Senior Business Analyst – MIPS & Quality Reporting

MedCare MSO Global; Lahore; On-site; PKR 2,790,000 - 5,022,000; Full time

Job summary

Medcare MSO seeks a Senior Business Analyst – MIPS & Quality Reporting to design and document end-to-end MIPS reporting workflows within EHR systems. The role will identify data gaps and ensure compliant reporting to CMS through registries, with close collaboration across BA, Dev, QA, and Operations teams.

The successful candidate will have 6–8 years in MIPS reporting, strong CMS QPP knowledge, and experience translating requirements into actionable specifications for development teams.

Qualifications

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

Responsibilities

• Translate CMS reporting requirements into functional specifications for development teams.
• Collaborate with BA, Development, QA and Operations to deliver quality reporting features.
• Focus on registry submissions and Compliance with CMS QPP frameworks.
• Support MIPS reporting functionality within EHR products and related registries.

Skills

Analytical skills

MIPS knowledge

Regulatory compliance

EHR workflows

Communication skills

Requirements gathering

Stakeholder coordination

CMS reporting

Quality reporting

Education

Bachelor's degree (healthcare/IT)

Tools

Azure DevOps

Jira

Job description

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)

Education & Relevant Experience

• 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