Product Design, from pixels to pull requests.

I’m a Senior Product Designer at Prompt Health, the best damn EHR in outpatient rehab therapy, where I work on enterprise RCM features and our design system, Omni. My work ships in pull requests, not just Figma files.

10+ years in healthcare

I pivoted to HealthTech in 2015 and have worked across mental health, chronic condition management, remote patient care, and now an EHR. As a lifelong diabetic, I wanted to spend my career on problems worth solving. Plus, I love acronyms. So, healthcare.

How I work

The tools changed in 2024; the process didn’t. Agents, MCPs and connected design systems closed the gap between “designed” and “shipped,” but speed doesn't replace the fundamentals. You still have to know the problem cold, talk to users, and land on a solution that fits the system, the user, and the business. If anything, speed just raises the stakes on getting that right.

1

Discover

Before anything, know the problem inside and out. Stakeholder and user interviews, support tickets, usage data, all synthesized fast so we're solving the right problem before anyone opens Figma.

2

Explore

Quick concepts and rough prototypes, pressure-tested against technical constraints early. Some are sketches. Others are HTML, CSS, and JS, because real interactions beat clickable rectangles.

3

Refine

Tighten the strongest direction with SMEs and engineering in the loop. Feedback lands on something people can actually use, which makes the feedback genuinely useful.

4

Ship

Figma libraries, front-end templates, and when it's the fastest path, a branch pushed to the repo, awaiting code review like everyone else's.

Derek is that most rare designer who can create beautiful layouts, understands how to design for accessibility and usability, and can create the CSS to implement his vision. It was a joy to be handed a well-designed page that I just had to hook up.

Jackie Ta Engineering Leader

Derek is collaborative, communicative, and deeply skilled. His background in front-end development made our work on the Teladoc design system seamless, bridging design and engineering effortlessly.

Matt Przybylski Lead Front-End Engineer

The work Derek did is at the very front edge of design system work; from Figma to design tokens to framework code assets, his work has saved time and energy across the design team.

Jon Armstrong UX & Product Design Leader

He created a new standard in my mind for UX leaders. Passionate, imaginative, and systematic. You can always count on him to get projects across the finish line.

Marcus Campbell Technical Founder

Elsewhere

© 2026 Derek Balmer · Published from Arvada, Colorado

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