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Novartis · Patient Support Services

PSS Leap: Reimagining Patient Support Services

Led CX/UX strategy for Novartis's PSS Leap initiative — a ground-up reimagining of how patients start and stay on therapy. Delivered a unified ecosystem spanning patient web enrollment, an in-house engagement center, omni-channel touchpoints, and data-driven insights — enrolling 24.5k patients and earning recognition among the top pharma patient support programs in the US.

Healthcare CX/UX Service Design Patient Experience Digital Transformation
Client Novartis
Role CX / UX Strategy Lead
Year 2021
Platforms Web · Mobile · Enterprise CRM

A System-Level Reimagining of Patient Support

PSS Leap was Novartis's bold bet to own patient support in-house — replacing a fragmented network of third-party vendors with a unified, technology-backed ecosystem built around the patient. The program spanned web enrollment portals, a state-of-the-art Customer Engagement Center (CEC), real-time analytics dashboards, and omni-channel patient journeys across multiple therapeutic brands including Entresto and Cosentyx.

My role was to lead the CX/UX design strategy end-to-end: from patient and provider research through persona workshops, service blueprinting, and iterative design — to delivering validated, accessible, brand-configurable digital products at scale.

24.5k
Patients Enrolled
Entresto patients enrolled since program launch in November 2021.
93%
Call Quality Score
Post-launch call quality exceeded the 85% limited launch target.
4.5
Customer Experience Rating
Positive CX rating against a benchmark range of 3.75–4.0.

Patients Are Falling Through the Cracks

PSS helps patients start and stay on treatment — but cumbersome enrollment and adherence processes were creating challenges for both patients and providers. Outdated systems, fragmented vendor services, and a lack of consumer focus resulted in inconsistent experiences that compromised the quality of care patients deserve.

35%
Patients Never Start
Of patients prescribed a therapy never receive their first treatment — lost at enrollment.
70%
Patients Stop Therapy
Of patients prescribed therapies stop taking them after 12 months — an adherence crisis at scale.
86%
HCPs Face Barriers
Of healthcare providers face rising administrative hurdles navigating patient support programs on behalf of patients.

A Customer-First Approach Changes Outcomes

We hypothesized that by re-imagining the patient journey with a customer-first, human-centered approach, we could simplify the complex system of portals and vendors that provide financial and adherence support. By developing this solution entirely in-house at Novartis, patients prescribed our treatments would experience faster access to benefits, seamless first-fill processes, improved financial support, and greater adherence to their treatment plans.

Twice as Many Patients, Twice as Fast

"Ensure that our medications get to twice as many patients twice as fast while also leaving them delighted by their experience at every point in their care plan."
Intuitive. Simple. Reliable.

Innovation and Excellence Through Iterative Design

To drive innovation and excellence by assembling a dedicated team and leveraging an iterative methodology. By continuously learning from our users' behaviors and addressing their pain points, we aimed to refine our products, scale seamlessly across future brands, and accelerate our time to market — all while delivering exceptional value to our customers.

01
Research
Understand core problems of customers through continuous discovery.
  • Whom are we solving for?
  • What is the problem?
  • How big of a problem is it?
02
CX / UX Design
Apply research to design experiences validated before building.
  • Apply research to design
  • Design experiences
  • Test / validate before building
03
Build & Deploy
Apply research & CX/UX to build and deliver product.
  • Patient & Caregiver
  • Enterprise / LEC
  • Foundation & Integrations
  • Data & Analytics
04
Go-to-Market & Learn
Learn and iterate through research and the next product cycle.
  • Launch & monitor
  • Measure against KPIs
  • Feed learnings back to research

Human-Centric & Tech-Based Experience

The PSS Leap ecosystem was built on six interconnected pillars — each designed to serve patients and providers at every touchpoint along the medication journey. The model brought service delivery in-house, replacing third-party fragmentation with a cohesive, technology-backed support system.

Omni-Channel
Patients engage via their preferred channel — chatbot, text, email — at any point in their journey.
Patient Portal
Easy-to-use enrollment portal (Amazon login) providing a simple way to enroll into support services at any time.
Technology Backbone
AWS-powered infrastructure enabling real-time insights, modular plug-and-play adaptability, and rapid integration.
Patient & HCP
At the center of every decision, touchpoint, and design
In-House CEC
Industry-leading Customer Engagement Center with Salesforce-powered agents providing expert support.
Feedback & Measurement
User feedback, analytics, testing, and research drive continuous refinement of user-centered experiences.
Best-in-Class Design Standards
Integrated design standards across all programs to enable operational excellence and consistent patient experience.

Our Patient Journey

By combining empathy with a deep understanding of user habits, behaviors, frustrations, and goals, we addressed real problems with practical solutions. The full patient journey spans 15 distinct stages — from first awareness of a diagnosis through long-term therapy adherence. Analytics, testing, ongoing research, and competitive analysis allowed us to continuously refine and develop user-centered products while measuring success.

Awareness & Diagnosis Reset, Seek & Research Accept & Adopt Patient Intake Welcome Call Benefits Investigation Prior Authorization Get Started Call CoPay & Rx Transfer Adherence
Full 15-Stage Patient Journey Map
Insert the full patient journey map image from your slides — the wide horizontal swimlane showing all 15 stages from Awareness & Diagnosis through Adherence, with touchpoints, pain points, and opportunity areas.

The PSS Leap patient journey map — 15 stages spanning diagnosis through long-term therapy adherence, mapping patient actions, HCP interactions, and program touchpoints across the full medication experience.

Designing for Real Patients

We researched and documented our patient goals, objectives, and pain points to inform design decisions and build empathy while staying objective. These insights guided our roadmap and user testing to validate our products across two primary patient populations — cardiovascular and immunology.

JS
John Smith
Psoriatic Arthritis · Age 52 · New York, NY

"I have a family history of psoriasis, and I've dealt with it for years. Recently I've noticed severe aching & swelling in my hands & feet. I want to be proactive with treatment."

  • PsA can be difficult to diagnose, resulting in multiple specialist visits
  • Prior Authorization process can be time-consuming and requires multiple overseers
  • Lack of transparency about the entire insurance process
  • Condition can worsen with long delays from insurance
SS
Steven Smith
Heart Failure Patient · Age 52 · Atlanta, GA

"I have a family history of heart failure and I would like to do everything in my power to avoid it, however I find it challenging to navigate the trek to therapy and beyond."

  • Lack of sign-up awareness and clear path to financial pathway
  • Many patients have significant financial need with high NPAF utilization
  • Often taking multiple drugs simultaneously — complex interaction concerns
  • Some patients lack smartphones or WiFi, limiting digital access
John Smith — Full Persona Card
Full persona document for John Smith (psoriatic arthritis) showing objectives, devices, technology aptitude scale, pain points, and interaction map from your slides.

John Smith persona — psoriatic arthritis patient navigating diagnosis, prior authorization, and specialty pharmacy access.

Steven Smith — Full Persona Card
Full persona document for Steven Smith (heart failure) showing objectives, behavioral considerations, devices, pain points, opportunities, and interaction map from your slides.

Steven Smith persona — heart failure patient managing complex medication access and adherence barriers.

20+ Workshops to Define the Support Team

We facilitated over 20 workshops to define our PSS Brand, CEC Agent, and Field personas — uncovering their goals, objectives, and pain points. These sessions provided the critical insights needed to craft informed customer journeys, guide design decisions, and foster empathy while maintaining objectivity.

Support Persona 01
CEC Agent

"Every call is my top priority to give a personalized and quality experience."

  • Strive to complete all calls within 10 minutes or less
  • Assist callers with co-pay enrollment, adherence, and program inquiries
  • Drive results by exceeding KPIs on daily, weekly, and monthly basis
  • Work towards increasing CSAT scores
  • Empathize and connect emotionally with patients and callers
Support Persona 02
CEC Director of Case Management

"My goal is to focus delivering a personalized experience to the customers that meets their needs and equipping our team with the most up-to-date knowledge articles and tools."

  • Maximize team performance through scorecards and diving deeper into areas of improvement
  • Visibility into overall evaluation of the process — CEC can leverage to optimize their day-to-day processing
  • Ensure CEC budgets are in line with the leadership's visions and goals
  • Participate in quality management calibrations
Support Persona 03
Field Reimbursement Manager (FRM)

"We want to make the office as efficient as possible."

  • Get patients started on their therapy
  • Ensure completion of SRF TumPlatent and HCP
  • Provide access to providers, including office staff, on Novartis processes and programs
  • Collaborate with Sales and ADRA on updates and issues
Patient Support Personas — Full Cards
Insert the full persona cards for CEC Agent, CEC Director of Case Management, and Field Reimbursement Manager from your slides, showing background, motivations, goals, pain points, digital solutions, devices, and interaction maps.

The three patient support personas — defining the goals, pain points, and digital needs of the team delivering PSS Leap to patients and providers.

PSS Leap Specialty Service Blueprint

The service blueprint mapped every stakeholder, touchpoint, interaction, and system dependency across the full PSS Leap ecosystem. It served as the single source of truth for aligning product, technology, operations, and clinical teams — and became the foundational artifact for every subsequent design and build decision.

PSS Leap Specialty Service Blueprint
Insert the full service blueprint image from your slides — the large multi-swimlane diagram showing Patient journey, Patient Pain Points, HCP/Nurse interactions, Core Navigator (CEC), Physical Touchpoints, Front Stage (CEC Agent, Reimbursement Specialist), and Back Stage (PSC, PMU, IQVIA, Kasimpba) across all stages from Awareness through Adherence.

PSS Leap Specialty Service Blueprint — the complete map of every interaction, system, and actor across the 15-stage patient support journey.

End-to-End Experience Across Every Channel

PSS Leap delivered a suite of interconnected experiences — spanning the patient web enrollment portal, CEC agent tooling, operational dashboards, and validated digital platforms across multiple therapeutic brands. Each deliverable was designed iteratively, validated with real users, and built to scale across future Novartis brands.

Patient Web Enrollment Journey

The web enrollment journey was redesigned end-to-end — from awareness through post-enrollment follow-up. The 8-stage flow reduced patient confusion, improved data accuracy, and dramatically sped up enrollment and service times. It was built to be brand-configurable, so the same underlying platform could serve multiple Novartis drug brands while adapting to each brand's visual identity.

Awareness Research & Learn Initiate Enrollment Program Selection & Qualifications Personal Information Review & Submit Confirmation Post Enrollment
Patient Web Enrollment Journey Map
Insert the Patient Web Enrollment Journey map from your slides — the swimlane showing Doing, Touch Points, Thinking & Feeling (emotion curve), Pain Points, and Opportunities across all 8 stages for the Steven Smith persona.

Patient Web Enrollment Journey — 8-stage map spanning awareness through post-enrollment, with the emotion curve, key touch points, and identified opportunities at each stage.

Customer Engagement Center (CEC) Agent Journey

Beyond the patient-facing experience, we designed the end-to-end journey for CEC agents — the Novartis employees who connect directly with patients and providers to provide expert enrollment support. The CEC agent journey spans 5 stages, from the start of the working day through post-call wrap-up, and informed the design of the Salesforce-based agent console that agents use on every call.

CEC Agent Journey Map
Insert the CEC Agent Journey map from your slides — the 5-stage swimlane (Start of Day → Inbound Call → Call → End Call → Post Call) showing Doing, Touch Points (Genesys, Salesforce Health Cloud, IQVIA, Cecelia Health), Thinking & Feeling, Pain Points, and Opportunities.

CEC Agent Journey — 5-stage map from start of day through post-call, defining the agent experience and identifying opportunities to reduce friction and improve call quality.

State-of-the-Art Call Center Technology

Novartis employees connected directly with patients and HCPs to respond faster and provide expert guidance — powered by modern technology that enhanced service quality and scalability. The Salesforce-based CEC agent console gave agents a unified view of patient information, case history, call guides, and suggested knowledge articles — enabling first-call resolution and a personalized experience for every caller.

CEC Agent Console — Salesforce Screenshot
Insert the Salesforce CEC agent console screenshot from your slides — showing the case management interface with patient account info, call guide checklist, suggested articles, and Genesys softphone overlay for case #10011001.

Salesforce-powered CEC agent console — unified patient record, call guide, and AI-assisted knowledge support in a single workflow.

Actionable Insights & Analytics Dashboards

We developed customizable dashboards tailored to each user type — offering insights into Customer Engagement Center performance, brand program health, and customer satisfaction across services and processes. These dashboards were designed to drive actions that enhance the customer experience, not just report on it.

CEC Operations Dashboard
Insert the CEC operations dashboard screenshot — showing inbound/outbound call volumes, average speed to answer, handle time, abandon rate, call metrics tree, total calls by state map, and call volume chart.

CEC operations dashboard — real-time visibility into call center performance, volume trends, and quality metrics.

CEC Agent Performance Dashboard
Insert the CEC agent performance dashboard ("My Case Performance") — showing completed enrollments, average survey score, first-call completion rate, daily enrollments bar chart, interactions handled, enrollment cases closed, non-enrollment cases, task completion rate, and escalation metrics.

Agent performance dashboard — individual-level KPIs enabling agents and supervisors to track quality, throughput, and areas for improvement.

User-Validated, Accessible & Responsive Patient Platform

Through extensive user research and design testing, we developed a brand-configurable, web-based platform that informs, sets expectations, and ensures accessibility. The platform was deployed across multiple Novartis therapeutic brands — including Entresto (heart failure) and Cosentyx (psoriasis/arthritis) — and reduced customer confusion, improved data accuracy, and sped up enrollment and service times.

Entresto & Cosentyx — Patient Enrollment Platform
Insert the platform screenshots from your slides — showing the Entresto enrollment flow (landing page with $10 co-pay offer and 30-day free trial, questionnaire steps, insurance information, personal info, double-check review) and the Cosentyx personalized questionnaire on mobile. Ideally shown as a grid of screens or side-by-side brands.

Brand-configurable patient enrollment platform — deployed for Entresto and Cosentyx, validated with users, WCAG accessible, and responsive across web and mobile.

Innovation That Improved Enrollment Into Support Services

The PSS Leap LEAP model vs. the previous outsourced model delivered measurable improvements across every dimension — enrollment rates, web adoption, call quality, and customer experience. The results validated both the hypothesis and the approach.

24.5k
Patients Enrolled
Entresto patients enrolled since program launch in November 2021.
+23%
Web Adoption Increase
Resulting in 82% of users choosing the self-enroll option.
93%
Call Quality Score
Post-launch, exceeding the limited launch target of 85%.
4.5
CX Rating
Against an industry benchmark range of 3.75–4.0.

LEAP vs. Outsourced Model Lift

+9%
Adherence Enrollment
Improvement vs. outsourced model.
+11%
Co-Pay Enrollment
Improvement vs. outsourced model.
+24%
Co-Pay Enrollment on Web
Improvement vs. outsourced model.

Recognized Among the 10 Best Pharma Patient Support Websites

Thrilled to have been recognized for having two of the ten Best Patient Support Websites — representing Entresto and Cosentyx. This achievement is a true reflection of teamwork, dedication, and patient-focused innovation. A direct outcome of the PSS Leap program's commitment to human-centered design at scale.