I design complex clinical and public-sector products, from the first conversation with clinicians to a launch that holds up. Recent work includes a Medicaid member portal for 40,000+ members and an in-clinic refill workflow that cut time-to-refill 70% across 2,800+ clinics.
Tools fail at the edges.
They fail because the design ignores how the work actually happens. The interruptions, the exceptions, the paperwork nobody mentioned in the kickoff. I start there.
Where I look first
Ten years of UX, six of them in healthcare and regulated programs.
Start with the workflow, not the screens.
Learn the work
Talk with the people who do it, and map the decisions and exceptions.
Define the system
Connect research, information architecture, and interaction design.
Test the critical moments
Check risky steps with clinicians or users before committing to a build.
Hand off with clarity
Specs, pattern documentation, and a conformance checklist developers can build against.
Check it again after launch
Watch for drift, accessibility regressions, and new edge cases.
A few ways I can help, depending on where your product is.
A human factors review of a live product. I find where clinicians, patients, or staff get stuck, rank the problems by risk and impact, and give you a fix list your team can act on.
Ideal for
Product teams whose users struggle with a clinical or regulated workflow.
A WCAG 2.1 and 2.2 AA audit, specified fixes, and a conformance checklist developers can build against.
Ideal for
Teams that need AA conformance before a launch, a procurement review, or a public-sector contract.
End-to-end design for a new or complex workflow, from problem definition through shipped product: research, information architecture, prototypes, and handoff.
Ideal for
Teams building a new clinical, public-sector, or multi-user product, or a major redesign of one that isn't scaling.
Reusable components and interaction patterns in Figma, with documentation and developer handoff. I'll also tell you when to extend an existing system and when a new pattern is the better call.
Ideal for
Teams whose screens are drifting apart across products or builds.
Scoping research, clinician interviews, moderated usability testing, and synthesis into design direction.
Ideal for
Teams that need clinician input before committing to a build.
Three to six months as a senior product designer on your team, working inside your sprints with your product, engineering, and clinical partners.
Ideal for
Teams that need senior design capacity for a defined period without a full-time hire.
David didn’t just hand off designs—he stayed engaged through the pilot, tackled edge cases, and iterated until the solution worked in the real world, not just in Figma.
Mahesh
Lead Salesforce Engineer
Fresenius Medical Care
As a first-time founder, David’s guidance was crucial. His work greatly advanced our team’s quality and timeline.
Dr. Cole Marolf
Practicing clinician & Founder
VEHR Technologies
David took the time to deeply understand my workflow, challenges, and goals, ensuring the application wasn’t just functional—it was useful and intuitive for our team.
Samantha Ramsey
Nursing Informatics Director
Fresenius Medical Care
David’s remarkable initiative in building our UI/UX architecture from scratch has been nothing short of impressive.
Larissa Doronina
Principal UX Architect
Fresenius Medical Care
David designed previously unavailable Ascension portal workflows (care team/PCP designation, ID card requests, prior auth) and partnered effectively across product, engineering, and data to keep delivery moving.
Steven Long
Product Manager
Ascension Studio
Knowing David had already done the hard work to create a trustworthy design freed me to focus on implementation and helped streamline our team’s workflow.
Clint Smith
Backend Software Engineer
Included Health
Founding Product Designer
Partnered with a physician founder to turn clinical mental models into a shared timeline and aligned data views. Built the component and interaction pattern library in Figma from scratch to support scalable prototyping and clearer engineering handoff.
Vinyl Health
Founding Product Designer
Built a working React prototype to test where automation should act and where clinicians need explicit control with a practicing clinician.
Fresenius Medical Care
UX Design Lead · Enterprise-wide launch
Owned research and design for an in-clinic refill workflow that replaced paper, fax, and phone follow-ups. Mapped the system with clinic staff, set the UI architecture and component patterns, and partnered with engineering and clinical operations through launch.
Ascension
Product Design Lead · Enterprise-wide launch
Led end-to-end design and research for a portal that added workflows the legacy system lacked: care team designation, ID card requests, prior authorization review, and in-context claims status. Audited against WCAG AA and produced the conformance checklist developers built against.
Clinical Ink
Senior Product Designer · Clinical trial platform
Ran usability audits across several parts of the system and produced user flows, prototypes, and high-fidelity mobile screens. Designed a reusable error-state pattern for device integrations that carries across study builds.
NHS Sexual Health Clinics
Design Researcher · STIQI
Developed the research protocol, recruited clinicians, and ran moderated usability testing. Synthesized the findings into interface recommendations.
UnitedHealth Group
Senior UX Designer · Drug-spend analytics
Designed analytics dashboards that turned complex datasets into clear visual frameworks for decision-making.
Kaiser Permanente
Senior Designer · Innovation team
Designed data visualizations that show stroke outcomes both across a population and for individual patients.
Conteneo
UI/UX Design Lead · SaaS
Led information architecture, navigation, and framework creation tools. Ran customer discovery sessions that shaped the roadmap.
Department of Defense
UI Engineer · Optimal Vision Care Prototype
Planned and ran formative evaluation in a complex military EHR. 100% of clinicians rated the method efficient and effective, and the findings moved the program to summative evaluation.