CVS Health · 2 months ago
Majesco Billing Expert - Policy Expert - Claims Expert
United States
Full-time
Remote
Senior Level, Lead/Staff
$130K/yr - $261K/yr
10+ years expCVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. They are seeking a Majesco Billing Expert to lead technical stabilization and defect resolution for the Majesco LA&H platform, ensuring efficient enrollment, billing, and claims processing while collaborating with various technical teams.
Health CareMedicalPharmaceuticalRetailSales
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
Qualification
Required
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
Proven track record of successfully stabilizing complex, enterprise-level insurance platforms, including resolving high-volume defects and optimizing performance
Extensive experience in defect triage, root cause analysis, and leading resolution efforts for critical business functionalities like enrollment, billing, and claims
In-depth understanding of the Supplemental/Voluntary insurance business, including product lifecycle management, enrollment processes, billing operations, claims adjudication, and industry regulations
Strong proficiency in relevant technologies, such as Java, SQL, database management (e.g., Oracle, SQL Server), and integration technologies
Exceptional communication and interpersonal skills to effectively collaborate with Aetna teams, Majesco technical support, and other stakeholders to achieve resolution
Demonstrated ability to lead technical teams, guide problem-solving efforts, and influence positive outcomes in challenging technical environments
Superior analytical and problem-solving skills to diagnose complex technical issues, identify root causes, and devise effective solutions
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
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
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
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
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
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
H1B Sponsorship
CVS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
bloomberglaw.com
2026-01-16
2026-01-13
Company data provided by crunchbase