Navigating a complex healthcare integration without a lapse in care

After a private equity merger brought two healthcare language translation services together under one roof, the firm's Director of Platform Management had his work cut out for him.

The integration involved two codebases, two cultures, and two customer lists. All of that had to be interwoven simultaneously — technically, operationally, and culturally — without disrupting care delivery.

The Director could have filled open slots through staffing, or brought in outside consultants for agile training or process coaching. The reason he chose embedded Opreto senior engineers was different.

The Director of Platform Management was looking for…

• Cutting-edge skills. Specific technical skill sets in key technologies.
• Efficient processes. Engineering-practice perspective, quality control, team dynamics, and process improvement from inside the team, not as a drive-by advisory layer.
• Strategic advisory. A partner who could contribute at multiple altitudes, from task execution to technical leadership to leadership-level strategic conversations.

Opreto brought seasoned architectural judgment and a deep bench of cutting-edge talent to support platform integration, data modernization, and team alignment. As priorities evolved over the course of the engagement, the organization maintained operational continuity while executing major architectural change.

Opreto supported the integration through several key initiatives, bringing two distinct platforms and development teams together.

Embed support across levels

Opreto team members facilitated across a spectrum of roles:

• Task-focused contributors directed by internal leads
• Technical leaders providing guidance
• Team leads supporting individual teams
• Leadership-level collaboration between the organization and Opreto on direction and structure

"Together, our task was to move away from parallel, siloed systems toward a unified operating model that worked both technically and culturally."

Dylan Herbert, Co-Founder, Opreto

Execute a major datastore migration

One of the earliest key initiatives was migrating the transactional datastore from one technology to another. This involved moving from a Salesforce data model and repository to Postgres in AWS Aurora, with supporting technologies including SQS and Airflow.

"The datastore migration was more than a technical exercise. It was part of reclaiming control over core transactional data and establishing a scalable, cloud-native foundation that could support the organization long term."

Dylan Herbert, Co-Founder, Opreto

Support the integration success story

Success criteria evolved midstream:

• Early goal: unify two platforms to operate interdependently so interpreters could work from a single platform while both client applications fed requests.
• Later goal: retain one primary platform and bring over the capabilities from the second platform that the primary platform lacked.

Opreto worked with the Director of Platform Management and his team to execute on that story as it evolved.

"Without a coherent narrative, change turns into an endless task list. Teams need a storyline they can follow and a steady execution path that keeps the mission in view."

Director of Platform Management

Prioritize security at all times

Given the healthcare context, PHI and security were central. Opreto provided periodic updates on security events in the industry and areas the team should strengthen during design and coding.

Enable a smooth, rehearsed cutover

The cutover was a classic "flip the switch" moment where drama could be the norm. Instead, it worked as intended due to preparation:

• Pre-deployment exercises
• Adjusting schedule to align with Opreto resource availability
• Confidence that the team should not attempt the cutover without Opreto present