Majesco Billing Expert - Policy Expert - Claims Expert at CVS Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

11 Apr, 26

Salary

260590.0

Posted On

11 Jan, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Majesco Platform Expertise, System Stabilization, Defect Management, Insurance Domain Expertise, Technical Proficiency, Collaboration, Communication, Leadership, Mentorship, Problem-Solving, Analytical Thinking, Java, SQL, Database Management, Integration Technologies

Industry

Hospitals and Health Care

Description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Aetna's Voluntary (supplemental) business requires an accomplished Technical Lead/Expert with extensive knowledge & experience of Majesco LA&H platform. This critical role involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The ideal candidate will be a hands-on expert in resolving defects, optimizing system performance, and guiding both Aetna and Majesco technical teams towards a stable and efficient production environment. Key responsibilities Lead Technical Stabilization & Defect Resolution: Take ownership of stabilizing the Majesco environment, particularly focusing on resolving high-priority defects and systemic issues impacting enrollment, billing, and claims processing Deep-Dive Analysis & Root Cause Identification: Conduct thorough analysis of existing issues, working closely with Aetna business and technical teams, and Majesco technical team to identify the root causes of recurring defects and performance bottlenecks Collaborate and Coordinate Resolution Efforts: Facilitate communication and collaboration between Aetna's technical teams (development, QA, operations), Majesco's technical support, and development teams to prioritize, escalate, and resolve open defects efficiently Drive Technical Design and Development: Guide the development and implementation of defect fixes, system enhancements, and necessary customizations within the Majesco platform, ensuring adherence to Aetna's technical standards and best practices Optimize System Performance: Identify and implement solutions to optimize the performance and scalability of the Majesco platform across Policy Administration, Enrollment, Billing, and Claims modules Enhance Integration Reliability: Ensure the stability and reliability of integrations between the Majesco platform and Aetna's front and backend systems, troubleshooting integration issues and optimizing data flow Mentor and Knowledge Transfer: Provide expert guidance and mentorship to Aetna's internal teams, fostering knowledge transfer and improving their ability to manage and support the Majesco platform Reporting and Communication: Provide regular updates to Aetna leadership on stabilization progress, key defect resolution efforts, and overall platform health Required Qualifications Majesco Platform Expertise: Deep, hands-on experience with the Majesco LA&H Core Suite, including Policy Administration, Enrollment, Billing, and Claims modules. Experience with Majesco customizations, configuration, and API management is essential System Stabilization and Optimization: Proven track record of successfully stabilizing complex, enterprise-level insurance platforms, including resolving high-volume defects and optimizing performance Defect Management & Resolution: Extensive experience in defect triage, root cause analysis, and leading resolution efforts for critical business functionalities like enrollment, billing, and claims Insurance Domain Expertise: In-depth understanding of the Supplemental/Voluntary insurance business, including product lifecycle management, enrollment processes, billing operations, claims adjudication, and industry regulations Technical Proficiency: Strong proficiency in relevant technologies, such as Java, SQL, database management (e.g., Oracle, SQL Server), and integration technologies Collaboration & Communication: Exceptional communication and interpersonal skills to effectively collaborate with Aetna teams, Majesco technical support, and other stakeholders to achieve resolution. Leadership and Mentorship: Demonstrated ability to lead technical teams, guide problem-solving efforts, and influence positive outcomes in challenging technical environments Problem-Solving & Analytical Thinking: Superior analytical and problem-solving skills to diagnose complex technical issues, identify root causes, and devise effective solutions Relevant Experience: Minimum of 10+ years of experience in software engineering, with at least 5+ years in technical leadership or expert role involving Majesco implementation and significant experience in stabilizing complex IT environments and resolving high-impact defects Preferred Qualifications Exposure to Majesco’s Intelligent Sales & Underwriting Workbench Familiarity with DevOps pipelines, containerization (Azure/AWS), and CI/CD tools Experience integrating Majesco with CRM/ERP systems Experience with Gen‑AI extensions in Majesco (e.g. Copilot-based Chatbot) Exposure to UI design or microservices architectures Education Bachelor’s degree in computer science, Engineering, or a related field, or equivalent experience Experience with SAFe Agile Development practices and processes SAFe Practitioner certification is preferred Pay Range The typical pay range for this role is: $130,295.00 - $260,590.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 02/22/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Responsibilities

The role involves leading technical stabilization and defect resolution for the Majesco environment, focusing on enrollment, billing, and claims processing. The expert will conduct deep-dive analysis, collaborate with teams, and drive technical design and development to optimize system performance.