Healthcare Data & Functional Analyst

Healthcare Data & Functional Analyst

Location: Bengaluru (In-office, Koramangala)

Type: Full-time

Experience: 2–5 years

Domain: U.S. Healthcare Payer

About the Role

KronosX AI Labs is looking for a Healthcare Data & Functional Analyst with strong U.S. healthcare payer domain knowledge.

This is a hands-on role combining healthcare business analysis, data validation, and functional product testing. You will understand payer business requirements and workflows, translate them into real-world scenarios, validate healthcare data and business rules, and ensure our platform behaves correctly from a health plan's perspective.

Hands-on U.S. healthcare payer domain (US Health Insurance) experience is mandatory.

What You'll Work On

You’ll work closely with Product and Engineering to test and validate healthcare payer data, business rules, and end-to-end workflows across the KronosX platform. You’ll translate real-world payer requirements into functional test scenarios, identify data and workflow gaps, test edge cases, and ensure the product behaves correctly from a health plan’s perspective.

Must-Have Skills

• 2+ years of U.S. healthcare payer domain experience
• Strong understanding of payer concepts including members, enrollment, eligibility, benefits, claims, and providers
• Experience in healthcare functional analysis, business analysis, data validation, or functional testing
• Ability to understand business requirements and convert them into detailed scenarios
• Strong understanding of healthcare data and business-rule validation
• Ability to analyze data and identify functional inconsistencies
• Strong analytical thinking, attention to detail, and communication skills
• Ability to think from the health plan and end-user perspective, not just execute predefined test cases
  

Good to Have

• Knowledge of healthcare payer transactions and workflows such as 834, 270/271 and benefits, 837, 835, and 278.
• Basic SQL knowledge for data validation and analysis
• Experience with healthcare test data, data quality, or synthetic data
• Exposure to AI/ML or GenAI applications
• Experience working directly with U.S. healthcare customers or business teams
  

What We're Looking For

We're looking for someone who can look at healthcare data or a workflow and ask:

"Does this actually make sense for a health plan?"

• You should be comfortable moving between business requirements, healthcare data, product workflows, and functional testing, and have the curiosity to find problems that aren't captured in a predefined test case.