Majesco Billing Expert - Policy Expert - Claims Expert

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.

• 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, elevate, 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.

• 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…