The Challenge
• Pricing decisions were being made using manual processes and fragmented Excel workflows.
• Approvers lacked a centralized system to review, approve, or adjust pricing proposals.
• No visibility into change history, recommendation logic, or downstream impact on RXClaim.
Approach
• Conducted user interviews with Pricing Analysts, Data Scientists, and Approvers to understand workflow pain points.
• Defined key user journeys and interaction models for reviewing, approving, and publishing price changes.
• Mapped out an MVP flow that balanced automation, flexibility, and traceability.
Key Features
• Dashboard View: Surfaced critical pricing recommendations and flagged exceptions.
• Approval Workflow: Enabled bulk or single record review with audit trails and validation prompts.
• Editable Pricing Fields: Allowed approvers to override with justifications and resubmit for review.
• Integrated Publishing: Synced approved pricing changes directly with RXClaim systems.
Design Strategy
• Focused on data clarity and hierarchy: table-first views with dynamic filters and batch actions.
• Designed for scalability with future integrations and more complex pricing rules in mind.
• Prioritized accessibility and consistency through reusable component patterns and brand-aligned visuals.
The MVP was designed with key principles to ensure usability:
• Simple and clean to support accurate and efficient data capture and sharing.
• Encouraging and responsive to promote progression and task completion.
• Engaging and friendly to create a conversational, emotion-aware experience.
• Flexible and scalable to accommodate future policy or procedural updates.
Impact
• Helped CVS teams transition from error-prone manual workflows to a centralized, user-friendly pricing system.
• Empowered stakeholders with faster insights, traceability, and accountability in drug pricing decisions.
• Laid the foundation for future iterations including forecasting models and user permissions.
