Okasha joined NBE in 2008 as deputy chairman. In July 2023, the bank signed a protocol of cooperation with GIZ Egypt to provide non-financial services to SMEs in Egypt's industrial sector. The bank reported net profits of $1.1 billion in 2022. Okasha also serves as a board member for the Federation of Egyptian Banks and several of NBE’s financial subsidiaries in Egypt, Europe, and across MENA. Okasha is also a board member of the Sovereign Fund of Egypt.