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Blue Shield of California

Provider & Practitioner Profiles

Senior UX/UI Designer

Rebuilt the provider data-management system used by billing and account managers — centralizing scattered profile data into one workflow and cutting manual entry to near zero.

  • Healthcare
  • Design Systems
  • Data Management
Provider and practitioner profile detail screens in the Provider Connection portal

Problem

Enhance the user experience by streamlining Provider and Practitioner Profiles for the healthcare data management system.

Audience: Billing managers, account managers, MSO managers, providers, and practitioners

87%

Provider profile information was scattered across systems

85%

Encountered redundant data entry

82%

Had limited visibility into provider locations

71%

Needed to integrate numerous compliance mandates

68%

Got stuck in modal loops while editing

65%

Still relied on paper-based manual data entry

Research & approach

  1. 01

    Mapped the existing workflow across account managers, MSO managers, providers, and practitioners to find where data was duplicated or went stale between systems.

  2. 02

    Designed a three-tier navigational hierarchy — organization profile → provider profiles → location & practitioner detail — so every task had one clear path instead of a maze of modals.

  3. 03

    Built a dedicated design system for the data-management surface: expandable tabs, progressive form fields, an interactive stepper, and confirmation banners tailored to high-volume bulk data entry.

A closer look

Tax IDProvider nameProvider typeWebsite
123456789Ashe Center, UCLAIntensive Outpatientwww.providername.com
300456789Ashe Center IPAC1 Capitated IPAwww.providername.com
123456789Ashe Center, UCLAIntensive Outpatientwww.providername.com

Solution

Feature-rich central launchpad

A three-tier navigational system connecting organization, provider, location, and practitioner profiles into one seamless path.

Efficient data entry

A purpose-built design system — expandable tabs, progressive form fields, an interactive stepper — for fast, accurate bulk updates.

Cohesive experience

Simplified the journey for managers, providers, and practitioners to complete complex tasks — bulk updates, attestation, payment processing — in real time.

Impact

90%

Improved provider data accuracy

95%

Of provider demographic transactions automated, up from 40%

5%

Provider suppression rate, down from 31%, via 90-day attestation

2-day

Data flow into “Find a Doctor,” down from a much longer manual cycle

30%

Increase in task completion rate

20%

Reduction in clicks to complete a task