I’m a service designer, researcher and strategist.
I help organizations in healthcare, enterprise, finance and the public sector launch products and services customers and staff will use.

How I work

  • Researching with the people affected. I run interviews, shadowing, surveys, usability testing with the staff and customers, in English, Portuguese or Spanish. When the subject is sensitive, I use trauma-informed methods. Using storytelling and plain language, I tie findings to decisions so leaders can see where a change will break before it launches.

  • Deciding with the people who have to act. I bring the findings to everyone who has to carry out the change (e.g., leaders, frontline staff, IT and compliance) and facilitate working sessions where they agree on priorities and trade-offs.

Select case studies

  • Tax Filing Tool

    Giving taxpayers a free, easy tax filing option

    IRS DIRECT FILE

    Led a user research team around continuous testing, foundational research and research operations resulting in 96% positive reviews, 80+ NPS, and more than 1/3 reduction from the baseline in tax return rejections.

    “Direct File is a glimpse of a world where government tech benefits millions of Americans.” - The Atlantic

    View case study

  • Envisioning a modernized health care system

    INDIAN HEALTH SERVICE

    Qualitative research and service design to identify Health IT needs of the nation-wide health care system serving American Indian and Alaska Native communities. A Fast Company Innovation Awards finalist.

    "The personas and blueprints created allow decision makers to create a sense of empathy and urgency for addressing challenges that are faced across the country" — Maia Laing, HHS

    View case study

  • Helping patients handle surprise medical bills

    CENTERS FOR MEDICARE AND MEDICAID SERVICES

    Here I conducted English and Spanish evaluative research, design, and prototyping with consumers to simplify content, information architecture, and forms for handling surprise medical bills with providers and insurance. I also workshopped an impact/effort/operations feature matrix framework to better shape the product roadmap.

    View case study

Project highlights

AI-forward discovery process to inform an EHR rollout

Conducted interviews with clinical and administrative staff and developed an EHR rollout roadmap for a community healthcare system across 21 programs.

LAKERAVEN

Enterprise AI adoption prioritization supported by data

Quantitative research with Coforma’s creative team to unearth fears, needs, goals and use cases.

COFORMA

A faster and more accurate benefits application

In 2020, I led a team of service designers to inform strategy and prioritization for a U.S. federal agency’s benefits application process. Our recommendations helped reduce processing time by roughly 20%.

COFORMA

A new way to save money reached 35,000 Brazilian users

Conducted Portuguese/English research in Brazil and conceptual design to inform the services for a new Brazilian savings and investment bank.

GRÃO / METHOD

Who I worked with

Talks and publications

  • Telling Complex User Stories: IHS Health IT Case Study

    How we designed service blueprints for the IHS to illustrate complex user stories.

    by Sabrina Fonseca and Arden Klemmer

  • Understanding the Catalysts for Citizenship Application

    Barriers, opportunities around naturalization, based on research and testing with over 70 immigrants.

    by Sabrina Fonseca and Lindsey Wagner

  • Designing forms for gender diversity and inclusion

    How do we ask people for their gender in a thoughtful and respectful way?

    by Sabrina Fonseca

  • Designing Products for Everyone

    How to design products with various attitudes, abilities, and aptitudes in mind, from ideation to execution.

    by Arden Klemmer and Sabrina Fonseca

Who I am

I'm Sabrina Fonseca, a Brazil-born, NYC-based service designer, researcher and strategist. I’m a generalist who has come from UX design into design research and strategy. I've spent 15+ years in healthcare, government, and financial services at agencies like Coforma, Method, R/GA, Sapient Razorfish, Isobar and others. I worked as a photographer before moving into design and research.

Contact me