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Sleek, Streamlined, & Actionable

We created a modern, highly usable tool. In doing so, we removed redundant questions and reduced the required meetings. Our internal colleagues lent support by gathering former benefit selections to prepopulate fields.

Audit forms, remove redundancy, and pre-populate entries

Respect Clients' Time

Create a modern aesthetic and simple, guided workflows

Experience First

Show clients what they need, remove jargon and triggers

Necessary Info

CVS myPBM

How might we simplify the new client onboarding experience while offering enough visibility?

A Complicated & Clunky Experience

myPBM was a suite of incohesive internal apps used for CVS’s Pharmacy Benefits Management client onboarding. The process included redundant questions, unnecessary meetings, and other inefficiencies. Clients also lacked a digital tool to view the process and service, which all CVS competitors had. We needed to create a solution that enabled clients to self-serve and gain more visibility while balancing the information presented. Unnecessary details were sometimes seen as red flags in the previous process.

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Lead Designer / myPBM SME

For 6 months before kickoff, I led a volunteer group of designers to standardize the old myPBM apps. This gave me in-depth knowledge of the different app domains and users' mental models. When the new myPBM project began, I was assigned to help lead.

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Mastered Complex Business Processes

Understanding cross-team data flow was challenging but essential. I contributed to my manager Thomas's service blueprint by leading discovery sessions on roles and processes. I also mapped data flows. These insights directly shaped our product strategy.

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Executive Stakeholder Workshop

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Thomas, our consultant partners Credera, and I met on-site with stakeholders for three days to align goals, features, and deadlines. I contributed insight on myPBM UX and design system resources. The image below shows our output, the functionalities to be included in our MVP.

No Time for Users, Unfortunately

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Onboarding Checklist Simplifies Tasks

Clients needed help completing their action items, so we created a simple guided task flow. Thomas originally created this concept, but I added enhancements to improve usability, including a more intuitive design pattern, UX copywriting, and a more aesthetic style. Credera's UI Designer, Eddy, also added enhancements like the icons and CVS heart-puzzle illustrations. The illustration below is my unique recreation.

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Plan Approval Manages Documentation

myPBM provides value by enabling clients to digitally approve or reject plan documents, saving time and reducing email risk for both clients and CVS. For this flow, I collaborated with my CVS teammate, who worked on the old myPBM product where this functionality originated. She led the UI design. This is my unique, enhanced recreation.

Reporting Makes Meetings Better

Once the client's service goes live, they need metrics on claims, support calls, and outcomes. myPBM adds value by showing clients how CVS performs as their service provider. This feature improves monthly account team and client meetings by providing all critical information at a glance. I collaborated with our Credera consultants on this feature.

Measuring Client Satisfaction

I designed a post-onboarding, client survey to initiate a feedback loop.
See the survey video below.

Transformation Overview

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Cool Concept but TMI

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We presented a couple of homepage concepts to leadership. This one was a guided workflow like the onboarding checklist we chose, but it showed too much information about what was happening behind the scenes at CVS. That was irrelevant to the client. Also, CVS's many tasks outweighed the client's few, making the scroll feel unbalanced.

More Case Studies

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CVS SQM

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LeagueSwype

Ensono Engagements

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Once the client's service goes live, they need metrics about claims, support calls, and their outcomes. myPBM provides value by showing clients how CVS is performing as their service provider.

Once clients were fully onboarded, we administered a survey inquiring about their onboarding experiences. The results were great. Click the video below to see the survey.

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CVS SQM

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CVS SQM

A Complicated &
Clunky Experience

Next Case Study

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On the surface, the client journey seemed simple: approve a few documents and wait for the go-live date. However, completing each document required multiple meetings and redundant questions, which increased client frustration. Eventually, the business audited all the forms to remove redundancies and make the client journey more pleasant.

Respect Clients' Time

Audit forms, remove redundancy, and pre-populate entries

We created a modern, simple, usable tool. The business removed redundancy. The account teams gathered former benefit selections to prepopulate fields.

Something  Sleek, Streamlined, & Actionable

Create a modern aesthetic and simple, guided task flows

Experience First

Show clients what they need, remove jargon and triggers

Necessary Info

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Each Step was a Cluster...

The Credera UX Lead, Tish, and I gathered user insights through interviews with product leaders, the account team, and other CVS colleagues. All supported self-service. We couldn't confirm how the client users felt about it, but there was supposedly a desire for it. Self-service experiences are standard with all other PBMs. I led most interviews and created most guides, with Tish contributing because I had prior domain knowledge. We both synthesized the data. We also completed many user flows and affinity diagrams, but my pictures were too blurry to recreate properly (available upon request).

We had to decide on language and navigation. The team was torn and thought it would be good to show stakeholders options. I advocated using client-facing language by calling "Drug Coverage" just that, since clients were familiar with the term, instead of "Clinical Plans", the internal name. We should also use "Company Info" instead of "Client Info" to reflect clients' mental models.

Additionally, we had to resolve the information architecture. I advocated for "Client Info" in the top navigation, not under the profile button. Completing client info was a significant part of onboarding and a data-heavy function, so it should be grouped with similar action items in the top navigation (Law of Proximity). Some team members thought it should be under the profile button, as in most applications (Jakob's Law).

We presented both ideas to the business and decided on "Drug Coverage" and "Company Info" for the top navigation, since myPBM's primary functionality was a self-serving onboarding application for clients. Onboarding tasks should be grouped together and reflect clients' mental models.

Mental Models / Jakob's or Proximity  

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PBM Industry Fallout

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In the summer of 2024, just before we were about to ship the new myPBM app, the Federal Trade Commission released a report warning all PBMs of a major lawsuit filed two months later. After the report, my team's budget was cut by 80%, and my contract wasn't renewed. The FTC views PBMs as unethical entities that manipulate drug costs for profit. I won't agree or disagree with that, but I will say CVS added genuine value by navigating the complex pharmacy benefits landscape for its clients.

Delivering Big Yet Still Falling Hard

My performance assessment based off of feedback from leadership is that I did everything right. I helped lead others to execute a large deliverable under intense pressure and tight deadlines. I transformed business processes and simplified a complex client-facing process in a critical $190B segment of a Fortune 4 company. I aligned executive stakeholders by leading meetings to gain buy-in for our designs and for the value and productivity they would deliver, which would have otherwise gone misunderstood. However, I ignored the tumultuous nature of the industry, thinking great execution would secure my contract and keep me on a good path. It happens in business.

One thing I'll do differently next time is push for more clarity on resources. We were shuffled between design systems a few times during initial design, which led to discrepancies among the team's work in our first design presentation meetings. Next time, I'll be more diligent in aligning on resources before we start designing, if possible.

Our work would optimize speed, ease, and efficiency during onboarding. The business forecasted a 50% improvement in onboarding process length.

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