Case Study May 9, 2019
Merging PBM Business Processes and Systems
Trexin helped a leading pharmacy benefit manager integrate a large acquisition targeting $1B+ in synergies.
Business Driver
One of the largest national pharmacy benefit managers (PBM) had recently finalized its acquisition of another large PBM. Planning over $1B in cost-reduction synergies within 14 months, the newly combined company quickly set about integrating its organizations, processes, and information technology, including facility-, system-, and personnel consolidation. To mitigate delivery risk by introducing additional post-merger integration leadership and expertise, one of the company’s Vice Presidents of Technology asked Trexin to lead one of the most important workstreams, focused on claims processing consolidation.
Approach
Results
All clients were successfully transitioned to the consolidated platform within the 14-month target window, enabling legacy system retirement and data center consolidation. As a direct result of Trexin’s successful performance on claims processing consolidation, the Vice President of IT then asked Trexin to lead another program, a $5M initiative to build a custom platform for processing member-submitted manual claims. This new system replaced an outsourced vendor solution, bringing the capability in-house. Again, Trexin led the successful completion of that effort, on-time and on-budget. In addition, the previously outsourced vendor relationship was retired within one fiscal quarter after starting the transition to the new platform for manually submitted claims.