Business Analyst

Code District, a leading software development company specializing in innovative solutions for enterprises and startups, is seeking a Lead Healthcare Business Analyst / QA Lead with expertise in EMR/EHR and Revenue Cycle Management. This on-site role, based in Gulberg, Lahore, requires a professional with over two years of experience to bridge healthcare business operations and software development. The successful candidate will lead a team, gather and document business requirements, understand clinical and billing workflows, and ensure regulatory compliance while owning the quality of deliverables. This position demands deep knowledge of healthcare systems, US regulatory programs, and the ability to translate complex operational needs into clear technical specifications.

Key Responsibilities
Team Leadership: Lead and mentor the team by providing guidance on business and domain-related queries, distributing tasks based on priority, and acting as the subject matter expert on Revenue Cycle Management (RCM) and Electronic Health Records (EHR). Ensure alignment of team efforts with business objectives.

Requirements Analysis: Engage with stakeholders to analyze workflows and produce comprehensive documentation such as Business Requirements Documents (BRDs), Functional Requirements Documents (FRDs), user stories, and acceptance criteria. Identify process gaps and recommend improvements.

Clinical Systems: Utilize expertise in EMR/EHR modules, clinical workflows, and interoperability standards including HL7 v2, FHIR, C-CDA, and USCDI to support system design and validation.

Regulatory Compliance: Interpret and translate US healthcare regulatory requirements into product specifications. Ensure compliance with Meaningful Use (Promoting Interoperability), MIPS, ONC Health IT Certification (including Cures Act updates), FHIR-based APIs, information blocking provisions, and HIPAA. Monitor regulatory changes and assess their impact on the product.

Revenue Cycle Management: Document requirements across the full billing lifecycle, covering registration, eligibility verification, claims processing, payment posting, collections, and addressing claim denials and revenue leakage.

QA Leadership: Own the quality assurance process for healthcare features by leading test planning, strategy, and test case design. Oversee validation of EMR/EHR and RCM workflows against business and regulatory requirements. Manage defect triage, prioritization, and sign off on releases before deployment.

Delivery and Validation: Maintain traceability from requirements to test cases, lead User Acceptance Testing (UAT) with stakeholders, and prioritize enhancements based on business impact.

Required Qualifications
- Bachelor’s degree in Computer Science, Information Technology, Healthcare Informatics, Business, or a related field.
- 4-5+ years of experience in Business Analysis, Healthcare IT, or a related domain.
- Strong domain knowledge of RCM and EHR with hands-on experience in EMR/EHR systems, clinical workflows, and medical billing.
- Solid understanding of US healthcare compliance and regulatory frameworks including MU/Promoting Interoperability, MIPS, ONC certification, FHIR, and HIPAA.
- Proven leadership skills with experience guiding teams and managing task allocation according to business priorities.
- Hands-on experience leading QA activities such as test planning, test case design, defect management, and UAT coordination.
- Ability to translate complex business needs into functional specifications and collaborate effectively with engineering, QA, and product teams.

Preferred Qualifications
- Experience working with US healthcare providers or healthcare software products.
- Familiarity with ONC certification support or MIPS/eCQM reporting, including testing tools like Inferno and Cypress.
- Knowledge of Practice Management Systems, ICD-10, CPT, and HCPCS coding standards.
- Experience with Agile/Scrum methodologies and Jira.
- Familiarity with test management tools such as Jira/Xray, Zephyr, or TestRail, and QA certifications like ISTQB.

The ideal candidate possesses a comprehensive understanding of healthcare workflows, EMR/EHR systems, regulatory requirements, and reimbursement processes. They are a confident leader and domain expert who can prioritize and distribute work effectively, guiding technical teams to deliver compliant, high-quality system functionality. A quality-first mindset is essential, ensuring every feature is rigorously validated against clinical and billing workflows before release.