Multi-role UX for the largest pharmacy benefit manager in the United States โ designing critical prescription workflows for pharmacists, pharmacy technicians, and prescribers across Home Delivery and Specialty Pharmacy platforms, via Prodigious / Publicis Groupe.
Optum Rx is the pharmacy benefit management arm of UnitedHealth Group โ the largest health insurance company in the United States by revenue. As a PBM, Optum Rx sits at the intersection of every prescription drug transaction: negotiating prices with manufacturers, managing formularies for health plans, and operating the digital infrastructure that pharmacists, technicians, and prescribers use to fill, verify, and authorize prescriptions every day.
This engagement โ through Prodigious, Publicis Groupe's digital production network โ placed me inside the UX modernization effort for two of Optum Rx's core platforms: Home Delivery Pharmacy (HDP) and Specialty Pharmacy (SP). These are not consumer-facing apps. They're the internal clinical tools that Optum's pharmacists and pharmacy technicians use to process hundreds of thousands of prescriptions daily.
A critical early discovery: HDP and Specialty Pharmacy are not just different feature sets โ they serve fundamentally different clinical contexts, user types, and urgency levels. Designing for them required two distinct mental models.
A key deliverable of this engagement was producing SP User Persona documentation and Users HDP role mapping โ defining exactly who uses each platform, what they need, and where the current system creates friction. Designing for "pharmacy users" as a single persona would have been the wrong approach from day one.
One of the core deliverables of this engagement was a structured Specialty Top 10 โ Opportunities & Recommendations document produced in December 2024. This was the output of a full research synthesis and prioritization exercise: mapping all identified UX problems in the Specialty Pharmacy platform, scoring them by impact and feasibility, and producing an actionable ranked roadmap.
The interface work for Optum Rx operated under constraints that don't exist in consumer product design. Every design decision was evaluated against: Does this reduce cognitive load for a pharmacist processing 500 scripts today? Does this surface critical patient safety information without overwhelming routine operational noise? Is this HIPAA-compliant in how it handles PHI?
Prior authorization (PA) was the single highest-pain workflow in Specialty Pharmacy. Before redesign: average approval time was 8.5 hours. Optum Rx's PreCheck PA system reduced this to under 30 seconds for automated approvals โ but the UX needed to surface this correctly to pharmacists, so they could act on PA statuses without hunting through screens.
The HDP queue is the highest-volume interface in the system. Pharmacy technicians process hundreds of prescriptions per shift. The design principle: routine fills should require zero extra clicks; exceptions should be impossible to miss.
The journey map for Specialty Pharmacy spans multiple days and multiple actors โ pharmacist, technician, prescriber, and patient. Understanding this full arc was essential to designing interfaces that supported the complete workflow, not just individual transactions.
| STAGE | Rx Received | Benefit Check | Prior Auth | Clinical Review | Dispense | Delivery | Follow-up |
|---|---|---|---|---|---|---|---|
| ACTION | New Rx enters queue from prescriber EHR. Technician verifies member eligibility and plan benefits. | Insurance coverage verified. Copay calculated. Formulary tier confirmed. | PA request submitted. PreCheck Auto evaluates in <30s. If manual: clinical notes sent to prescriber. | Pharmacist reviews drug-drug interactions. Contacts prescriber if clarification needed. Final clinical approval. | Prescription filled, labeled, verified by pharmacist. Cold-chain packaging if required. | Shipped to member or infusion site. Tracking initiated. Member notified via app/text. | Adherence check at 30 days. Adverse event monitoring. Refill reminder sent. |
| FEELING | ๐ Neutral routine |
๐ Focused |
๐ Frustrated wait |
๐ง Focused clinical |
๐ Confident |
๐ Satisfied |
๐ Proactive |
| OPPORTUNITY | Smart queue routing โ route specialty Rx directly to SP queue, not general HDP |
Real-time benefit check with instant formulary tier display โ no manual lookup |
PreCheck PA automation surface โ show PA status in <30s at queue level, not buried in detail view |
Contextual drug interaction alerts with severity level โ critical only, not informational noise |
One-click cold-chain packaging flag based on drug type โ no manual selection |
Proactive delivery failure detection โ alert before member calls about missing package |
AI-powered adherence prediction โ flag members at-risk of non-adherence before they miss doses |
Designing for Optum Rx meant every decision had regulatory, clinical, and operational dimensions simultaneously. These are the moments where the right answer wasn't obvious โ and where the reasoning mattered as much as the output.
One of the deliverables I built for Optum Rx was a fully interactive Figma prototype for the "Add New Prescriber" and "Prescriber Profile" flows โ the interface used by pharmacists and pharmacy technicians to register and manage prescriber credentials, NPI numbers, DEA numbers, addresses, and contact methods in the Specialty Pharmacy system.
A recorded presentation walkthrough of the Optum Rx UX work โ showing the design decisions, the interface screens, and the rationale behind the prescriber flow. Available on request due to NDA constraints.
Watch Presentation Video