Winnow Health

The most complex workflows aren't just technically dense - they're socially loaded. Winnow sits at that intersection: a referral tool for physicians who stake their reputation on a recommendation, and a management system for recruiters.

Client Project

Product Design

Lead Product Designer

Enterprise Web Platform • Web App

Oct 2025 - Apr 2026

Designing trust into physician hiring.

Designing trust into physician hiring.

Physician referrals are the strongest hiring signal in medicine - yet the entire process lived outside the platform. I led the design of Winnow's end-to-end referral experience, turning informal peer trust into a structured, trackable, scalable system.

Physician referrals are the strongest hiring signal in medicine - yet the entire process lived outside the platform. I led the design of Winnow's end-to-end referral experience, turning informal peer trust into a structured, trackable, scalable system.

Referred clinicians are 3-4x more likely to be hired and stay 70% longer. The data is clear - peer trust is the strongest hiring signal in medicine.
Referred clinicians are 3-4x more likely to be hired and stay 70% longer. The data is clear - peer trust is the strongest hiring signal in medicine.

Referred clinicians are 3-4x more likely to be hired and stay 70% longer. The data is clear - peer trust is the strongest hiring signal in medicine.

Problem

Referrals were happening. Just nowhere useful.

Referrals were happening. Just nowhere useful.

Winnow's initial release met expectations but lacked enough differentiation to compete against ATS platforms. Customers were benchmarking spend against established tools - and the product needed a genuine value proposition to justify it.

The answer was already in the data. Peer-referred physicians stay 70% longer, perform 33% better, and convert at 3-4× the rate of other candidates. But the entire referral process - sharing connections, following up, tracking outcomes - was happening in static documents, emails, and phone calls. Completely outside Winnow. No structure. No visibility. No data.

Painpoint 01

No platform home

Recruiters had to leave Winnow entirely to initiate, manage, or follow up on any referral.

Painpoint 02

Physicians had no easy path in

No frictionless way for physicians to refer colleagues - any account creation requirement killed participation.

Painpoint 03

No proof of value

Without tracking referral-to-placement conversion, Winnow couldn't demonstrate ROI to customers.

Research

Two users. Two very different relationships with referrals.

Two users. Two very different relationships with referrals.

We knew from the start that this was a two-sided problem - and that meant two distinct research tracks. We couldn't design for physicians and recruiters from the same set of assumptions. Their contexts, motivations, and friction points were fundamentally different.

On the recruiter side, we ran structured interviews walking through live referral scenarios - before any design decisions were made. What we uncovered went deeper than missing features. Recruiters had lost trust in the process itself. Once a referral was sent, it disappeared. No open tracking, no completion status, no way to know if a strong candidate had gone cold or was simply waiting on a response. Follow-through depended entirely on individual habits, not the system.

The four pain points we identified in the problem phase were validated and sharpened through this research - confirming that visibility, ownership, follow-through, and proof of value weren't just assumptions. They were consistent themes across every conversation.

On the physician side, we focused on understanding what would actually motivate a busy clinician to take time out of their day to refer a colleague. The answer was clear: it had to be effortless. Physicians stake their professional reputation on a referral - the experience needed to honor that weight without adding to their workload. Any friction, including account creation, would kill participation before it started.

Concept testing with a digital referral form confirmed the core design principle that would drive every physician-facing decision:

No login. No barrier. Just a referral.

Solution

Two connected experiences. One closed loop.

Two connected experiences. One closed loop.

Designed both sides of the referral system simultaneously - a physician-facing form and a recruiter-side management experience - so the loop would be truly closed for the first time.

Physician-Facing Experience

A referral form built for how physicians think.

A referral form built for how physicians think.

Physician-Facing Experience

No account creation required. Fast, purposeful, and respectful of a physician's time. The form captures shared connection context - residency, facility, fellowship - along with endorsement details, feeding directly into Winnow and the proprietary Physician Graph powering future AI matching.

No account creation required. Fast, purposeful, and respectful of a physician's time. The form captures shared connection context - residency, facility, fellowship - along with endorsement details, feeding directly into Winnow and the proprietary Physician Graph powering future AI matching.

Recruiter Management Experience

Full visibility into every referral, at scale.

A centralized referrals grid - for the first time. MVP shipped the foundation. Phase 2 completed the loop: filtering, sorting, stale indicators, archiving, resend capability, and sidesheets for contextual triage without page navigation.

Every referral. One place. Zero guesswork.
Recruiters can track every referral sent. Filter by what matters. Act with confidence.

From referral form to first interview
The candidate tab gives recruiters a complete picture of every physician-referred candidate and the tools to act on them.

Recruiter Management Experience

Full visibility into every referral, at scale.

A centralized referrals grid - for the first time. MVP shipped the foundation. Phase 2 completed the loop: filtering, sorting, stale indicators, archiving, resend capability, and sidesheets for contextual triage without page navigation.

Every referral. One place. Zero guesswork.
Recruiters can track every referral sent. Filter by what matters. Act with confidence.

From referral form to first interview
The candidate tab gives recruiters a complete picture of every physician-referred candidate and the tools to act on them.

Planning

Planning

How we phased the build.

How we phased the build.

MVP

Core Loop Foundation

Core Loop Foundation

Physician referral form (no account creation), centralized recruiter grid, candidate engagement, basic status tracking. Shipped the concept and validated physician willingness to engage.

Phase 2

Scale & Usability

Scale & Usability

Full filtering and sorting, archiving, stale indicators, resend capability, sidesheets, and telemetry. Made the MVP usable at real referral volume - completing the core loop.

Phase 3

Intelligence Layer (Planned)

Intelligence Layer (Planned)

Provider performance dashboards, full conversion tracking, automated reminders, and predictive prioritization based on historical placement data.

How I used AI in my process

How I used AI in my process

AI wasn't a shortcut in this process - it was a thinking partner. I used it in two specific ways that meaningfully shaped the direction of the work.

AI wasn't a shortcut in this process - it was a thinking partner. I used it in two specific ways that meaningfully shaped the direction of the work.

Research Synthesis
Research Synthesis

With a substantial body of existing recruiter research across multiple studies and interview transcripts, I used AI to surface recurring themes, flag contradictions across testimonies, and prioritize pain points by frequency and severity. What would have taken days of manual affinity mapping was condensed into a focused synthesis I could validate and build on - letting me spend more time on interpretation than aggregation.

Early Ideation
Early Ideation

In the early stages of designing the referral experience, I used AI to rapidly explore interaction models, challenge assumptions about the physician form flow, and pressure-test structural decisions before committing to them in Figma. It helped me move through a wider solution space faster, so the concepts I brought into critique were more considered and better differentiated.

Metrics

Metrics

By the numbers

By the numbers

The case for this project was clear from the start - referrals were driving the best hires, but there was no system, no visibility, and no way to measure any of it. These are the numbers that defined success.

The case for this project was clear from the start - referrals were driving the best hires, but there was no system, no visibility, and no way to measure any of it. These are the numbers that defined success.

0 → 1
Centralized Referral System

Before this project, there was no in-platform referral experience - zero infrastructure, zero tracking. We went from nothing to a fully integrated, two-sided system shipped across two epics and 20+ product stories.

2× Faster
Recruiter Triage & Prioritization

Phase 2 filtering, sorting, stale indicators, and sidesheets were designed to cut the time recruiters spent finding and acting on referrals - moving from manual grid scanning to structured, signal-led prioritization.

3–4×
Referral-to-Hire Conversion Rate

Referred candidates convert to hire at 3–4× the rate of non-referrals. Moving referrals in-platform made this conversion trackable - and improvable - for the first time in Winnow's history.

^ROI
Enterprise Client Value

The referral program was directly tied to Winnow's beta customer value metrics - contributing to the product's ability to demonstrate measurable recruiting ROI and retain referenceable enterprise clients.

Outcomes

Outcomes

Referrals became the core of Winnow.

Referrals became the core of Winnow.

The referral program shipped as a market differentiator - directly tied to Winnow's ability to compete and demonstrate measurable recruiting outcomes to customers.

The referral program shipped as a market differentiator - directly tied to Winnow's ability to compete and demonstrate measurable recruiting outcomes to customers.

Both Phases Shipped

Live

Delivered across two phases and actively in use - a recruiter-side management system and physician-facing referral form, both fully integrated into Winnow

Primary Business Metric

Interviews Generated

The goal was more interviews from referrals. Building the experience in-platform made that measurable - and improvable - for the first time.

Proprietary Data Asset

Physician Graph

Every completed referral validates a physician-to-physician connection, compounding into Winnow's proprietary Physician Graph for future AI-driven matching.

Reflection

Reflection

What I'd do differently.

What I'd do differently.

01

Make the MVP cutbacks list a stakeholder communication tool

Make the MVP cutbacks list a stakeholder communication tool

We tracked descoped items internally - but a more visual, shareable version of that list would have set better expectations and made Phase 2 prioritization conversations significantly easier.

02

Bring physicians into the research earlier

Bring physicians into the research earlier

Recruiter research anchored the early phase of this project, with physician interviews coming later in the process. In hindsight, I wish we'd run both tracks in parallel from the start - there's a lot of value in letting both sides of the experience inform each other early, before design decisions start to solidify.

Ready to build something together?

Let's connect!

Ready to build something together?

Let's connect!

Ready to build something together?

Let's connect!

Ashley Carmen Uy • Lead Product Designer