Sr. Systems Analyst

Company Overview

At 4A Consulting, we turn complexity into opportunity. Founded in 2014 and headquartered in Baltimore, MD, we are a women-owned, boutique consulting firm specializing in delivering innovative, data-driven solutions to both the Federal Government and Fortune 500 clients. Our team blends deep industry knowledge with advanced technologies to design tailored strategies that drive measurable and sustainable outcomes. We pride ourselves on an agile, collaborative approach that helps organizations navigate challenges and seize emerging opportunities in a rapidly evolving digital landscape. At 4A, we don’t just deliver projects, we build trusted partnerships that empower our clients to lead with confidence in the digital age.  

Position Overview

The Analyst, Systems (Senior) will provide data analysis, transactional support, error detection, resolution, and all related services for successful Electronic Data Interchange (EDI) Operations of the Exchange.  

Key Responsibilities

Provide data analysis, transactional support, error detection, resolution, and all related services for the successful Electronic Data Interchange (EDI) Operations of the Exchange. Perform 8001 Medicaid transaction file analysis and validations. Review and resolve all data issues, including but not limited to Master Data Management (MDM), Master Person Identifier (MPI), and other data issues. Perform HBX System Error analysis. Validate 1095-A and 1095-B files, and reconcile 8001 transactions. Analyze EDI files sent to and received from Carriers, Managed Care Organizations (MCO), and other entities, and identify errors and root causes for EDI file rejections. Coordinate with the development team, business team, and testing team to analyze, fix, test, and transmit EDI files daily and as required. Analyze the EDI 999 files from the Carriers and MCOs and perform root cause analysis for exceptions, and assist with resolving any data issues. Perform data changes to fix consumer or system-reported errors, coordinate with technical and business teams to analyze error reports, access the HBX databases and applications to perform root cause analysis for transaction rejections, and provide data fixes and technical solutions. Communicate with the IT team, business team, vendor teams, and other stakeholders to translate business needs into EDI data fixes and solutions. Note: The candidate must have the flexibility to work overtime, as needed, including weekends, holidays, and off-hours.  

Required Qualifications

A minimum of four (4) years of experience with the Health Exchange marketplace EDI solutions. A minimum of four (4) years of experience creating EDI X12 files for transaction sets such as 834, 999, and TA1. A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999. A minimum of four (4) years of experience in analyzing, testing, and providing data solutions for healthcare marketplaces. A minimum of two (2) years of experience working with SQL databases/queries. Strong analytical and problem-solving skills. Excellent communication skills, including the ability to understand and communicate technical information to business users and gather business requirements that can be translated into technical requirements. Ability to manage multiple critical priorities and tight deadlines.  

Preferred Qualifications

A minimum of six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files, or equivalent. A minimum of six (6) years of experience with EDI transaction sets such as 834, 820, 999, and TA1, SOA, EDI, or EAI applications. A minimum of two (2) years of hands-on experience writing complex SQL scripts. Knowledge of the Affordable Care Act (ACA) eligibility rules for Medicaid and Qualified Health Plans. Experience with or knowledge of Medicaid 8001 file processing or any other inter-agency transactional file processing. In-depth understanding of EDI 834 enrollment transactions, including Adds, Changes, Terminations, Cancellations, and error processing.  

Why Join 4A 

Be part of a mission-driven, women-owned consulting firm with a reputation for excellence. Work on high-impact projects across federal and commercial clients. Collaborate in an inclusive, growth-oriented culture where innovation is valued. Access career development programs, mentorship, and learning opportunities. Enjoy a comprehensive benefits package, flexible work options, and a focus on work-life balance. Equal Opportunity Statement 4A Consulting is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.