Talent.com
Majesco Billing Expert / Policy Expert / Claims Expert

Majesco Billing Expert / Policy Expert / Claims Expert

CVS HealthHartford, CT, United States
1 day ago
Job type
  • Full-time
Job description

Join CVS Health as a Majesco Billing Expert / Policy Expert / Claims Expert role.

We build impactful health solutions with dedicated colleagues passionate about transforming health care.

Position Summary

As a technical lead / expert, you will address enrollment, billing, and claims processing challenges on the Majesco LA&H Core Suite.

Key Responsibilities

  • Lead technical stabilization & defect resolution for enrollment, billing, and claims modules.
  • Deep-dive analysis and root cause identification of recurring defects and performance bottlenecks.
  • Coordinate resolution efforts across Aetna technical teams and Majesco support.
  • Drive design and development of defect fixes, system enhancements, and customizations.
  • Optimize system performance and scalability across Policy Administration, Enrollment, Billing, and Claims.
  • Enhance integration reliability between Majesco platform and Aetna systems.
  • Mentor internal teams and facilitate knowledge transfer.
  • Provide regular updates to leadership on stabilization progress.

Required Qualifications

  • Hands‑on experience with Majesco LA&H Core Suite, including Policy Administration, Enrollment, Billing, and Claims.
  • Track record of stabilizing enterprise‑level insurance platforms and resolving high‑volume defects.
  • Defect triage, root cause analysis, and resolution leadership for enrollment, billing, and claims.
  • In‑depth understanding of supplemental / voluntary insurance business and regulatory environment.
  • Proficiency in Java, SQL, database management (Oracle, SQL Server), and integration technologies.
  • Exceptional communication and collaboration skills to work with Aetna teams and Majesco support.
  • Leadership and mentorship ability in challenging technical environments.
  • Analytical and problem‑solving skills to diagnose complex technical issues.
  • 10+ years software engineering experience; 5+ years in technical leadership or expert role with Majesco implementation.
  • 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 (Copilot‑based Chatbot).
  • Exposure to UI design or microservices architectures.
  • Education

  • Bachelor’s degree in computer science, engineering, or related field.
  • Experience with SAFe Agile Development practices.
  • SAFe Practitioner certification preferred.
  • Pay Range

    $130,295.00 – $260,590.00

    Benefits

  • Competitive wages and equity award program.
  • Affordable medical plan options, 401(k) plan with company matching, and employee stock purchase plan.
  • No‑cost wellness programs, confidential counseling, and financial coaching.
  • Paid time off, flexible work schedules, family leave, dependent care resources, and tuition assistance.
  • Application window closes on 11 / 30 / 2025.

    Qualified applicants with arrest or conviction records considered per applicable laws.

    #J-18808-Ljbffr

    Create a job alert for this search

    Expert • Hartford, CT, United States

    Related jobs
    • Promoted
    Prior Authorization Specialist

    Prior Authorization Specialist

    TEKsystemsWallingford, CT, United States
    Full-time
    Our dynamic and growing healthcare organization is committed to providing high-quality medical services to our patients.We're seeking a skilled and detail-oriented Prior Authorization Specialist to...Show moreLast updated: 15 days ago
    • Promoted
    • New!
    Senior Claims Specialist

    Senior Claims Specialist

    Sunrise Systems, Inc.New Haven, CT, United States
    Full-time
    Job Title : Senior Claims Specialist / Claims Examiner-Lost Time.Location : 555 Long Wharf Drive, New Haven, CT 06511.Duration : 3 Months (Possible Extension or Conversion). Position Type : Hourly contra...Show moreLast updated: 3 hours ago
    • Promoted
    Managed Care Claim Assistant I

    Managed Care Claim Assistant I

    AmTrust FinancialSouthington, CT, United States
    Full-time
    Managed Care Claim Assistant I.US-CT-Southington | US-TX-Dallas.AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Claim Assistant I within our Manage...Show moreLast updated: 28 days ago
    • Promoted
    Blood Banking Technologist - Connecticut

    Blood Banking Technologist - Connecticut

    KA Recruiting Inc.Pine Meadow, CT, US
    Full-time +1
    Are you interested in a new Blood Banking Laboratory Technologist opportunity? Apply to this great opportunity in Hartford, Connecticut for permanent, full-time hire!. This position is offering : ful...Show moreLast updated: 30+ days ago
    • Promoted
    Hiring Now - Work from Home - No Experience

    Hiring Now - Work from Home - No Experience

    OCPAWinchester, Connecticut, us
    Remote
    Part-time +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Show moreLast updated: 30+ days ago
    • Promoted
    Claim Adjuster licenses

    Claim Adjuster licenses

    BCforwardNew Haven, CT, United States
    Full-time
    Workers’ Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in worker’s compensation is not a requirement but a nice thing to have, as long as the skills they do ha...Show moreLast updated: 1 day ago
    • Promoted
    Tax Preparer

    Tax Preparer

    Shoreline Tax Solutions LLCMadison, CT, US
    Full-time +1
    Shoreline Tax Solutions LLC is seeking a motivated and detail-oriented Tax Associate to join our practice for the upcoming 2026 tax season and beyond. We are a local small business serving primarily...Show moreLast updated: 2 days ago
    • Promoted
    Precision CNC Machine Operator

    Precision CNC Machine Operator

    HowmetWinsted, CT, United States
    Full-time
    Winsted Indust Pk, 145 Price Rd, Winsted, CT, 06098, US.Remote Work Schedule Availability?.This position entails access to export-controlled items and employment offers are conditioned upon an appl...Show moreLast updated: 30+ days ago
    • Promoted
    Quick Earnings : Earn At Least $1725 For Your First 153 Trips, Guaranteed.

    Quick Earnings : Earn At Least $1725 For Your First 153 Trips, Guaranteed.

    UberStorrs Mansfield, CT, US
    Full-time +1
    Earn at least $1725 driving with Uber when you complete your first 153 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 17 days ago
    • Promoted
    Fast Pay - Earn at least $1725 in your first 153 trips, guaranteed.

    Fast Pay - Earn at least $1725 in your first 153 trips, guaranteed.

    UberStorrs Mansfield, CT, US
    Full-time +1
    Earn at least $1725 driving with Uber when you complete your first 153 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 17 days ago
    • Promoted
    • New!
    Pharmacist

    Pharmacist

    WALGREENSThorndike, MA, US
    Full-time
    Join Our Team at Walgreens as a Pharmacist!.Why Walgreens – For You, For Your Family, For Your Future.At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the...Show moreLast updated: 2 hours ago
    • Promoted
    Complete Online Surveys For Cash (Up to $25 / per)

    Complete Online Surveys For Cash (Up to $25 / per)

    Earn HausWillimantic, CT, US
    Full-time +1
    Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion. You will help influence brand decisions on se...Show moreLast updated: 6 days ago
    • Promoted
    Flexible $ : Earn At Least $1725 For Your First 153 Trips, Guaranteed.

    Flexible $ : Earn At Least $1725 For Your First 153 Trips, Guaranteed.

    UberChester, CT, US
    Full-time +1
    Earn at least $1725 driving with Uber when you complete your first 153 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 17 days ago
    • Promoted
    Part-time gig : Earn at least $1725 in your first 153 trips.

    Part-time gig : Earn at least $1725 in your first 153 trips.

    UberWinsted, CT, US
    Full-time +1
    Earn at least $1725 driving with Uber when you complete your first 153 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 17 days ago
    • Promoted
    Rehabilitation Specialist - Clinical Therapy (Hiring Immediately)

    Rehabilitation Specialist - Clinical Therapy (Hiring Immediately)

    Middlesex HealthYalesville, CT, US
    Full-time
    Position Highlights Department : Physical Rehab - Outpatient Hours : 40 hours / week Shift : Days, 1st Shift Location : Cromwell, CT (New Location) Position Summary : The Outpatient Physical Therapist adm...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    CNC Mill Turn Machinist-1st Shift 7 : 00am - 3 : 30pm

    CNC Mill Turn Machinist-1st Shift 7 : 00am - 3 : 30pm

    Stanley Black & DeckerColumbia, CT, US
    Full-time
    This is the career you've been waiting for your whole life.Joining the Stanley Black & Decker team means working in an innovative, tech-driven and highly collaborative team environment supp...Show moreLast updated: 15 hours ago
    • Promoted
    Choose your schedule - Earn At Least $1325 For Your First 114 Trips, Guaranteed.

    Choose your schedule - Earn At Least $1325 For Your First 114 Trips, Guaranteed.

    UberMonson, MA, US
    Full-time +1
    Earn at least $1325 driving with Uber when you complete your first 114 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 17 days ago
    • Promoted
    Side gig : Earn at least $1725 in your first 153 trips with Uber, guaranteed.

    Side gig : Earn at least $1725 in your first 153 trips with Uber, guaranteed.

    UberWest Simsbury, CT, US
    Full-time +1
    Earn at least $1725 driving with Uber when you complete your first 153 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 17 days ago