Business Analyst

Code District, a leading software development company specializing in innovative solutions for enterprises, startups, and growing businesses, is seeking a Lead Healthcare Business Analyst / QA Lead with expertise in EMR/EHR and Revenue Cycle Management (RCM). This on-site role is based in Gulberg, Lahore, and requires a candidate with over two years of relevant experience. The successful candidate will act as a critical bridge between healthcare business operations and software development teams, ensuring that clinical and billing workflows are accurately translated into technical requirements while maintaining compliance with US healthcare regulations.

Key Responsibilities

Team Leadership: Lead and mentor the team by providing guidance on business and domain-related questions. Assign tasks 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 document business requirements through BRDs, FRDs, user stories, and acceptance criteria. Identify process gaps and recommend improvements to optimize healthcare operations.

Clinical Systems: Utilize deep knowledge of EMR/EHR modules, clinical workflows, and interoperability standards such as HL7 v2, FHIR, C-CDA, and USCDI to support system design and integration.

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

Revenue Cycle Management: Document and oversee requirements covering the entire billing lifecycle, including patient registration, eligibility verification, claims processing, payment posting, collections, and handling claim denials to minimize revenue leakage.

QA Leadership: Own the quality assurance process for healthcare features by leading test planning, strategy, and test case design. Guide the QA team in validating 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 user stories 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 business and 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 tasks aligned with business priorities.
- Hands-on experience leading QA activities such as test planning, test case design and review, defect management, and coordinating UAT.
- Ability to translate complex business needs into detailed 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 tools such as Jira.
- Familiarity with test management tools like Jira/Xray, Zephyr, or TestRail, and QA certifications such as ISTQB.

The ideal candidate possesses a comprehensive understanding of healthcare workflows, EMR/EHR systems, regulatory frameworks, and reimbursement processes. They are a confident leader who serves as the domain expert, effectively prioritizes tasks, and guides technical teams to deliver compliant, high-quality solutions. A quality-first mindset is essential, ensuring that every feature is thoroughly validated against real-world clinical and billing workflows before release.