ServiceNow · Healthcare & Life Sciences

Designing AI into the work of healthcare

As a Staff Product Designer in ServiceNow's Healthcare & Life Sciences group, I lead design for how AI agents work inside regulated care and research, across two products: Care Team Operations at the bedside, and Clinical Trial Operations for multi-site Phase III trials.

One approach across both products

A nurse at the bedside and a trial lead running fourteen sites have very different days. The AI in both products follows the same three rules.

Rule 1

AI does the legwork, people make the call

The Voice Agent captures, classifies and dispatches a broken pump. Otto flags a trial site that's likely to slip. In both, a person decides what happens next.

Rule 2

The work comes to where people already are

Nurses flag issues and see status inside the EHR. Trial leads see every site, team and blocker in one workspace. Nobody learns a new tool to get the AI's help.

Rule 3

Every step shows its work

Live status, an explanation for every flag, the health of every connected system, and an audit trail a team could defend in an inspection. In regulated work, an AI that can't show its reasoning doesn't get used.

Beyond my own products

The patterns I build here reach past these two products.

Platform

Feeding the platform

ServiceNow is building an AI framework into its Horizon design system. Developers across products and business units adopt it alongside the Lit library to build faster. The workflows I'm designing feed into it, so what works at the bedside and in trial operations can shape platform-level workflows.

Design community

A monthly design forum

Every month I run a working session with designers from other teams. We share component work and workshop agentic experiences that cross product lines, so the places where our products connect work as one system.

The case studies

Both are password-protected because the work is confidential. Email me at hello@araxiemiller.com for access.