Location: Bengaluru, In-office (Koramangala)
Type: Full-time
Experience: 3+ years
Domain: U.S. Healthcare Payer
KronosX AI Labs is looking for a U.S. Healthcare Payer Functional Analyst with strong functional knowledge of health plan operations and payer systems.
You will work closely with Product, Engineering, and AI teams to translate real-world payer requirements into business rules, functional scenarios, workflows, and test cases.
This role requires hands-on U.S. healthcare payer experience. Provider-side Revenue Cycle Management (RCM) experience will not qualify.
You’ll help define and validate real-world payer scenarios across member enrollment, eligibility, benefits, claims, claims adjudication, prior authorization, etc . You’ll analyze business requirements and healthcare data, define expected outcomes, identify functional gaps and edge cases, and validate that our platform behaves correctly from a health plan’s perspective.
We’re looking for someone who understands how a health plan actually works , not just healthcare terminology.
You should be able to take a scenario involving a member, eligibility, benefits, accumulators, providers, and claims and reason through how the claim should adjudicate and why .
How to Apply
Send to your CV to ' ' and also include your
Subject: (Your Name) - #PAYER
This listing is sourced from a third-party job board. Applying will redirect you to the original posting.
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