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Felix Oloo

Felix Oloo

Healthcare Executive | Transforming Health Systems | Digital Health Innovator | Strategic Leadership in Public Health | Driving Financial & Operational Excellence

Talent
KisumuMember since April 13, 2026
Medical Case Management & Clinical ReviewPre-Authorization Audits & Utilization ReviewClaims Management & Insurance Policy InterpretationCost Containment & Benefit OptimizationHospital Admissions Monitoring & Length of Stay ManagementProvider & TPA Coordination / Relationship ManagementClinical Risk Assessment & Escalation ManagementFraud Detection, Utilization Analytics & Claims AuditsClient & Intermediary EngagementHealthcare Operations & Service Delivery OptimizationRegulatory Compliance & Clinical GovernanceData Analysis, Reporting & Insights GenerationEMR SystemsData AnalyticsClinical Information SystemsFinancial ControlsAntimicrobial StewardshipPharmacovigilance
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Medical Case Management & Clinical ReviewPre-Authorization Audits & Utilization ReviewClaims Management & Insurance Policy InterpretationCost Containment & Benefit OptimizationHospital Admissions Monitoring & Length of Stay Management

About

Results-driven healthcare professional with 12+ years of experience in clinical oversight, hospital operations, and health systems management, now strategically aligned to medical insurance case management and claims optimization. Proven expertise in utilization review, clinical audits, cost containment, and complex case coordination, with a track record of reducing inefficiencies, improving care quality, and safeguarding financial performance. Adept at liaising with hospitals, clinicians, and stakeholders, ensuring appropriate care delivery, policy compliance, and enhanced client experience.

Experience

Medical Superintendent & Interim CEO at Ministry of Health, Kenya – Yala Sub-County Hospital (2023-11 – 2026-01)

Provided clinical oversight for all admissions, ensuring appropriate treatment plans, optimized length of stay, and cost-effective care delivery.

  • Provided clinical oversight for all admissions, ensuring appropriate treatment plans, optimized length of stay, and cost-effective care delivery
  • Reviewed and validated complex clinical cases, improving treatment appropriateness and reducing unnecessary interventions
  • Strengthened clinical audit systems, reducing inefficiencies and improving compliance with care protocols by 22%
  • Led multidisciplinary engagement with clinicians to align care plans with best practice and resource optimization
  • Improved patient flow and reduced average wait times by 30%, enhancing service turnaround and patient experience
  • Ensured 100% availability of essential medicines, minimizing treatment delays and cost escalations
  • Oversaw financial performance, reducing operational costs by 25% while maintaining quality care standards
  • Acted as key liaison between hospital teams, partners, and stakeholders—enhancing coordination and service delivery efficiency

Medical Superintendent & Interim CEO at Ministry of Health, Kenya – Madiany Sub-County Hospital (2020-10 – 2023-11)

Led clinical governance and utilization oversight, ensuring appropriate resource use and adherence to treatment protocols.

  • Led clinical governance and utilization oversight, ensuring appropriate resource use and adherence to treatment protocols
  • Improved service efficiency by 85%, optimizing patient flow, admissions, and discharge processes
  • Monitored high-cost and complex cases, implementing strategies that reduced unnecessary expenditure and improved outcomes
  • Strengthened provider coordination and accountability through performance tracking and KPI systems
  • Collaborated with external partners (CDC, CHS) to enhance clinical systems and patient management pathways
  • Supported policy and guideline development, enhancing compliance and standardization of care practices

Senior Hospital Pharmacist at Siaya County Referral Hospital (2019-08 – 2020-10)

Conducted medication and treatment reviews, improving prescribing accuracy and reducing inappropriate use.

  • Conducted medication and treatment reviews, improving prescribing accuracy by 25% and reducing inappropriate use
  • Led antimicrobial stewardship initiatives, reducing unnecessary treatments and hospital-acquired infections by 18%
  • Strengthened supply chain and utilization systems, reducing stock-outs by 30% and preventing cost overruns
  • Implemented pharmacovigilance and adverse event monitoring, reducing preventable drug-related risks by 40%
  • Supported clinical teams with evidence-based guidance on treatment plans and cost-effective therapies

Medical Superintendent & Interim CEO at Ministry of Health, Kenya – Ukwala Sub-County Hospital (2016-08 – 2019-08)

Oversaw end-to-end patient care processes, ensuring efficient admissions, treatment, and discharge management.

  • Oversaw end-to-end patient care processes, ensuring efficient admissions, treatment, and discharge management
  • Reduced patient wait times by 50% and improved service delivery efficiency through process optimization
  • Strengthened financial controls and utilization management, improving efficiency and revenue retention by 75%
  • Led multidisciplinary teams to deliver coordinated, high-quality, and cost-effective care
  • Implemented data-driven monitoring systems to track utilization, outcomes, and performance trends

Earlier Career (Public Health & Pharmacy Practice) at Ministry of Health, Kenya (2013 – 2016)

Supported large-scale public health programs and health system strengthening initiatives.

  • Supported large-scale public health programs and health system strengthening initiatives, improving service delivery and access
  • Enhanced supply chain forecasting and utilization systems, reducing stock-outs and optimizing resource use
  • Trained healthcare workers and strengthened clinical reporting systems, improving data accuracy and decision-making

Education

Master of Public Health in Public Health – Maseno University

Bachelor of Business Administration in Business Administration – Alagappa University

Bachelor of Pharmacy in Pharmacy – Tamil Nadu Dr. M.G.R. Medical University

Skills

Healthcare ExecutiveTransforming Health SystemsDigital Health InnovatorStrategic Leadership in Public HealthDriving Financial & Operational Excellence

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