Tanios Bou Issa CV-1

Tanios Bou Issa
Healthcare and Insurance Manager
SUMMARY OF QUALIFICATIONS
Healthcare Management Experience

• Plan, develop, establish and manage radiology departments on operational and
technical levels
• Strong experience in investing and assigning resources within institution and
departments.
• Budget and operational plan oriented
• Complete understanding and full knowledge in PACS and RIS systems and
patient flow.
• Excellent patient service skills and patient centeredness
Medical Insurance Experience

• Dedicated healthcare insurance manager with a strong medical background and
eight (8) years of diversified, hands-on experience in all aspects of medical
insurance
• Insightful knowledge of the various operations of the medical insurance business,
including contract negotiation, account management, customer services, claim
authorization, fraud detection, business development, TPA, reconciliation and
settlement, etc.
• Detailed understanding of the complete insurance cycle and the relationship
between risk carriers, reinsurers, TPA, clients and service providers
• Clear grasp of the requirements for oversight set by regulatory bodies (locally:
SAMA and CCHI)
• Results driven professional with a proven track record in improving profitability
and ensuring proper classification of service providers to reduce average cost per
claim
• Well adapted to team work with strong leadership qualities
• Effective partnership building skills with excellent customer relationships
• Languages: Arabic, English and French
EMPLOYMENT HISTORY
Radiology Department Manager
Bellevue Medical Center Hospital August 2016-Present
• Participates in planning departmental operational plan: establishing department

goals, objectives, activities, deadlines, performance indicators, responsibilities.
• Ensures implementation, follows up, and achievement of objectives set in the
departmental operational plan.
• Attends and participates in hospital committees and inter-departmental meetings,
as appropriate.
• Makes specific recommendations to improve quality of care and service in the
department, and ensures implementation of improvement actions planned as
appropriate.
• Develops and updates departmental policies and procedures, manuals of
operation, and plans, and ensures compliance thereof.
• Sets and monitors the key performance indicators and performance indicators of
the department: collects data, analyzes, and sets corrective actions.
• Issues regular reports of key performance indicators and performance indicators.
• Conducts intra-departmental audits and sets corrective actions as appropriate.
Mobile: +961 81 666984

Email: [email protected]
Tanios Bou Issa
• Addresses conflict issues within the Department.
• Facilitates the flow of communication within the Department and across the
hospital.
• Studies the needs of the department for hiring in close collaboration with the
Heads of Department of Radiology and of Human Resources.
• Participates in recruitment, recommends hiring or dismissal of Radiology staff.
• Identifies training needs of staff to improve knowledge, skills, and competencies.
• Maintains written relationships with other departments to get information, send
complaints, and get support needed: maintenance, IT, housekeeping, finance,
TQM, nursing, etc.
• Ensures quality control is maintained in the department in compliance with
quality control program.
• Ensures preventive and corrective maintenance of equipment in compliance with
equipment management program.
• Ensures safety is maintained in compliance with Radiology safety plan; this
includes but not limited to: Radiation safety, MRI safety, infection control,
handling hazardous materials, fire safety, etc.
Regional Manager
Saudi Enaya Cooperative Insurance Company (JED) Mar 2014-August 2016
• Managed accounts of Southern and Northern regions healthcare providers and

negotiated rates and contracts
• Reconciled outstanding claims and negotiated rejection rates
• Supervised day to day operations and provided ongoing performance assessment
• Followed up on claims, monitored trending, and assessed performance of service
providers to generate comparative reports and assure service quality (QA)
• Prepared and performed training sessions for employees and clients
• Prepared reports and carried out presentations for upper management and
regulatory bodies
• Settled disputes and answered complaints reported to CCHI
• Provided guidance and in-house consultation
Achievements
• Increased number of service providers by 62%
• Decreased cost with 30% of providers by 5%
• Increased overall rejection rate by 4%
• Received commendation for excellent support and service improvement
Sales & Marketing Manager

Allied Diagnostics Center (RUH) Apr 2013-Apr 2014
• Developed and implement strategic marketing and sales plans and forecasts to
achieve corporate objectives
• Developed and managed sales and marketing budgets
• Planed and supervised all activities related to advertising and promotions
• Advised on product positioning, packaging, and pricing
• Assessed sales and marketing activities, provided market intelligence and
prepared reports for executive management
• Forecast sales, set performance goals and assessed effectiveness
• Provided product training and performed staff evaluation to ensure success of
marketing programs
• Met with key clients and advised representative on maintaining relationships and
closing deals
Achievements
Mobile: +961 81 666984

Tanios Bou Issa
• Doubled PET CT Scans sales (100 instead of 50 sales/year) by increasing size of
network
• Increased sales of all other modalities by 20%
Network Prospector:
GlobeMed Saudi (RUH) Jul 2009 –Apr 2013
• Selected by CEO as Globemed Saudi’s advisor and consultant for specific

providers
• Followed up on pending projects with healthcare providers
• Introduced new programs and projects to providers and organized training
sessions and presentations
• Prepared reports on service providers feedback
• Conducted weekly and monthly reports to the network department.
Pre-authorization officer
GlobeMed-Saudi (JED/RUH) Jul 2007 –Jul 2009
• Handled, processed and audited medical claims and reimbursements

• Managed cases of counterfeited insurance cards and false declaration and claims
• Trained new employees and service providers on the I-Care system
• Performed customer care duties
Radiology Experience
Radiography Technician
Various Hospitals (BEY) Oct 2004-Jun 2007
• Doctors Center
• Scaré-Ceour Hospital
• Serhal Hospital
• Bitar Hospital
ACADEMIC BACKGROUND
Superior Medical Radiology Technician 2002 - 2005
Geitawi Medical Institute – Achrafieh – Lebanon
Lebanese Baccalaureate – Socio-Economy 2000 - 2001

Maroun Abboud Official High School – Aley – Lebanon
Computer Knowledge
• Microsoft office (Word, Excel, Power Point, Visio), Oracle based system, Med-Next, various
proprietary programs
Mobile: +961 81 666984


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Tanios Bou Issa

Healthcare and Insurance Manager

Healthcare Management Experience

Medical Insurance Experience

• Participates in planning departmental operational plan: establishing department

Mobile: +961 81 666984

• Managed accounts of Southern and Northern regions healthcare providers and

Sales & Marketing Manager

Mobile: +961 81 666984

• Selected by CEO as Globemed Saudi’s advisor and consultant for specific

• Handled, processed and audited medical claims and reimbursements

Lebanese Baccalaureate – Socio-Economy 2000 - 2001

Mobile: +961 81 666984

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