Senior Business Analyst (MIPS)

MedCare MSO Global; Lahore; Presencial; PKR 2.000.000 - 3.000.000; Jornada completa

Descripción de la vacante

MedCare MSO Global in Lahore, Pakistan, seeks a Senior Business Analyst – MIPS & Quality Reporting to analyze and document MIPS reporting workflows within EHR systems. The role focuses on identifying data gaps and ensuring compliant CMS reporting across QA, IA, PI, and cost categories.

The ideal candidate has 6–8 years in MIPS reporting, CMS programs, and regulatory healthcare IT, with strong knowledge of QPP requirements and EHR registries.

Formación

• Bachelor's degree or higher in healthcare admin, informatics, IT, business, or related field.
• Hands-on MIPS reporting and CMS QPP experience is required.
• Experience with EHRs, registries, or QCDRs for quality reporting.
• Knowledge of MS-attributes in CMS QPP frameworks and regulatory guidelines.
• Familiarity with HL7, FHIR, QRDA, and C-CDA standards.

Responsabilidades

• Analyze, design, and document end-to-end MIPS reporting workflows.
• Translate CMS requirements into functional specifications for development teams.
• Collaborate with BA, Development, QA, and Operations to implement reporting solutions.
• Support registry submissions and ensure accuracy in QA reporting processes.

Conocimientos

Analytical skills

Requirements translation

Attention to detail

Communication

MIPS reporting experience

Educación

Bachelor's degree in healthcare administration, Health Informatics, Information Technology, Business Administration, or a related field

Herramientas

Azure DevOps

Jira

Descripción del empleo

Medcare MSO is one of the largest USA-based Healthcare IT company in Pakistan, with 1000+ people on board. We implement best practices and adopt state-of-the-art technology tools to achieve results.

The Senior Business Analyst – MIPS & Quality Reporting analyzes, designs, and documents end-to-end Merit-based Incentive Payment System (MIPS) reporting workflows, and identifies functional, clinical documentation, and data gaps within the EHR to enable accurate and compliant reporting to QPP through CMS integration. The role brings strong expertise in CMS Quality Payment Program (QPP) requirements and EHR-based quality reporting.

The role works closely with the Business Analysis, Development, QA, and Operations teams to translate CMS reporting requirements into functional specifications and development deliverables across the Quality, Improvement Activities (IA), Promoting Interoperability (PI), and Cost performance categories, with a strong focus on registry submissions.

Position: Senior Business Analyst – MIPS & Quality Reporting

Shift timings: 10:00 am - 07:00 am

Location: Lahore (on-site)

• Bachelor's degree in healthcare administration, Health Informatics, Information Technology, Business Administration, or a related field.
• Minimum 6 to 8 years of relevant experience in MIPS reporting, CMS quality programs, healthcare regulatory compliance, or related healthcare IT functions.
• Demonstrated hands-on experience with MIPS data reporting through EHR systems, Qualified Registries, or Qualified Clinical Data Registries (QCDRs).
• Experience analyzing EHR clinical workflows, structured clinical data capture, and registry reporting requirements.
• Attended relevant CMS webinars and training sessions covering MIPS, Qualified Registries, QCDRs, and annual QPP updates.

Knowledge

• Strong understanding of CMS QPP reporting frameworks, performance categories, reporting requirements, and regulatory guidelines
• In-depth knowledge of MIPS Quality measure specifications, including eligibility criteria, numerators, denominators, exclusions, exceptions, and performance calculations
• Strong understanding of clinical documentation requirements and their impact on MIPS reporting
• Familiarity with healthcare interoperability standards such as HL7, FHIR, QRDA, and C-CDA
• Understanding of the SDLC, particularly business analysis, requirements management, development coordination, and UAT
• Familiarity with Patient 360 and prior experience supporting MIPS reporting functionality within an EHR product preferred

Skills

• Strong analytical skills to document current-state and future-state workflows and identify gaps
• Ability to translate CMS requirements into clear functional specifications for development teams
• Experience with Azure DevOps, Jira, or similar requirements and issue-tracking tools
• Strong communication skills for coordinating with providers, registry vendors, and technical teams
• Experience working directly with Qualified Registries, QCDRs, or MIPS reporting vendors
• Attention to detail in defining validation, reconciliation, and audit controls