Builder Suite

The Challenge

Centene's care management teams relied on disconnected tools to manage healthcare claims and assessments. My focus was to make the line of products, Assessments, Notes, IMP, and Membership Collections, intuitive and easy to use while accounting for the inherent complexities of detailed health-related information.

Finding a Solution

I began with deep user research, interviewing care management team members and product owners to uncover pain points. This iterative feedback loop helped transform initial concepts into clear user journeys and wireframes, balancing user needs with system constraints to deliver intuitive, scalable solutions for each product.

We wanted each product to retain its unique identity while still feeling part of a unified workflow. To support this, we adopted a color ID convention that built on each product's existing palette and subtly wove those colors into their respective pages.

Managing Complexity

Each product's detail pages had to accommodate hundreds of possible user paths, data states, and edge cases unique to personal health information. Individual claims and assessment pages adjusted based on a member's health conditions, age, race, and other sensitive data. Designing for this level of nuance required a flexible, modular approach that could scale across the entire suite.

To address this, we incorporated smart logic into the platform, allowing the system to dynamically adjust content based on known inputs. Once a member's profile indicated age or specific conditions, irrelevant fields were automatically removed or pre-filled. This reduced cognitive load, saved time, and ensured users could focus only on what mattered.

The Outcome

Following implementation, Centene had a fully integrated builder suite that allowed different departments to manage and coordinate all claims, assessments, notes, and collections with ease. This eliminated the previous workflow inefficiencies caused by disconnected tools, resulting in a drastic improvement in company efficiency and providing a more powerful, intuitive platform for the teams who relied on it daily.