Kennedy Castelli


Product and User Experience Designer

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About


New Mexico Primary Care Payment Reform (NM PCPR)

Led end-to-end product design for one of the nation's first statewide Medicaid value-based payment platforms.


New Mexico's Primary Care Payment Reform (PCPR) is a statewide Medicaid initiative that aligns provider reimbursement with quality and patient outcomes. I led end-to-end product design for the enterprise platform administrators used to manage provider participation, quarterly reporting, incentive payments, and statewide analytics.




My Role
Product Designer / User Interface Designer

Team
PM, Engineers, Data Scientist, QA, SMEs

Scope
Enterprise Workflows  ·  Reporting  ·  Data Visualization  ·  Design System Implementation

Impact
  • 60+ enterprise screens
  • $25M+ revenue
  • 250% above projected growth
  • 17% YoY growth

The Challenge
Design a platform that could adapt to changing Medicaid requirements while remaining simple enough for administrators to use accurately every quarter. The challenge wasn't simplifying Medicaid policy; it was making it manageable. As program requirements evolved, I designed reusable workflows and interaction patterns that helped administrators complete complex processes accurately while maintaining platform consistency and users’ habits over time.

My Process
Using agile methodology, we worked in 2-week sprints, mapping out requirements and achievable items. I worked in an iterative process, creating low-fidelity wireframes then high-fidelity fully clickable prototypes. I worked closely with PMs, SMEs, engineers, and administrators to understand evolving program requirements. I mapped complex workflows, designed reusable interaction patterns, and iterated with engineers throughout implementation to ensure the platform remained scalable as requirements changed.




Systems Thinking
Rather than designing isolated features, I established reusable workflow concepts that scaled across five interconnected product areas.
This same way of thinking is essential when building a design system: being able to zoom out and see the gestalt, while also zooming in to understand how a change in one area affects many others. That interconnectedness makes both consistency and flexibility essential.

Who Uses the Platform




Practice Management State administrators manage hundreds of participating healthcare practices with varying organizational structures, provider relationships, and quarterly participation requirements. I designed configurable administrative workflows that scaled without exposing operational complexity to users or requiring engineering reconfiguration.

The Challenge: How can someone manage hundreds of practices?

Key Decisions:

Configurable Data Model

Designed a flexible data model that adapted to different provider structures while keeping workflows consistent.

Administrative Workflows at Scale

Standardized search, editing, validation, and export workflows so administrators could efficiently manage hundreds of participating organizations.

Platform Foundation

Practice management became the shared foundation for payments, reporting, analytics,
and downstream administrative workflows.


Scope: Enterprise CRUD workflow with search, filtering, validation, export, and role-based administration across interconnected platform modules.





Managing Quarterly Payment Workflows
Every quarter, participating practices completed reporting, quality attestations, and payment activities that determined incentive reimbursement. I developed structured reporting workflows that helped administrators understand requirements, complete submissions accurately, and review payment outcomes.

The Challenge: Help administrators accurately complete recurring Medicaid reporting despite changing program requirements.


Complex Problem Logic

Medicaid policy changes frequently. Rather than hard-coding workflows for each program, I designed configurable, reusable interactions.Guided Reporting Workflow

Organized recurring reporting into guided tasks with clear progress, required actions, and validation. Progressive Validation

Prevents administrative errors by validating submissions throughout the whole workflow instead of only at the end.




Quality Attestations
Because Medicaid reporting requirements couldn't be simplified, the design focused on reducing uncertainty instead.
Progressive disclosure and inline validation help make long forms feel more manageable.



  • Inline validation before submission

  • Progressive multi-step workflow

  • Reusable patterns






Practice Payment Summary
Design Problem:
Administrators needed to verify complex payment calculations without jumping between multiple reports.

Design Decision:
I combined summaries, detailed tables, and visual comparisons into a single review workspace so users could validate payment calculations before exporting payments.
Key Design Contributions: Unified payment calculations, reporting, exportable summaries, and interactive data visualization into a single review experience.




Reflection:

This project was mammoth. My favorite part was the collaboration. I worked very closely with the Product Manager and Product Owner and learned just how valuable visual iteration can be. As a designer, I sometimes take for granted how quickly I can turn an idea into something tangible. But putting a few options in front of the team, hearing their reactions, and understanding why something did or didn't work made the work, and me as a designer, better.

The project reinforced for me that design isn't something that happens in isolation, even though it can be easy for a designer to become siloed. Here, prototypes became a shared visual language. Design became a way for us to think together, giving everyone something concrete to respond to and allowing each person to bring their own strengths and experience into the process.

PCPR's success came from that collaboration. I came away from the project with a stronger understanding of my role not just as the person designing the interface, but as someone who can make complex ideas visible, create space for different perspectives, and help a team work toward a shared solution.



Project at a Glance:

  • 60+ enterprise screens

  • Five interconnected product areas

  • Quarterly reporting workflows

  • Quality attestations
  •  Incentive payment calculations

  • Analytics dashboards

  • Power BI reporting

  • Design system implementation





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