Business Analyst, Healthcare Regulatory Compliance

Job description

We are united in our mission to make a positive impact on healthcare. Join Us!

• South Florida Business Journal, Best Places to Work 2024
• Inc. 5000 Fastest-Growing Private Companies in America 2024
• 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
• 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
• 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)

Who we are:

We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.

ModMed is hiring a driven Business Analyst with healthcare regulatory compliance experience to join our Product team. In this role, you will interpret regulatory compliance and quality reporting requirements published by federal, state, and industry regulators (e.g., ONC, CMS, HHS) and translate them into actionable functional and non-functional requirements, Epics, and User Stories. You will work closely with product managers, software engineers, compliance experts, and internal/external stakeholders to ensure our development teams build features that are both certifiable and aligned with regulatory timelines and standards. You will also ensure our EHR products maintain relevant quality measure reporting capabilities and align with the necessary clinical code sets and standards (e.g., USCDI, FHIR, CPT, LOINC, SNOMED, RxNorm) required for ONC Health IT Certification and other federal or state mandates.

This is an exciting opportunity to apply your regulatory and compliance expertise in a fast-paced, agile, and mission-driven environment committed to transforming healthcare through intuitive and interoperable technology.

Your Role:

• Interpret and analyze federal and state healthcare regulations (e.g., 21st Century Cures Act, HTI-¹⁄₂, CMS ePA Final Rule, TEFCA, MIPS/MVPs).
• Author clear, detailed Epics, Features, and User Stories that reflect regulatory requirements and certification goals.
• Collaborate closely with compliance, product managers, engineers, QA, and UX to ensure development aligns with certification criteria.
• Serve as the point of contact for understanding evolving regulatory requirements and mapping those to system behaviors or data models.
• Own the backlog and prioritize features related to regulatory deliverables, ensuring timely execution against compliance deadlines.
• Participate in internal and external audits, mock attestations, and testing required for certification (e.g., ONC Certification Test Procedures).
• Stay current on health IT policy updates, technical specifications (e.g., USCDI, FHIR, NCPDP SCRIPT), and industry best practices.

Skills & Requirements:

• Bachelor’s degree; advanced degree or certifications (e.g., CBAP, CPHIMS, PMI-ACP) a plus.
• 4+ years of experience as a Business Analyst or Product Owner, with at least 2+ years in healthcare regulatory compliance or EHR product development.
• Proven track record translating regulations into system-level requirements and development artifacts.
• Deep understanding of ONC Health IT Certification Program, CMS interoperability and prior authorization rules, and related health IT regulatory frameworks.
• Strong working knowledge of Agile methodologies (Scrum, SAFe preferred); experience writing user stories, acceptance criteria, and maintaining product backlogs.
• Familiarity with healthcare standards and vocabularies (FHIR, CDA, HL7, NCPDP, LOINC, SNOMED CT, RxNorm).
• Excellent communication, documentation, and cross-functional collaboration skills.

Preferred Experience

• Direct experience with ONC Certification submission, ACB/AATB processes, or test lab coordination.
• Experience with TEFCA, e-prescribing (EPCS, PDMP, RTPB), and federal incentives programs (e.g., MIPS, QPP).
• Experience working in or with an EHR vendor or healthcare software organization.

#LI-REMOTE #LI-SF1

ModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:

India

• Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
• Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
• Allowances: Annual wellness allowance to support your well-being and productivity,
• Earned, casual, and sick leaves to maintain a healthy work-life balance,
• Bereavement leave for difficult times and extended medical leave options,
• Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
• Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.

United States

• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
• 401(k):  ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
• Generous Paid Time Off and Paid Parental Leave programs,
• Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
• Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
• Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
• Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.

PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote “interviews,” and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address ([email protected]). Please check senders’ email addresses carefully.  Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.