PBM Audit Platform Modernization - NTT DATA Azure

multi · data pipeline diagram.

About This Architecture

Pharmacy Benefit Manager audit platform modernization leveraging NTT DATA Azure Fabric, combining legacy Caribou Systems with modern cloud-native data pipeline architecture. Data flows from PBM sources through CRx Gateway API layer into Azure Data Factory, then through Microsoft Fabric Lakehouse medallion layers (Bronze/Silver/Gold) with Databricks/Spark processing. AI Recommendation Engine powered by Azure OpenAI Service enables cost optimization, prior authorization automation, and anomaly detection, while Audit Manager and specialized audit systems (Claims, Financial, Benefit) consume curated data via REST/GraphQL APIs and Power BI dashboards. This architecture demonstrates hybrid modernization—preserving existing audit logic while enabling AI-driven insights and operational efficiency at scale. Fork this diagram on Diagrams.so to customize data flows, add compliance layers, or adapt the medallion pattern for your own multi-source audit platform. The explainability layer ensures audit transparency and regulatory compliance throughout the AI recommendation pipeline.

People also ask

How do you modernize a legacy PBM audit platform on Azure while preserving existing audit logic and enabling AI-driven insights?

This diagram shows a hybrid approach: ingest PBM data via CRx Gateway API into Azure Data Factory, process through Microsoft Fabric Lakehouse medallion layers (Bronze/Silver/Gold) using Databricks/Spark, then apply Azure OpenAI-powered AI Recommendation Engine for cost optimization, prior auth automation, and anomaly detection. Audit Manager and specialized systems consume curated data via REST/Gr

PBM Audit Platform Modernization - NTT DATA Azure

MultiadvancedAzureMedallion ArchitectureHealthcareAI/MLLegacy Modernization
Domain: Cloud MultiAudience: Enterprise cloud architects modernizing legacy PBM audit platforms on Azure
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Created by

March 22, 2026

Updated

March 22, 2026 at 10:40 AM

Type

data pipeline

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