RCM Platform Redesign:

RCM Platform Redesign:

Diagnosing the Right Problem

Diagnosing the Right Problem

NDA

B2B

Product Design

Time:

Time:

4 months, 2021–2022

4 months, 2021–2022

4 months, 2021–2022

Role:

Role:

Senior Design Consultant (research team of five)

Senior Design Consultant (research team of five)

Senior Design Consultant (research team of five)

Scople:

Scople:

Product evaluation, discovery research, strategic recommendation

Product evaluation, discovery research, strategic recommendation

Product evaluation, discovery research, strategic recommendation

Type:

Type:

B2B Product Redesign

B2B Product Redesign

B2B Product Redesign

Outcome

Outcome

Delivered a complete redesign spec, and surfaced a customer-adoption gap that reframed the project's priorities.

Introduction

I was brought in to redesign a mature B2B product that had been in development for years, with a hard launch deadline months away. The product team couldn't define what the redesign was supposed to solve. When asked about requirements, they pointed back to the existing software. The real issue: we were refining a solution to a problem no one had diagnosed.

Research Gaps

Previous work by an outside agency identified surface-level pain points:

  • Users struggled to synthesize data across sources

  • Extracting actionable insights required excessive manual work

  • Troubleshooting unpaid claims lacked clear workflows


But critical gaps remained:

What we knew

What we didn’t know

Users found data extraction painful

The specific steps in troubleshooting workflows

Unpaid claims caused friction

What data fields mattered during investigation

Manual work slowed decision-making

How different practice sizes approached analysis

Closing those gaps required observing real user sessions, which never happened.

The Work

Core Workflow Visualization

With no diagnosed problem to design against, I made a set of structural bets to keep the work moving toward the deadline, and treated each as a hypothesis to validate rather than a settled principle.

Architectural Decision: Flexibility Over Specificity

Practices were structured very differently:

  • A arge practices (100+ users) had a deep hierarchy with finance directors, practice admins, managers branching into contract/reimbursement/office roles

  • A small practice (5-10 users) collapsed into 2-3 people


Same work, completely different organizational structures and no research on how hierarchy shaped decision-making.

My call, backed by other stakeholders, was to make the product structure agnostic. Administrators would configure role-based task restrictions and data visibility to match their practice’s actual structure. This was a bet on flexibility over specificity. I recognized this was a hypothesis needing validation and not a settled design principle.

Laying out the surfaces this way is what made their fragmentation visible to me. Each was designed on its own terms, and no single view connected them.
Laying out the surfaces this way is what made their fragmentation visible to me. Each was designed on its own terms, and no single view connected them.

Admins configure role templates per practice, the mechanism that let one product fit both a 100-person hierarchy and a 3-person team.

Customer Discovery

Before testing the redesign, I wanted to see how customers actually used the existing tool. Identifying active users turned out to be the hard part, in a way that was itself revealing. A trainer had to source customers on our behalf, and of the few practices that engaged, only one had anyone actively using the product: two people, both of whom knew only the sliver they'd been trained on.

This raised a larger question: had the product’s original direction ever been validated with customers? The adoption pattern suggested it hadn’t, and if that was true, the project may have been solving for assumptions from the start.

Recommendation & Outcome

I proposed shifting priority from redesign iteration to onboarding and customer relationship investment. My argument:

  • Feature adoption gaps pointed to missing discovery, not missing UX

  • Customer churn was a bigger risk than the redesign timeline

  • Validating assumptions with users would reduce downstream rework


Whether the team adopted the recommendation is unclear; they moved ahead to hit the deadline. I completed my deliverables and transitioned off the project.

Reflections

  • Design decisions made without user research are hypotheses, not conclusions

  • Architecture bets require validation mechanisms built into the roadmap

  • A well-executed redesign can still fail if it solves the wrong problem

  • Knowing when to push back is as important as knowing how to design

Designed by Ann Ash, Last updated: August 2026