Work

When genetic test reports are delayed, treatment decisions are delayed. I identified the bottleneck, made the case for a platform investment, and led the cross-functional effort that redesigned how 3.5 million tests a year get reported.

Clue's perimenopause mode scored 88.3 on the System Usability Scale, far above the industry benchmark. My research question was what that number was hiding. I designed and ran a two-week mixed-methods diary study with 40 women to measure what usability metrics miss: whether tracking actually changes how people understand, manage, and advocate for their health.

Patients had no visibility into their own genetic tests — opaque billing, days of waiting, everything mediated through their physician. I used a federal compliance mandate as leverage to build something better: Natera’s first patient-facing product, now used by 181,000 patients to track tests, view results, and manage their care.

Natera's histopathology pipeline ran on spreadsheets, manual queues, and fragmented systems — in a domain where a mislabeled tube can compromise a genetic test result. I made an organizational bet on a research methodology the company had never used, set the ownership model for a cross-functional team, and led the redesign of the entire pipeline. The methodology outlived the project.

Critical medical and legal information for foster children moved by mail and paper, creating dangerous delays. I designed a secure digital portal connecting Cincinnati Children's Hospital and Hamilton County Jobs & Family Services — building the information architecture from users' own mental models and iterating the design through three rounds of testing until it matched how people actually worked.

AI tooling crossed a threshold — it changed what a design team can do at its existing size. I defined where in the lifecycle it creates leverage, where it creates risk, and built the operating rules that keep those two separated. The framework governs how a design and research team incorporates AI from discovery to delivery without compromising rigor, craft, or governance.

I built the design practice across Natera's lab operations — from the bench to the report. Two domains, different users, different constraints, one connected system. Wet lab: physical sample processing where mistakes affect patient outcomes. Dry lab: computational analysis where cognitive load determines report accuracy. I grew design's role from zero to a functioning practice embedded across both, while shipping the tools that serve 50+ labs and 3.5M+ tests reported a year.

Too many patients to review manually — nurses are finding needles in haystacks. Contracts require 48-hour turnaround from positive test to patient outreach, but the current process is entirely manual: five handoffs across Datamart, ClinicalIQ, ClinVerify, Salesforce, and site outreach. A single eligible patient takes an hour to screen. I designed an AI-assisted screening tool that scores patients by criteria match and confidence, cutting review volume by 80% and screening time in half.