Youssef Ahmed Elshaer

Youssef Ahmed Elshaer

Pre-certification Officer UAE, COE Regional Claims | Pharmacist |Data Analyst | Health Affairs

Healthcare professional with over 2 years of experience in pre-certification, medical approvals, and insurance operations across UAE (DHA/MOH), Oman, and Bahrain markets. •Licensed Pharmacist with strong expertise in TPA workflows, utilization review, and claims optimization within payer-driven healthcare environments. •Holder of an accredited Data Analysis Training Diploma with hands-on proficiency in SQL, Python, Power BI, and Advanced Excel, enabling data-driven operational analysis, performance optimization, and reporting in healthcare and insurance contexts

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Professional Experience

My journey in healthcare and pharmaceutical industry

Pre-certification Officer

Nextcare UAE / Allianz Partners
Mars 2024 - Present
  • Reduced Claim Rejection Rate through meticulous review of pre-authorization requests and early identification of policy mismatches, enhancing overall claim success rate.
  • Collaborated with Regional Medical Directors to streamline exception handling for CoE claims, significantly improving turnaround time (TAT) and customer satisfaction scores.
  • Trained and Mentored New Joiners on insurance policy frameworks and medication coding best practices, contributing to a faster onboarding process and error reduction.

Pharmacist

El Ezaby Pharmacies
December 2023 - March 2024
Provided comprehensive pharmaceutical care services, medication counseling, and patient support. Ensured accurate dispensing of medications and maintained high standards of patient safety and care quality.

Pharmacist

El Bendary Pharmacies
January 2021 - July 2023
Delivered exceptional patient care through medication management, consultation services, and health education. Developed expertise in pharmaceutical operations and customer service excellence over 2.5 years.

Professional Competencies

Areas of expertise and professional skills

💊 Pharmaceutical Expertise

Medication Management Drug Interactions Pharmaceutical Care Clinical Pharmacy Patient Counseling

🏥 Healthcare Operations

Pre-certification Insurance Compliance Claims Processing Healthcare Regulations Quality Assurance

👥 Patient Care

Patient Support Health Education Customer Service Communication Empathy & Care

📋 Administrative Skills

Documentation Process Optimization Data Analysis Workflow Management Team Collaboration

Education

Academic background and qualifications

🎓

Bachelor of Pharmacy

Tanta University
2017 - 2022
Graduated with Very Good Grade

Let's Connect

Ready to discuss opportunities in healthcare, pharmacy, or pre-certification services? I'd love to hear from you.

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