Medcare MSO is one of the largest USA-based Healthcare IT companies operating in Pakistan, with 1000+ professionals on board. We are committed to delivering cutting-edge software solutions for the healthcare and medical billing industry.
We are seeking a detail-oriented and analytical Principal Business Analyst-MIPS with a strong background in EHR systems and CMS quality reporting programs. The ideal candidate will have in-depth knowledge of MIPS, QPP requirements, and clinical quality measures, coupled with expertise in workflow evaluation, dashboard optimization, and regulatory compliance. This role requires exceptional skills in requirement gathering, data visualization, and stakeholder communication to ensure accurate, efficient, and compliant reporting processes.
Position: Principal Business Analyst – MIPS & Quality Reporting (EHR)
Shift timings: 9:00 am – 6:00 pm
Location: Lahore (on-site)
Responsibilities:
- Evaluate EHR workflows and business processes to ensure compliance with CMS MIPS and QPP requirements.
- Analyze measure specifications and anticipate reporting requirements, identifying areas for improvement.
- Actively participate in discussions with business stakeholders, clinical teams, and providers to gather MIPS-related requirements.
- Design, review, and optimize MIPS, Quality Measures, and Performance Tracking Dashboards for accuracy, usability, and provider adoption.
- Prepare acceptance criteria, use cases, and test scenarios for MIPS and quality reporting modules.
- Create wireframes, mockups, and workflow diagrams to visualize reporting processes, dashboard layouts, and data flows.
- Develop logical workflows for MIPS data capture.
- Gather critical information from meetings with various stakeholders and produce documentation with both technical and domain-specific details.
- Ensure that implemented solutions meet CMS guidelines and align with provider business needs.
- Communicate insights, measure performance trends, and improvement plans to cross-functional teams.
- Collaborate closely with development, product, and compliance teams for timely delivery of MIPS-related features.
- Validate MIPS functionalities in UAT sessions, ensuring alignment with defined acceptance criteria.
- Stay up-to-date on CMS MIPS program updates, measure changes, and regulatory advancements to improve reporting processes.
- Create detailed documentation outlining MIPS implementation, data submission steps, and provider guidance.
Requirements:
- Minimum Bachelor’s degree in IT or CS.
- Minimum 5+ years of proven experience as a business/system analyst in US healthcare IT, preferably with MIPS/QPP.
- Strong understanding of MIPS categories (Quality, Promoting Interoperability, Improvement Activities, Cost) and measure reporting.
- Familiarity with EHR clinical workflows and regulatory compliance standards (ONC, CMS).
- Understanding of interoperability and data exchange standards (FHIR, HL7, CCDA, QRDA).
- Strong analytical skills, exceptional interpersonal, verbal, and written communication skills, and a strong client-facing presence.
- Hands-on experience with SQL queries to extract and validate performance data.
- Understanding of Web API, XML, JSON, and integration frameworks related to quality reporting.
- Excellent documentation skills for both technical and non-technical audiences.
- Proficiency in Microsoft Office Suite and collaboration tools (Excel, Word, SharePoint, Power BI a plus).
- Ability to work cross-functionally, influence stakeholders, and drive compliance-focused initiatives.
- Experience in provider education and support for MIPS data submission and performance improvement.
- Active involvement in EHR certification and compliance-related initiatives is a plus.
- Strong problem-solving mindset with ownership and initiative to improve processes.