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A member reviewing her healthcare on a tablet at home

Nivora Health

Healthcare, without the maze.

  • RoleUX Lead
  • ScopeProduct strategy · Research · UI · Systems
  • PlatformSalesforce · Responsive web
  • DomainHealthcare · Insurance

A large US healthcare organisation needed members to understand their benefits, find care and read a claim without first learning how the company is organised internally.

The work wasn't redesigning screens. It was turning a dense collection of insurance workflows into an experience people could read and act on in a single pass.

Client under NDA · Organisation, network, plan names, figures and branding fictionalised

Challenge

Members arrive unsure, sometimes worried, often unfamiliar with insurance language, while the platform still has to expose a great deal of detail. Four frictions kept repeating.

Understanding my healthcare

The member’s goal

  1. Fragmented information

    Health and insurance detail scattered across unrelated parts of the experience.

  2. Backend-shaped tasks

    Claims, benefits and providers mirrored internal systems, not member thinking.

  3. No obvious next step

    Information arrived without an action, so members simply searched again.

  4. Support came too late

    The path from self-service to a human was never visible until it was needed.

One goal. Four barriers.

Members needed clarity. Fragmented information, unfamiliar tasks and hidden support kept getting in the way.

Approach

Four moves, run as a loop rather than a relay. Each one fed the next and came back around.

  1. Discover

    Stakeholder interviews, workflow analysis and the gaps between what members needed and what the system exposed.

  2. Shape

    Information architecture, journey models and prioritisation rebuilt around member intent.

  3. Prototype

    Low-to-high fidelity flows used to settle product questions before anything reached a sprint.

  4. Ship

    Responsive specs and design-system patterns refined alongside engineering, review by review.

Organized around what members need

The earlier model asked members to navigate departments and systems. The portfolio concept brings tasks into five peer destinations, with support available across the experience.

  • Access
  • Sign in
  • Create account
  • Reset password
  • Help
  1. Home

    Member Overview

    • Coverage & Member ID
    • Care Team & Household
    • Spending Progress
    • Quick Actions, Estimates & Reminders
  2. Find care

    Within the Selected Plan

    • Search by Provider or
      Specialty + Location
    • Refine Results
    • Provider Results
    • Profile / Booking Handoff
  3. Claims

    Dated Care and Cost Ledger

    • Yearly Cost Summary
    • Search & Filter Care Ledger
    • Claim or Care Entry
    • Balance / Re-Check / Related Records
  4. Benefits

    Limits and Network Costs

    • Member & Plan Context
    • Deductible and
      Out-of-Pocket Progress
    • Coverage &
      Network Cost Comparison
    • Explanations / Plan Documents
  5. Nivora 360

    Reminders + Ongoing Support

    • Time-Sensitive Reminders
    • Recommended Program
    • Browse Programs by Need
    • Program Details / Joining Path

Member Support - Available when a member needs guidance

Solution

Six member journeys replaced department-led navigation. Every surface follows the same order: status, meaning, action and support.

Sign inA calm, jargon-free welcome with a clear next step.
Sign in screen with a short welcome and plain-language promise
Member homeCoverage, care team and today’s next steps.
Member home: coverage summary, care team and suggested next steps
ClaimsEvery visit, what it cost, what to do next.
Claims: a timeline of visits with coverage, amount owed and next step
Find careSearch your own network and book in place.
Find care: in-network provider search with filters and booking
CoverageLimits and who is included, in plain words.
Coverage: plan limits, thresholds and covered family members
Nivora 360Care, cover and cost held in one connected view. The payoff for every decision above.
Nivora 360: care, cover and cost in one connected view

Design system

Salesforce Lightning gave us the foundation. Healthcare gave us the exceptions, so the system was extended, not reinvented.

Colour

  • Granite#213532 · Surface
  • Page#F1F3EF · Canvas
  • Signal#C9F59A · Action
  • Data#7DAEE8 · Plan share
  • Ink#0E100F · Text

Signal is the only action colour. Data blue is reserved for plan-share and charts. It never carries meaning on its own.

Components

Actions
Find care Submit a claim View details Cancel
Status
Covered in full In review You owe $42 Not covered
Inputs & filters
Search specialists, clinics or conditions In networkAllTelehealth

Tokens

Spacing

4 → 48 on an 8px base grid

Radius

6 controls · 10 chips · 14 panels · 20 cards

Elevation

Flat · Raised · Overlay

Layout

1240 content · 100 margin · 24 gutter

Motion

120 hover · 200 state · 320 transition · ease-out

Typography

Inter
Display · 700
Inter Semibold
Heading · 600
Inter Regular
Body · 400
Inter Medium Caps
Label · 600 / 1.6 tracking

Iconography

One stroke weight, one corner language, sized to the text it sits beside.

Patterns

Navigation
Six member tasks, never six departments
Cards
One decision per card, one action
Status
Colour plus a word, never colour alone
Forms
Label above, help below, error in place
Filters
Applied state always stays visible
Empty states
What happened, then what to do next

Impact

The programme never published uplift percentages, so this reports what actually changed in the product rather than invented numbers.

From a portal you had to decode into a product that tells you where you stand.

Good healthcare products don't make people better at navigating healthcare systems. They make healthcare systems require less navigation.

If I picked it up today

  1. Personalised prioritisation

    The home surface should adapt to a member's current healthcare context instead of showing everyone the same hierarchy.

  2. Conversational guidance

    Insurance questions suit contextual assistance, as long as the explanation is transparent and a human stays one tap away.

  3. Faster prototype-to-product loops

    Modern prototyping and AI-assisted builds close the gap between a concept and something a real member can try.

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