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Transforming Data Operations: Scalable ETL Strategy for a Leading Prescription Benefit Facilitator

Organization

Our client, a family and pharmacist-owned prescription benefit facilitator, is redefining industry standards by offering an innovative, clinically focused model paired with unparalleled service. Built on a foundation of transparency and a pass-through arrangement, their mission is to align with customers’ goals by reducing inappropriate drug utilization, improving health outcomes, and guaranteeing savings. For over a decade, this forward-thinking company has challenged the status quo of traditional prescription benefit managers (PBMs), eliminating inefficiencies and focusing on member health, safety, and satisfaction. With a commitment to operational excellence, they’ve consistently streamlined processes for customers and partners alike.

Challenge

As the client’s business expanded, so did their data warehousing and reporting needs. Initially, they relied on Pentaho for ETL (Extract, Transform, Load) data transformations, data warehousing, and reporting. However, their existing system, designed for smaller-scale operations, struggled to keep pace with increasing data volume, complexity, and demands for flexibility.
Key challenges included:
  • Infrastructure Limitations: Outdated systems unable to scale effectively.
  • Complexity in Data Sources: A single, overly complex database servicing all applications.
  • Inefficient ETL Operations: Tools misused, poorly designed data loads, and redundant data copies.
  • Compliance and Governance Gaps: Inconsistent controls and outdated software versions hindered regulatory compliance.
  • Lack of Data Archival and Purging: Growing data without proper mechanisms for storage optimization.
Recognizing these pain points, the client sought an experienced partner to reimagine their data strategy and future-proof their operations.

TECHNICAL SOLUTION

XTIVIA conducted an in-depth assessment, identifying gaps and opportunities to enhance performance, scalability, and data governance. A multi-phased, comprehensive strategy was proposed to address immediate pain points and align the client’s data ecosystem with their future vision.
xtivia-future-state-conceptual-architecture

Key recommendations included:

  • Performance Optimization
    • Enabled concurrency/multithreading and efficient transformations.
    • Adopted row-based operations and implemented proper indexing.
  • Data Management Improvements
    • Introduced archival and purging mechanisms for Hot, Warm, and Cold data tiers.
    • Consolidated redundant data and introduced a flatter data model with a centralized data hub.
  • Future-Ready Scalability
    • Replatformed and redesigned the ETL pipeline to enhance performance and flexibility.
    • Established disaster recovery protocols and near real-time data loads for enhanced availability.
  • Governance and Compliance
    • Strengthened compliance controls for sensitive data.
    • Implemented a robust data governance framework.
  • Efficient Resource Utilization
    • Maximized tool capabilities to reduce maintenance overhead and increase productivity.
    • Conducted capacity management through balanced workload distribution.

STRATEGIC ROADMAP

XTIVIA structured the solution into three phases to ensure seamless implementation and long-term success:

  • Short-Term Goals: Delivered immediate performance improvements and optimized existing infrastructure, enhancing stakeholder satisfaction without significant investment.
  • Mid-Term Goals: Focused on redesigning the ETL pipeline, simplifying processes, and creating a foundation for scalability.
  • Long-Term Goals: Enabled the realization of the client’s future vision by implementing comprehensive governance, ensuring compliance, and achieving near real-time reporting capabilities.

BUSINESS RESULT

By aligning with XTIVIA’s roadmap, the client achieved transformative improvements across their data operations, empowering them to meet current and future demands:

  • Streamlined ETL Performance: Reduced processing times and increased throughput.
  • Enhanced Data Availability: Near real-time reporting for actionable insights.
  • Strengthened Compliance: Mitigated risks with robust data governance and updated controls.
  • Optimized Infrastructure: Improved scalability and resource efficiency.
  • Increased Productivity: Simplified maintenance and empowered IT teams.

With XTIVIA’s solutions, the client not only resolved their immediate challenges but also unlocked new potential for growth and innovation, reaffirming their position as a trailblazer in the prescription benefit industry.

KEYWORDS
ETL, Pentaho, Data Warehouse, Reporting, EDI, Tableau, Cognos, Data Transfer, Batch Processing

SOFTWARE/HARDWARE/PLATFORM
Pentaho, EDI, Tableau, Cognos, DB2

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