the hospitals overall objectives.• Initiated and lead a team to deliver increased OPD utilization initiatives and achieved 15% improvement in total OPD utilization.• Ensuring that all activities are conducted accurately, ethically, and in accordance to the relevant institutional PPP's framework.• Managed the OPD staff a team 35 person, organizing staffing schedules to meet the needs for the OPD service, monitoring their performance for the purpose of periodic assessment and reporting to the CMO.• Participated in the planning, creation, organization and introduction of new OPD Clinics and services.• Prepared and submited reports on the OPD functions and status performance.• Developed and coordinated the Quality/Performance Improvement Program within my area of responsibilities. Show less

    • DR. ERFAN & BEGEDO GENERAL HOSPITAL

      Mar 2021 - Mar 2023

      Reporting to Chief commercial officer in the newly formulated Commercial sector to cascade the strategic priorities of the organization in terms of revenue generating initiative through identifying new revenue streams and utilization optimization.- Implementing organizational strategic priority of revenue protection through leading front end of RCM including Eligibility compliance with CHI Nphies project and Pre-authorization operations improvement achieving 60%+ improvement compliance rate that lead to improved back end RCM and over all billing and claims cycle.- Lead with other sponsors across the board customer excellence transformation initiatives aiming for better patient experience and subsequent patients retention rate improvement.- Introduced in collaboration with relevant sponsors new patient services based on historical demand data for upscaled PX such as pre-operative anesthesia assessment unit operating on one stop shop model.- Worked on hospital wide rightsizing initiative in alignment with newly developed organization strategy.- Leading patient services units to develop and implement standards of patient experience and operational efficiency. Show less • Developed and maintained cost standards for the division in alignment with organization strategy aiming to decrease costs and increase revenue across division verticals.• Participated in establishing recommended strategic plans and budgets to the governing entity.• Ensured seamless implementation of the hospital and departmental procedure manuals.• Ensured adequate supervision is achieved in patients service areas and assure the bylaws, rules and regulations of the hospital are implemented.• Ensured efficient utilization of resources and adequate staffing of assigned departments.• Initiated process improvement projects aiming to decrease TAT for admission/discharge cycle deploying PDSA and six sigma methodologies.• Lead contact center transformation resulted in increased capacity by 40% and efficiency by 50% which contributed to OPD volume increase by 15% and improved PX in accessibility touch points. • Lead business development initiatives aiming to diversify operational revenue streams and new customers acquisition, through B2B contracts and applying flexi-payment models for underutilized cash services.• Conducted workload analysis to evaluate the operational excellence demands versus cost optimization for the operations division. Show less

      • Director Of Patient Services

        Sept 2021 - Mar 2023
      • Assistant Chief Operating Officer

        Mar 2021 - Sept 2021
    • Dr.Samir Abbas Hospital - مستشفى الدكتور سمير عباس

      Mar 2023 - now
      Executive Director, Medical Operations/CEO Advisor

      - Reporting to the CEO, leading strategy formulation, synthesis and implementation ofmedical services framework across the organization including OP, IN, ER, day-case unitsand Operating rooms.- Structuring and managing end- to- end value chain of all medical services providedwithin the facility by collaborating with senior stakeholders in medical departments,Quality & patient safety department, Marketing department, patient experiencedepartment, and corporate business development.- Advisor to the CEO in overall medical services growth & differentiation business schemeswith strong focus on profitability, scalability in alignment with organization strategicpillars.- Hiring and re-allocating workforce to best serve operational pre-requisites for theplanned projects.- Growth in OP clinics performance in both volume and revenues by 15%, 20%respectively in Q4 achieving overall 16% CQGR for the organization in Q4.- Designed and implemented PPP framework that supports operational and financialtransformation in alignment with Medical services strategy.- Mapping and rectification of patient journey to best serve organization patientexperience with optimization of operational metrics on various layers.- Proposed and contributed to digital transformation initiatives with related stakeholdersto streamline digital scalability to support and maximize business growth, patientjourney and service differentiation. Show less

    • Healthin

      May 2024 - now
      Founder&CEO
  • Licenses & Certifications

    • Misk Launchpad 7.0

      Misk Entrepreneurship
      Dec 2024
      View certificate certificate
    • PRINCE2™ Foundation

      AXELOS Global Best Practice
      Dec 2015
    • Inbound marketing

      HubSpot
      Mar 2015
    • Brand management:aligning business,brand and behavior

      University of London
      Sept 2015
      View certificate certificate
    • Google Data Analytics Professional Certificate

      Google
      Jun 2022
    • Creativity,Innovation and Change

      University of Pennsylvania
      Apr 2015
    • PRINCE2® Practitioner

      AXELOS Global Best Practice
      Dec 2015
      View certificate certificate
    • Design thinking for business innovation

      University of Virginia
      Jul 2015
    • Social media marketing

      Hootsuite Media Inc.
      Oct 2015
  • Honors & Awards

    • Awarded to Dr. Mohamed Hamadain
      Arab Documentary Photography Program Grantee - Aug 2015 2015 Program Grantee