Business Analyst

Code District is seeking a Lead Healthcare Business Analyst / QA Lead to join our team in Gulberg, Lahore (on-site). This role bridges healthcare business operations and software development, focusing on EMR/EHR systems and Revenue Cycle Management (RCM). The ideal candidate will lead and mentor the team, gather and document detailed business requirements, understand clinical and billing workflows, and translate these into clear technical specifications. They will ensure compliance with US healthcare regulations such as MU/Promoting Interoperability, MIPS, and ONC certification, while owning the quality assurance process for healthcare-related features. This position requires strong expertise in healthcare IT, regulatory frameworks, and leadership skills to guide the team effectively.

Key Responsibilities

Team Leadership: Lead and mentor the team by providing guidance on business and domain-related queries. Manage task distribution based on business priorities and act as the primary subject matter expert on RCM and EHR to ensure alignment with organizational goals.

Requirements Analysis: Engage with stakeholders to analyze workflows and gather comprehensive business requirements. Develop Business Requirements Documents (BRDs), Functional Requirements Documents (FRDs), user stories, and acceptance criteria. Identify process gaps and recommend improvements.

Clinical Systems: Utilize in-depth knowledge of EMR/EHR modules, clinical workflows, and interoperability standards such as HL7 v2, FHIR, C-CDA, and USCDI to support product development.

Regulatory Compliance: Translate complex regulatory requirements into actionable product features. Ensure ongoing compliance with Meaningful Use (Promoting Interoperability), MIPS quality measures, eCQMs, ONC Health IT Certification (including Cures Act and HTI rules), FHIR-based APIs, information blocking provisions, and HIPAA. Monitor regulatory updates and evaluate their impact on the product.

Revenue Cycle Management: Document detailed requirements covering the entire billing lifecycle, including patient registration, eligibility verification, claims processing, payment posting, collections, and denial management to prevent revenue leakage.

QA Leadership: Own the quality assurance process for healthcare functionalities. Lead test planning, strategy, and test case design and review. Oversee defect triage and prioritization, coordinate User Acceptance Testing (UAT) with stakeholders, and approve releases prior to deployment.

Delivery and Validation: Maintain traceability of requirements from user stories through test cases. Prioritize enhancements based on business impact and ensure thorough validation of features against clinical and billing workflows.

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 closely related domain.
- Strong domain expertise in RCM and EHR, with hands-on knowledge of EMR/EHR systems, clinical workflows, and medical billing processes.
- Comprehensive understanding of US healthcare compliance and regulatory programs including MU/Promoting Interoperability, MIPS, ONC certification criteria, FHIR, and HIPAA.
- Proven leadership skills with experience guiding teams and managing task priorities.
- Hands-on experience leading QA activities such as test planning, test case design and review, defect management, and UAT coordination.
- Ability to translate 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 and coding standards such as ICD-10, CPT, and HCPCS.
- Experience working in Agile/Scrum environments and using Jira.
- Familiarity with test management tools such as Jira/Xray, Zephyr, or TestRail, and QA certifications like ISTQB.

The ideal candidate is more than just a documenter or billing specialist; they possess a thorough understanding of how healthcare workflows, EMR/EHR systems, regulatory requirements, and reimbursement processes interrelate. They are a confident leader who serves as the team’s domain expert, prioritizes tasks effectively, and guides technical teams to deliver compliant, high-quality solutions. Their quality-first approach ensures every feature is rigorously validated against real-world clinical and billing workflows before release.