Majesco Billing Expert / Policy Expert / Claims Expert

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