Eletreby has been at the helm of Banque Misr since 2015. The bank employs 22,000 people. In February 2022, it announced an investment of $80.5 million into African Export-Import Bank (Afreximbank), becoming its largest non-sovereign shareholder. In April 2022, the bank partnered with Google to launch a training program targeting small businesses in Egypt. Eletreby is also the chairman of the Federation of Egyptian Banks.