Persona Catalog
Persona Catalog
Business User
“ “I want to develop offers or messages (Actions),
which will be delivered to the end customers through Next-Best-
Action”
Goals
• Leverage outcome and improve performance of existing actions
• Test hypotheses for new actions
• Ideate and plan for engagement activities
• Make change requests for Next-Best-Action Specialists and Next-Best-Action Designers to execute
• Review and approve Action content and distributions
Key drivers
• Conversion rate
• Lift over control
• Engagement rate
• Response rate
• Improvement rate
• Churn rate
• Net Promoter Score (NPS)
Tools
• Jira/ Agile Studio
• 1:1 Operations Managers
• Excel & Powerpoint
Main stakeholders
Team Leader
Manage the day-today activities required to support the
scrum team
1:1 Ooperations Manager
Executive Agile ceremonies, unblock issues and manage
deployment into the production environment
Goals
• Develop, monitor and maintain predictive and adaptive models
• Ensure modeling best-practices
• Regularly assess quality, completeness, and value of modeling data sources
• Support predictive performance reporting and analysis
• Leverage existing models or utilize 3rd-party model services through Pega
• Map enterprise data to attributes within the Next-Best-Action solution
• Provide input on the Next-Best-Action framework
Key drivers
• Lift
• Accuracy of model
• Monitoring of model
Tools
• 1:1 Operations Manager
• Prediction Studio
Main stakeholders
Next-Best-Action Designer
Specify and design decision management strategies
1:1 Operation Manager, Customer Decision Hub
Oversee the centralized Next-Best-Action system for all
business units, balancing business and customer needs
Decision Architect
“ I want to provide business and technical leadership so that I can
guide and resolve contention between customer, segment or
product objectives."
Goals
• Provide application leadership vision across scrum teams
• Enable and mentor the other application configurators
• Optimize the decision framework
• Ensure re-use and best practices are adopted across scrum teams
• Maximize use of insights, analyzes, and reports
• Ensure consistency in communications across inbound and outbound channels
• Maintain good quality of assets implemented by NBA Designers and NBA Specialists
• Determin sources for data required to support Offers, Propositions, Models etc.
• Develop the data refresh strategy
• Define the interfaces needed to retrieve the data
• Define and implement the mapping required to map enterprise data to attributes within the NBA solution
Key drivers
• Objectives of the business case
Tools
• Customer Decision Hub
• Dev Studio
• Prediction Studio
• App Studio
Main stakeholders
System Architect
Setup and maintain Pega platform
Dev Studio
Help decision architect access data
Goals
• Ensure the business benefits of NBA are maximized and worth the investment
• Be the conduit between various stakeholders and enablers across teams
• Manage prioritization and grooming of backlog
• Drive enterprise decision management roadmap
• Maximize business benefits
• Manage governance forum and processes
• Engage Information Technology team to deliver application changes
Key drivers
• Marketing return on investment (MROI)
• Time to value
• Governance score
Tools
• 1:1 Operations Manager
• Customer Decision Hub
Main stakeholders
Team Leader
Manage the day-to-day activities required to support the
scrum team
1:1 Operations Manager
Execute Agile ceremonies, unblock issues and manage
deployment into the prodction environment
Next-Best-Action Analyst
“ I want to assist stakeholders with formalizing and documenting
requests, to get their ideas to market quickly."
Goals
• Help translate business ideas and concepts into well-specified requirements for Next-Best-Actions
• Ensure the potential value associated with an offer/action
• Build business cases to substatiate investment that can be tracked, evaluated, and used as investment proxies
• Guide and educate business stakeholders, often triaging or modifying requires to keep them aligned with
governance or mandates
Key drivers
• Team efficiency
• Time to value ration
• Cost per Next-Best-Action
Tools
• Jira/ Agile Studio
• 1:1 Operations Manager
Main stakeholders
Team Leader
Manage the day-to-day activities required to support the
scrum team
1:1 Operations Manager
Execute Agile ceremonies, unablock issues and manage
deployment into the prodction environment
Next-Best-Action
Designer
“ I want to specify and design decision management strategies for
all business units, balancing business and customer needs."
Goals
• Standardize a governance process and structure for Next-Best-Action across business units
• Deliver a relevant experience for customers across channels
• Set up process and structure
• Coordinate efforts across teams
• Arbitrate strategies to ensure the right offers are being made
• Analyze business outcomes
Key drivers
• Impressions, clicks, and converstions by channel
• Churn rate
• Retention rate
• Net revenue
• Return on marketing investment (ROMI)
• Owned media spend
• Paid media spend
Tools
• 1:1 Operations Manager
• Customer Decision Hub
Main stakeholders
Next-Best-Action
Specialists
“ I want to implement and test offers and messages (Actions), and
track live performance of Next-Best-Action."
Goals
• Efficiently support stakeholders by translating business strategies into successful outcomes
• Engage customers in the most relevant way
• Support the definition and assessment of business requirements
• Translate business needs into Next-Best-Action artifacts
• Build and test artifacts to understand impact
• Monitor Next-Best-Action performance
Key drivers
• Task cycle time
• Quality of tasks
Tools
• 1:1 Operations Manager
Main stakeholders
Team Leader
“ I want to execute Agile ceremonies, unblocking issues, while
managing the day-to-day activities required to support the scrum
team.”
Goals
• To set the team up for success
• To manage work in compliance with change management best practices
• Run daily stand up, show & tell, and sprint retrospective meetings
• Remove blockers impeding team progress
• Ensure compliance with change management best practices & policies
• Work with Information Technology team on deployments
Key drivers
• Team velocity
• Backlog health
Tools
• Jira/ Agile Studio
• 1:1 Operations Manager
Main stakeholders
Goals
• Help the operational teams execute changes that meet desired outcome
• Create and follow testing best-practices
• Prepare unit test scenarios for all changes to the Next-Best-Action solution
• Manage unit testing for all changes
• Provide on-going support for all testing
Key drivers
• Test execution rate
• Test passed rate
• Quality control
• Test automation rate
Tools
• 1:1 Operations Manager
• Customer Decision Hub
Main stakeholders
Next-Best-Action Designer
Specify and design decision management strategies
1:1 Operations Manager, Customer Decision Hub
Oversee the centralized Next-Best-Action system for all
business units, balancing business and customer needs
Account Administrator
“ I am an authorized person for Pega Cloud account"
Goals
• First user to setup the account
• Define users and roles
• Monitors overall Pega cloud account
• Need to take purchase decisions
Key drivers
• Optimal usage of cloud account
• Customer success by using right infrastructure and applications
Tools
• My support portal (Client self service)
Main stakeholders
Account Executive
Responsible for product sales
Pega Sales
Collaborates for account plans and pricing
Goals
• Raise necessary support requests
• Monitor cloud health
• Make sure have right infrastructural configurations
Key drivers
• Cloud Health
Tools
• My support portal (Client self service)
• PDC
Main stakeholders
Goals
• Setup maintenance windows for customer account
Key drivers
• Maintain cloud account without any hassels
Tools
• MSP
Main stakeholders
Security Contact
“ Responsible for security of Pega cloud and my applications"
Goals
• Receive security incident
• Review and respond to security alerts
• Raise security incident
Key drivers
• Security of the applications
• Customer success by using right infrastructure and applications
Tools
• My support portal (Client self service)
• Other clients own applications
Main stakeholders
Application Admin
“ Ensure the security of the application"
Goals
• Define users and access controls
Key drivers
• Security policies
Tools
• DevStudio
Main stakeholders
Developers IT Team
Business customer applications Maintain the users and security policies
Any Team Any Team
Works collaboratively to develop the applications Collaborates with them for updates on security policies
Developer
“ Develop appplications for business needs"
Goals
• Develop business applications
Key drivers
• Following Pega best practices
Tools
• DevStudio
• All studios
• PDC
Main stakeholders
Product Architect
“ Create architecture that is scalable and secure"
Goals
• Create architecture which meets the business needs
Key drivers
• Guardrail compliance
Tools
• DevStudio
• Khibana
• PDC
Main stakeholders
Goals
• Manage and define applications
Key drivers
• Success of his requests completion
Tools
• MSP
• PDC
• Khibana [log analyzer]
• DevStudio
Main stakeholders
Developers
Builds customer applications
Any Team
Works collaboratively to develop the applications
Product Manager
“ Owner of the application"
Goals
• Ensure the business needs are delivered
• Owner of overall application
• Accountable, security, compliances, legal audit
Key drivers
• Business KPI
Tools
• DevStudio
• Application
Main stakeholders
End Users
Users for the customer built application
Any Team
Collaborates with them to understand the user needs
QA Specialist
“ Ensure the quality of the application is good"
Goals
• Test applications
Key drivers
• Quality of the applications
Tools
• DevStudio
• Third party test tools
Main stakeholders
Release Admin
“ Ensure the quality of the application is good"
Goals
• Deploy the application branches/release environments
Key drivers
• Effectiveness of running deployment pipeline
Tools
• DevStudio
• Deployment Manager
Main stakeholders
Developers
Business customer applications
Any Team
Works collaboratively to develop the applications
Scrum Master
“ Fcailiate and align the team to meet deliverables in given time"
Goals
• Make sure the development progresses as per plan
Key drivers
• Effective completion of time based delivery
Tools
• Agilestudio
• Jira
Main stakeholders
Product Architect
Plans the product for scalability
Any Team
Works with the tproduct architect to plan the implementation
approach
Coordinator
“ I assist clinical staff with administrative tasks so they can focus
on patient/member support"
Goals
• Support care management activities by taking on tasks that can be taken on by non clinical person
• Administrative support tasks
• Communicating with staff to ensure SLAs are met
• Gathering information for requests
Key drivers
• Regulatory guidance for time frames (SLAs)
• Response time
• Post discharge engagement
• Success of patient engagement
Tools
• Pega Care Management
• Clinical information e.g. EHR
• Pega Questionaire
• Pega Customer Service
• Customer Decision Hub
• Phone / Fax
• Spreadsheet applications
Main stakeholders
CM Navigator CM Nurse
Collaborates to support patients Caring for and informing patients
Pega Care Management Pega Care Management
Coordinators work with navigators to ensure patients are Nurses work with coordinator to ensure their work is
supported throughout their journey organized and efficient
Manager/Director Supervisor
Ensuring department excellence Oversees administrative work
Pega Care Management Pega Care Management
Managers/Directors coordinate staff in order to achieve Supervisors ensure that Coordinators have the resources
organizational goals across departments needed to provide administrative support
CM Navigator
“ I take great pride in making sure the patient feels comfortable
and confident in their overall healthcare journey”
Goals
• Act as the first point of contact for patients navigating their healthcare journey
• Patient outreach
• Care team coordination
• Patient education
Key drivers
• Case load volume (Patient volume)
• Patient satisfaction
• Physician satisfaction
• SLA completion
Tools
• Pega Care Management
• Electronic Health Records (EHR) Patient outreach
• Pega Questionaire
• Pega Customer Service
• Customer Decision Hub
• Phone / Fax
• Spreadsheet applications
Main stakeholders
CM Coordinator CM Nurse
Collaborates to support patients Caring for and informing patients
Pega Care Management Pega Care Management
Navigators works with coordinator to ensure they have Nurses work with Navigator to ensure their patients recieve
administrative resources needed to provide care the care and education they need
Manager/Director Supervisor
Ensuring department excellence Oversees administrative work
Pega Care Management Pega Care Management
Managers/Directors coordinate staff in order to achieve Supervisors ensure that Navigators have the resources needed
organizational goals across departments to provide patient support
Nurse
“ I make sure my patients can make progress towards becoming
healthy and return to a good quality of life”
Goals
• Help patients improve health
• Guide patients to return to a good quality of life
• Discharge planning
• Barriers to care
• Establishing patient goals
• Determining interventions to achieve the goals
• Outreach to external care team members
Key drivers
• Patient recovery time and/or progress
• Case load volume (Patient volume)
• Engagement standards
• SLA completion
Main stakeholders
CM Coordinator CM Navigator
Collaborates to support patients Collaborates to support patients
Pega Care Management Pega Care Management
Nurses work with coordinators to ensure patients are Navigators work with nurses to ensure patients are supported
supported throughout their journey throughout their journey
Manager/Director Supervisor
Ensuring department excellence Oversees patient care
Pega Care Management Pega Care Management
Managers/Directors coordinate staff in order to achieve Supervisors ensure that nurses have the resources needed to
organizational goals across departments provide patient support
Supervisor
“ I am responsible for the day to day operations of the care
management workforce in order to ensure the best service
possible is provided”
Goals
• Ensure case managers have the resources needed to handle case loads
• Meeting organizational and departmental goals
• Overseeing staff case load
• Managing staff schedules and deadlines
• Escalation management and mitigation
• Complaint processing
• Designing NBA items
Key drivers
• KPI of ccase managers
• Clinical staff KPI
• Percent towards maximum case load
• SLA completion
Main stakeholders
CM Coordinator CM Navigator
Collaborates to support patients Collaborates to support patients
Pega Care Management Pega Care Management
Supervisors work with coordinators to ensure all staffrecieve Navigators work with nurses to ensure patients are supported
proper administrative support throughout their journey
Manager/Director CM Nurse
Ensuring department excellence Caring for and informing patients
Pega Care Management Pega Care Management
Supervisors report directly to managers/directors to make sure Supervisors oversee nursing staff to guarantee patients recieve
organizational objectives are being met the best care
Coordinator
“ I make sure the health plan workers have all the resources and
support required to complete their work effeciently”
Goals
• Support utilization management activities by taking on tasks that can be conducted by non clinical person
• Managing communications
• Assembling intake or clinical review requests
• Scheduling peer to peer evaluations
• Coordinating care activities
• Non-clinical administrative work
Key drivers
• SLA completion
• Communication efficiency
• Organizational objectives
Tools
• Pega Care Management
• Outlook
• Phone/Fax
• Spreadsheet applications
• Reporting tools
• Pega Customer Services (interaction portal)
• Work queues
Main stakeholders
UM Nurse UM Supervisor
Performing clinical reviews and processing requests Oversees administrative work
Pega Care Management Pega Care Management
Nurses work with coordinator to ensure their work is Supervisors ensure that Coordinators have the resources
organized and efficiency needed to provide administrative support
Manager/Director
Ensuring departmental excellence
Pega Care Management
Managers/Directors coordinate staff in order to achieve
organizational goals across departments
Nurse
“ I am the first line of clinical review for medical necessity
determinations to help patients reach the care and services they
need to heal”
Goals
• Reviewing for medical necessity in order to determine qualification for access to certain benefits e.g. visits,
procedures, and/or medications
• Adhering to medical necessity guidlines
• Process requests for services
• Process clinical reviews
• Conduct initial reviews
• Maintain ongoing reviews
Key drivers
• SLA completion
• Number of requests completed
• Number of appeals
Tools
• Pega apps
• Integrated Clinical Guideline Review
• Payer portals
• Outlook
• Clinical information e.g. EHR
Main stakeholders
CM Coordinator UM Supervisor
Collaborates to support patients Oversees patient care
Pega Care Management Pega Care Management
Nurses work with coordinators to ensure patients are Supervisors ensure that nurses have the resources needed to
supported throughout their journey provide patient support
Manager/Director
Ensuring departmental excellence
Pega Care Management
Managers/Directors coordinate staff in order to achieve
organizational goals across departments
Supervisor
“ I am responsible for the day to day operations of the medical
management workforce to make sure we provide consistent and
punctual work that adheres to healthcare standards”
Goals
• Ensure utilization management nurses have the resources needed to handle case loads
• Meeting organizational and department goals
• Overseeing staff case load
• Managing staff schedules and deadlines
• Escalation management and mitigation
• Complaint processing
• Designing NBA items
Key drivers
• KPI of medical management
• Clinical staff KPI
• Percent towards maximum case load
• SLA Completion
Tools
• Pega Care Management
• Clinical information e.g. EHR
• Pega Customer Service
• Customer Decision Hub
• Phone/Fax
• Spreadsheet applications
Main stakeholders
UM Coordinator UM Nurse
Collaborates to support patients Performing clinical reviews and processing requests
Pega Care Management Pega Care Management
Supervisors work with coordinators to ensure all staff recieve Supervisors oversee nursing staff to guarantee patients/
proper administrative support members recieve the best care
Manager/Director
Ensuring departmental excellence
Pega Care Management
Supervisors report directly to managers/directors to make sure
organizational objectives are being met
Manager/Director
“ I ensure that my staff of clinical and administrative workers have
the resources they need to adhere to regulations and meet our
organizational objectives”
Goals
• Departmental and organizational excellence
• Interdepartmental communication and transparency
• Reporting to organization executives
• Overseeing staff case load
• Managing staff deadlines
• Escalation management and mitigation
• Designing NBA items
Key drivers
• KPI of administrative staff
• Clinical staff KPI
• Percent towards maximum case load
• SLA completion
Tools
• Pega Care Management
• Clinical information e.g. EHR
• Pega Questionaire
• Pega Customer Service
• Customer Decision Hub
• Phone / Fax
• Spreadsheet applications
Main stakeholders
CM Navigator CM Nurse
Collaborates to support patients Caring for and informing patients
Pega Care Management Pega Care Management
Managers/Directors oversee navigators and manage case load Managers/Directors oversee nursing staff performance and
to ensure patients recieve needed care resource delegation
CM Coordinator Supervisor
Collaborates to support patients Oversees administrative work
Pega Care Management Pega Care Management
Managers/Directors work with coordinators to ensure all staff Managers/Directors work with supervisors to make sure their
recieve proper administrative support staff have proper resources to complete and manage case load
Business Analyst
“ I want to analyze business goals in order to bring applications to
market in a timely fashion for customers."
Goals
• Understand business process diagrams, policies, and procedures
• Translate business requirements into a low code environment
• Conduct operational walk-throughs
Key drivers
• Turnaround time to build applications
• Ability to grasp business domain
• Level of proficiency in understanding PGP competence
• Process improvement
• Level of end user proficiency
Tools
• Storyboards
• Visio
• Pega app studio
• Video-recording software
• Microsoft Office software
Main stakeholders
Case Worker
“ I want to diligently review each case and its nuances in order to
determine the best next action for the case.”
Goals
• Prioritize cases
• Review the details of a case
• Determine the next steps needed to process a case
• Perform assessments
Key drivers
• SLA/turnaround time
• Number of cases completed in a given timeline
• Customer satisfaction survey
• Minimal back-and-forth communication with customer
Tools
• Case management solution
• External systems (benefits systems, repository of citizen database, tax record systems)
• Government policy books
• Correspondence systems
Main stakeholders
Constituent Supervisor
Request services or information Manage team workload and case escalation
Pega Government Platform Pega Government Platform
The constituent works closely with the assigned case worker The supervisor works with a case worker to manage their
on their particular case. workload and evaluate their performance.
Constituent
“ I want to request services or information in a timely fashion with
full transparency throughout the process.”
Goals
• Request services or information from the government
• Utilize a self-service portal to make requests
• Make a payment
• Receive acknowledgements
Key drivers
• Service indicator
• Customer satisfaction survey
Tools
• Web-based applications via smartphone, tablet, or computer
• Paper application
• Digital signatures
Main stakeholders
Intake Officer
Capture information and initiate a case
Pega Government Platform
The intake officer interacts directly with the constituent to
gather information for a case.
Intake Officer
“ I want to effectively capture information from constituents in
order to properly initiate a case.”
Goals
• Capture information provided by constituents
• Retrieve documents
• Collect application information
• Scan and enter information into the system
• Initiate a case
• Call constituents or vendors
Key drivers
• SLA/turnaround time
• Reduction of data errors
• Turnaround time for applications
Tools
• Information capture system
• Scanners
• Telephones
• Paper application forms
Main stakeholders
Constituent Supervisor
Request services or information Manage team workload and case escalation
Pega Government Platform Pega Government Platform
The constituent interacts directly with the intake officer to The supervisor works with the intake officer to best
deliver information for a case. understand a case and determine next steps.
Case Worker
Review case details and determine the best next action
Pega Govenment Platform
The case worker works with the intake officer to best
understand a case and determine next steps.
Investigator
“ I want to understand and analyze the complexity of a case in
order to determine the best solution.”
Goals
• Analyze and identify the complexity of a case
• Determine the next steps neededfor the best solution
• Identify subjects for a case
• Conduct interviews with witnesses
• Perform assessments
• Interact with external agencies
Key drivers
• Due diligence
• SLA/turnaround time
• Number of cases completed in a given timeline
Tools
• Case management solution
• Background check systems
• Verification services
• Citizen records
• Mobile devices
• Paper forms/lists
Main stakeholders
Supervisor
“ I want to effectively manage team performance and case
escalation in order to move cases forward in the process.”
Goals
• Review the details of a case
• Determine the next steps needed to process the case
• Act as the point of escalation on a case
• Manage case workers’ workload
• Monitor case workers’ performance
• Work with policy makers and business architects
Key Drivers
• Minimal points of escalation
• SLA/turnaround time
• Number of cases completed in a given timeline
• Customer satisfaction survey
• Employee satisfaction survey
Tools
• Case management solution
• External systems (benefits systems, repository of citizen database, tax record systems)
• Government policy books
• Correspondence systems
Main stakeholders
CSR
“ I make customers happy by servicing their financial needs with
care”
Goals
• Provide good customer service to a satisfactory level in an appropriate amount of time
• Interact with customers over various channels
• Assist customers with their questions, concerns, and problems
Key drivers
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Customer experience (CSAT + NPS)
• Conversion and offer rates
• Occupancy rate
Tools
• Pega Customer Service
• Company websites + directories
• 3rd Party utilities (sales software, loan systems, mortgage systems, etc.)
• Knowledge management
• Web search
• Workforce management + collaboration tools
Main stakeholders
Goals
• Addressing a narrow set of functionalities very effectively
• To complete various, specific and specialized tasks with excellence and efficiency
• Responding to customer requests that don’t require interacting with customers
Key drivers
• Task specific KPIs
• Number of cases completed
• Error rate within resolutions
Tools
• Pega Customer Service
• Background check systems
• Workforce management + collaboration tools
Main stakeholders
CSR Manager
“ I coach CSRs to provide great customer experience, mitigate
customer escalations, and recruit for financial services support
staff”
Goals
• Making sure their agents perform optimally and adhere to all bank policies
• Coaching various customer service representative employee types
• Monitoring metrics, aggregate level data
• Updating different teams based on required educational materials, policy updates, etc.
Key drivers
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Customer experience (CSAT + NPS)
• Conversion and offer rates
• Turnover rate
Tools
• Pega Customer Service
• Telephony tools
• Coaching tools
• Reporting tools
• Workforce management + collaboration tools
Main stakeholders
CSR
“ I help customers take care of their service issues so they know
our company cares”
Goals
• Responding to customer requests for service over multiple channels
• Address a customer’s service issue quickly and efficiently
• Responding to phone calls and/or chat messages
• Up-sell and cross-sell products to customers
• Understanding a customers background with products and services
Key drivers
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Customer experience (CSAT + NPS)
• Conversion and offer rates
• Retention rate
Tools
• Pega Customer Service
• Telephony tools
• Knowledge Management
• Troubleshooting tools
• Web search
• Legacy systems
• Workforce management + collaboration tools
Main stakeholders
CSR - Retention
Specialist
“ I help retain customers that are at a higher risk for cancelling
service”
Goals
• Address a customer’s service issue quickly and efficiently
• Offer relevant/necessary information to members
• Responding to phone calls and/or chat messages
• More focus on quality of service than time to resolve a customer issue
Key drivers
• Retention rate
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Conversion and offer rates
• Customer experience (CSAT + NPS)
Tools
• Pega Customer Service
• Telephony tools
• Knowledge Management
• Troubleshooting tools
• Web search
• Workforce management + collaboration tools
Main stakeholders
CSR Manager
“ I coach CSRs to provide great customer experience, mitigate
customer escalations, and recruit for comms support staff”
Goals
• Improve team aggregate metrics and service quality
• Improve call center performance metrics based on business goals
• Coaching various customer service representative employee types
• Monitor supply and demand of resources within contact centers
Key drivers
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Customer experience (CSAT + NPS)
• Conversion and offer rates
• Retention rate
• Turnover rate
Tools
• Pega Customer Service
• Telephony tools
• Reporting tools
• Coaching tools
• Legacy systems
• Workforce management + collaboration tools
Main stakeholders
CSR
“ I help members in need of help to ensure they are recieving the
best care possible”
Goals
• Responding to member, patient, and provider requests for service over multiple channels
• Provide high quality customer service based on member service needs/questions.
• Offer relevant/necessary information to members
• Ensuring members and patients understand how to address their care needs
• Ensuring providers understand how to deliver care aligned with their patients' plans
Key drivers
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Customer experience (CSAT + NPS)
• Conversion and offer rates
Tools
• Pega Customer Service
• Company websites + directories
• Partners' service tools e.g. Pharmacy Benefit Managers (PBMs)
• Telephony tools
• Web search
• Adhoc apps and web directories
• Workforce management + collaboration tools
Main stakeholders
CSR Manager
Help to guide and manage CSRs
Pega Customer Service
The CSR reports directly to the CSR Manager
CSR Manager
“ I coach CSRs to provide great customer experience, mitigate
customer escalations, and recruit for healthcare support staff”
Goals
• Improve team aggregate metrics and quality of care
• Offer relevant/necessary information to members
• Improve call center performance metrics based on business goals
• Coaching various customer service representative employee types
• Updating different teams based on required educational materials, policy updates, etc.
Key drivers
• Average Handle Time (AHT)
• First Contact Resolution (FCR)
• Customer experience (CSAT + NPS)
• Conversion and offer rates
• Turnover rate
Tools
• Pega Customer Service
• Telephony Tools
• Pharmacy Benefit Managers (PBMs)
• Coaching tools
• Reporting tools
• Workforce management + collaboration tools
Main stakeholders
CSR
Provide great customer service
Pega Customer Service
The CSR reports directly to the CSR Manager
CSR
“ I’m here to delight my customers and provide them with the
information they are in need of”
Goals
• Assist customers with their problems, issues, and/or question
• Serve customers in a way that leaves customers satisfied
• Responding to customer requests for service over multiple channels
• Provide service based on priority level
Key drivers
• Average Handle Time (AHT)
• First Call Resolution (FCR)
• Customer experience (CSAT + NPS)
• Length of open cases
Tools
• Pega Customer Service
• Knowledge Management
• Telephony tools
• Company websites + directories
• 3rd Party utilities
• Web search
• Workforce management + collaboration tools
Main stakeholders
Goals
• Ensure claims contain all the needed information
• Ensure information is complete and provide a timely decision to approve/reject the claim
• Serve customers in a way that leaves customers satisfied
• Review and approve/reject claims
Key drivers
• Service Level Agreements (SLA)
• Average Handle Time (AHT)
• Length of open cases
Tools
• Pega Customer Service
• Knowledge Management
• Telephony tools
• Company websites + directories
• 3rd Party utilities
• Workforce management + collaboration tools
Main stakeholders
CSR Manager
“ I coach CSRs to provide great customer experience, mitigate
customer escalations, and recruit for insurance support staff”
Goals
• Improve call center performance metrics based on business goals
• Monitor supply and demand of resources within contact centers
• Coaching various customer service representative employee types
• Updating different teams based on required educational materials, policy updates, etc.
Key drivers
• Average Handle Time (AHT)
• First Call Resolution (FCR)
• Customer experience (CSAT + NPS)
• Length of open cases
• Turnover rate
Tools
• Pega Customer Service
• Telephony Tools
• Company websites + directories
• Coaching tools
• Reporting tools
• Placeholder…
• Workforce management + collaboration tools
Main stakeholders
Business Architect
“ I want to help clients prioritize what to build, so maximum value
can be achieved"
Goals
• Get definition and scope agreement from clients by using low-code tools, data models, and case lifecycle
• Prepare DCO sessions to document requirement
Key drivers
• Amount of user stories
• Definition of ready; what is agreed to be built
• Definition of done; progress of what is being built
Tools
• App Studio (Case type designer, Data types, UI templates, Application Settings)
• Dev Studio (PegaUnit, Scenario Testing, Branch Quality)
• Agile Studio
• Whiteboard
• Microsoft Vizio
Main stakeholders
Sales Engineer
“ I want to create a quality demo to convince the client that Pega is
the solution to their business goals."
Goals
• Deliver a visually appealing demo for the client that demonstrates proposed solution
• eate proof of concepts with customer data to demonstrate solution with actual client data
• ollow development guidelines and best practices
• Reduce complexity of new developments, as much as possible
Key drivers
• Feedback from Solution Consultant, Account Executive, and Clien
Tools
• App Studio (Case type designer, Data types, UI templates, Application Settings)
• Dev Studio (Activities, Connect wizards)
Main stakeholders
Solution Consultant
“ I want to support account executives by educating customers
about product capabilities and value."
Goals
• Discover business requirements and translate them into solutions and relevant Pega demos
• Get customer to understand value of Pega
• Advance sale to the next stage
Key drivers
• Vendor of choice
• Number and success of deals
Tools
• Pega platform
• Powerpoint
• PIXAR
• Sales Automation
Main stakeholders
Admin
“ I want to ensure the good health of App Factory system and make
it available for citizen developers to use."
Goals
• Upkeep of system health
• Ensure apps are healthy and performant
• Identify citizen developers to adopt platform features and report issues
• Consuming nightly platform upgrades to help get new platform features adopted and tested
• Work with engineering to log issues in adoption
Key drivers
• Testimonials on whether system is accessible and performant
• Ensuring system downtime is nearly zero
• Time spent by users on App studio vs Dev studio
Tools
• Admin Studio - To track memory consumed by requestors, agents and nodes
• Deployment Manager - To track user actions e.g. time spent on Dev Studio vs. App Studio
• Could monitoring AWS tools - To monitor user activities in environments
• Tools used by Cloud Operations Team - To check logs and log sizes
Main stakeholders
Product Leader
Reviews product goals
App Factory
Admin ensures uninterrupted access to App Factory service for
citizen developers
Citizen Developer
“ I want to create an app from data model to the UX so that users
can use the app to get tasks done efficiently"
Goals
• Coordinating with App Factory team to submit app idea, requesting it's approval and a dedicated space for it
• Set up the data model, case design and UI and push the app through staging, development and production
environments while following the due process set out by App Factory.
• Talking to users to understand their goals and issues faced in using the app
• Coordinating with App Factory team to decommission apps that are not being used anymore
Key drivers
• Testimonials from users on whether they are able to get their tasks done efficiently
• Bugs reported in the app should decrease with time
• Active users and average session time per user. (Admin & mentors provide this information)
Tools
• App Studio - To carry out initial development activities.
• Dev Studio - To carry out advanced development activities such as data model manipulation
• App Factory - Interact with end users using pulse and spaces on App Factory
• Offce 365 - For documentation and development support
Main stakeholders
Manager
Manages the Citizen Developer
Any Team
Citizen Developer provides status updates to manager and
aligns on backlog
Mentor
“ I want to guide citizen developers in the best practices of App
Studio and Pega so that they can become effective and
independent as application developers"
Goals
• Review application development requests
• Mentor citizen developers with respect to application development
• Advocate the use of App studio as the default choice for citizen developers
• Run the App Factory program internally so we can iron out issues and ensure seamless adoption by users
• Help citizen developers resolve integrations and platform issues and provide deployment guidance
Key drivers
• Whether the citizen developer came with an idea and was able to develop the app using App Factory.
• Whether citizen developers are satisfied with App Factory and release apps frequently to add new features
• Whether the citizen developer become more capable and independent post coaching.
• App usage - Daily active users, average session time, daily case volume
Tools
• App Studio - Using app studio is promoted as it is simpler than Dev Studio and reduces bugs
• Dev Studio - Use it for mentoring on advanced use-cases that can’t be done on App Studio
• App Factory - Mentors encourage developers to use pulse & spaces in App Factory to interact with their users
• Webex Teams - Post notifications for system updates
Main stakeholders
Cloud Engineer
“ I want to provide a seamless experience to cloud clients and
interact with internal teams to resolve issues"
Goals
• Handle provisioning and upgrade related issues from clients through Global Client Support (GCS) Portal
• Provision new environments and upgrade version of environments so clients can use the latest Pega version
• Route feedback from clients on automation or improvements in GCS portal to Product & Development teams
• Interact with cloud and platform engineering to fix known issues
• Work on strategic initiatives to automate cloud environment delivery and up-gradation to latest Pega version
Key drivers
• Ticket resolution time & engineering hours saved by using automation scripts
• Automation sucess & failure rate
• Bugs reported by clients after environment delivery
• Number of service requests (SR) reopened by client
Tools
• Global Client Support (GCS) Portal - Interact with clients on SRs raised by them
• Global Operations Console (GOC) Portal - Automation tool for client support. e.g. infra and platform upgrades
• Pega Diagnostic Cloud (PDC) Tool - Helps give clients access to self service functions
• Contract Portal - To verify whether provisioned assets match what was agreed upon in the cloud contracts
• App & Dev Studio - Used during platform upgrades to monitor provisioning services
Main stakeholders
Support Engineer
“ I want to provide a good experience to clients ensuring that they
succeed in their business using Pega"
Goals
• Creates service requests (SR) to resolve client queries by identifying the level of support required
• Creates sustaining engineering (SE) items for complex issues which need support from engineering teams
• Works with Service Assurance teams to provide on-site support and maintain the relationship with the client
• Forwards feedback from clients to product & engineering teams enabling product improvement
• Works on strategic initiatives to minimise recurring issues and promote a self service model for clients
Key drivers
• Average resolution time & Average time taken to create SE items
• Number of internal escalations i.e. SRs routed to wrong queue
• WFI count - SRs open due to no response from client or engineering
• Number of SRs resolved & Number of SRs reopened by client
• Percentage of SRs resolved without creating SE items
Tools
• App & Dev Studio - To replicate issues and work on API’s
• Global Client Support (GCS) Portal - To update service requests and analyse reports.
• Global Operations Console (GOC) Portal - To perform basic troubleshooting tasks in client’s environment
• Agile Studio - To communicate with product and engineering teams on SE items & client feedback
Main stakeholders
Cloud Engineer
“ I want to develop applicatios that can scale seamlessly and
handle multiple requests while provisioning the Pega platform"
Goals
• Develop cloud tooling to help Service reliability team (SRT) provision & update Pega services on any cloud
• Maintaining the Global Operations Console (GOC) portal
• Plan for epics by checking technical feasibility, integrations needed, dependancies, UX artefacts.
• Supporting SRT Team to resolve maintenance issues
• Addressing sustaining engineering (SE) items received from Global Client Support (GCS) Team.
Key drivers
• Code reusability
• Quality of code written (checked via Code reviews)
• Cost Optimisation by reducing time of build
Tools
• Agile studio - To update sprint related items and access documents on spaces.
• Dev Studio - Used to check if platform upgrades to an expected build
• Admin Studio - To monitor queue processors and to carry out debugs
• Deployment manager - To check if a feature works as expected upon update
• Jenkins - Build tool
• Intelli J - Code Editor
• Docker - To create and deliver installation image and containers to run code
Main stakeholders
Product Owner
“ I want to understand the pain points of clients, app teams and
partners, translate them to product requirements and deliver
features that solve these business problems"
Goals
• Analyse feedback from pre-sales, forums & tickets on Global Client Support (GCS) to translate as requirements
• Define release roadmap based on the top problems to be solved in a release by defining Epics, Goals and User
stories. Groom the backlog and monitor delivery
• Plan for upcoming releases by analysing competitor apps, blogs and analyst reports.
• Improving quality by working with QA to resolve bugs and achieving maximum automation for features.
• Analysing feedback from internal clients who serve as adoption partners and translate it into requirements
• To have documentation on the greatest and latest features updated on Pega community
Key drivers
• Number of bugs
• Release related timeline and delays
• Internal Adoption Rate - Feedback from internal teams indicates interest
• External Adoption - Clients interest in existing features and ask for new features
Tools
• Agile Studio - Backlog and bugs management
• GCS Portal - For viewing client requests and feedback
• App & Dev Studio - For validating features developed
• Office 365 - For documentation
Main stakeholders
QA Engineer
“ I want to adhere to QA processes & deliver product of the highest
quality with a good automation pipeline so that regressions are
not introduced in case of changes"
Goals
• Prepares epic level test plans, write test cases, executes test cases when code is delivered and reports bugs
• Define release roadmap based on the top problems to be solved in a release by defining Epics, Goals and User
stories. Groom the backlog and monitor delivery
• Writes automation test cases and analyses daily automation failures
• Performs testing on platform milestone builds
• Performs established QA practices - checks code coverages and carries out code reviews for UI tests
• Provide sprint demos to Alliance and Tribe Leaders
Key drivers
• Number of high priority bugs per release
• Automation coverage percentage
• Code review
Tools
• Agile Studio - To reports bug in each release, test case design and execution
• Selenium - Used for automation
• Ruby mine - For writing UI tests and checking automation coverage
• AUT Framework - Unit testing framework, available in Dev Studio
• Pega Units - Used for Scenario testing
• Bitbucket/GIT - For maintaining automation scripts
• AWS Tools - For deploying builds in cloud servers
Main stakeholders
Release Manager
“ I want to plan for current and future releases by faciliating
collaboration between tehnical and non-technical teams to drive
quality product development"
Goals
• To plan and deliver major, minor and patch releases by packaging code received from various teams, carrying out
quality checks and sharing its availability with clients so they can access new features
• Checks goal progress with tribes, escalates resourcing issues and connects various engineering teams to keep
the project on track. Also checks for internal adoption and backward compatibility of all epics
• Faciliates Release Escalation Meetings to discuss progress on release milestones and assesse any risk.
• Works with platform teams to ensure bugs assigned to them are resolved in time for certification
• Works with Keep Pega Current team to provide GA builds to the consuming platform teams
Key drivers
• On time delivery for major, minor and patch releases with utmost quality
Tools
• Agile Studio - To check status of work items and communicate through pulse
• Jenkins - A DevOps tool for defining pipelines, packaging code and producing builds
• Trello - For task management
• App Factory - To create apps for automating the bug approval process using an app from App Factory
• Office 365 - For creating reports and presentations
Main stakeholders
Product Executive
Own all Pega Products
Executives
Release Manager facilitates release escalation meetings during
development to assess risks and discuss release trend
Scrum Master
“ I want to help scrum teams become self organised, and resolve
impediments so that they are more efficient and are able to
deliver the work planned for every sprint"
Goals
• Ensures architecture, test plans, designs & acceptance criteria are ready before development begins
• Conducts Sprint grooming to discuss upcoming release work and prioritise epics
• Conducts Sprint Planning to discuss implementation and design of user stories in prioritised epics
• Conducts daily scrum once development begins to discuss updates and blockers
• Facilitates reprioritisation on account of escalated servcie requests (SR) and sustaining engineering items (SE)
Key drivers
• Epic cycle time & Epic reaction time
• Epic committment vs. epic delivery
• Number of high priority bugs indicates missed use cases
• Reduce number of SEs with time
• Automation coverage & Hardening Index
Tools
• Agile Studio - To check backlog health, status of bugs and user stories
• Online Boards - To make retros interactive
• Webex Meeting - To record sprint reviews
• Office 365 - To make reports that can’t be derived directly from Agile Studio
Main stakeholders
Software Engineer
“ To write bug free code for features with a scalable design,
low latency and high throughput covering the maximum
test cases possible"
Goals
• Works with product owner and the UX Designer to understand requirements and discuss implementation
• Defines high level technical user stories, their order of priority and time estimated for developmen
• Works on the technical design of the feature. i.e. defines the data model
• As a SWAT team member resolves sustaining engineering (SE) items reported by customers
• Interacts with internal engineering teams to resolve bugs and interdependencies
Key drivers
• Sprint committment vs. sprint delivery
• Definition of Done (DOD) - meeting acceptance criteria, ensuring performance & backward compatibility
• Trend of bugs over time & Time spent on bug vs feature work
• Keeping Hardening Index in green state & meeting Code compliance score targets
Tools
• Vagrant - Virtual machine setup for
launching development infra for writing engine code
• GIT - Code versioning
• Intelli J IDE - For editing engine code written in java
• Agile studio - To communicate with team and update the status of stories
• Dev studio - For end to end feature development and to verify developed features
• Global Client Support (GCS) Portal -To check SE items
Main stakeholders
Tribe Leader
“ I am responsible for end to end client experience & want to make
a positive difference in how Pega products are
received”
Goals
• Defines areas for product owners & engineering leaders to focus on in a release ensuring unified vision
• Defines acceptance criteria and resolves dependancies to ensure the scrum team has the required clarity
• Collaborates with sales, enablement and marketing to frame the right messaging to position the product
• Ensuring smooth internal as well as external adoption and providing support in case of issues
• Take account of sustaining engineering (SE) items & feedback from clients to prioritise feature development
Key drivers
• Support requests (SR) converted to sustaining engineering (SE) items
• Reducing the number of SE items and their resolution time
• Time spent on new features vs. bugs
• Reduce number of SEs with time
• Improvement of quality practices over releases, e.g. decrease automation backlog and manual validation
• Number of internal and external clients that have adopted the features and issues reported by them
Tools
• Agile Studio - For monitoring release
goals & feedback items
• App Studio & Dev Studio - To test features once they have been developed
• Lucid Charts, X Mind - For making complex charts and mindmaps
• Office 365 - For Info Visualisation and presentations
• lobal Client Support (GCS) Portal - For checking SE items
Main stakeholders
UX Designer
“ I want to increase the value of Pega products by leveraging user
centered design"
Goals
• Work with Product Owner to brainstorm various approaches to solve problems & achieve the product vision
• Conduct research to analyse similar products within Pega and those built by competitors
• Creates prototype to conduct user testing with internal users checking for task success and usability issues
• Seek feedback from engineering team on feasibility during grooming sessions
• Contribute to strategic design lead initiatives such as Cosmos and Client self service portal
Key drivers
• UX value - Helps assign design resources as per project complexity
• Whether design is researched and validated with Product Owner for solving problems in the right manner
• Qualitative feedback from product owners, engineering teams and leadership
• Qualitative feedback received during Usability testing
• Impact created by feature demos at major events such as Pega world
Tools
• Sketch & InVision - To design
interfaces and create prototypes
• Agile Studio - To collaborate with goal and release owners on planning and artefacts
• Pega Platform - To validate implementation and provide feedback to developers
• Powerpoint & Keynote - To create content for product demos for presentations
Main stakeholders
Business Administrator
“ I want to get everything set up, so that everyone has a valuable
experience with the product”
Goals
• Review, set, and configure the application in order best display data for the analysts and managers
• Runtime is successfully set up and deployed to all data collectors
Key drivers
• Organization structure
• Mapped and tagged applications/screens
• Latest runtime version
• Screen rules
• Processes
Tools
• Email/Chat
• Runtime version assignments
Main stakeholders
Business Analyst
“ I want to have access to all information and insights, so that I can
continuously improve operations”
Goals
• Assist in defining the best and most efficient ways to do production work
• Work with managers to ensure the correct standards are met
• Find automations
• Continuous improvement of the standards
• All data is exportable for reports and other business insights
Key drivers
• Cost savings
• Automation potential
• Business operation performance
Tools
• Email/Chat
• Webex/Calls
• Excel
Main stakeholders
Tech Administrator
I want to make sure runtime and automations are
deployed properly, so that everything is running as
expected
Workforce Intelligence
Send automation requests
Consultant
“ I want to help clients understand the value of the product, so that
they become long-term clients
Goals
• Help clients see the value of Pega Products
• Ensures clients are using and understand WFI
• Highlights the needs of other Pega Products by using WFI
• Acess data to back up the need for other Pega products (Processes, Automations, Opportunities)
• Show clients where and how to find efficiencies or coaching opportunities
Key drivers
• Sales quota
• Renew contracts
Tools
• Email/Chat
• CRM
• Pega Sales Automation
Main stakeholders
Employee
“ I want to resolve work quickly and properly, so I can meet my
quota and provide valuable service to my clients"
Goals
• See if their work is consistent or improving using coaching tools provided
• Compare their efforts with other team members
• Get rewarded or recognition
• Monitor their productivity
• See where they rank among their team members
• See how productive top ranking team members are
Key drivers
• Production score
• Average handle time
• FCR
• NPS
• Tickets open/resolved
Tools
• Phone
• CRM
• Email/Chat
• Printer
Main stakeholders
Frontline Manager
“ I want my team to be efficient and productive, so our clients are
provided with great customer service"
Goals
• Reduce employee turnover
• Ensure optimal team performance on call resolution
• Get high client satisfaction ranking
• Be knowledgeable to confidently inform and support clients
• Review the throughput of their team
• Coach team or individual employees
• Help other roles (Boss, Analyst, IT) see their needs for automations, new standards, efficiencies, etc.
Key drivers
• Production score
• Average handle time
• FCR
• NPS
• Tickets open/resolved
Tools
• Call center application
• Schedule application
• Email/Chat
• CRM
• Phone
• Printer
Main stakeholders
Tech Administrator
I want to make sure runtime and automations are
deployed properly, so that everything is running as
expected
Workforce Intelligence
Assists with new hires & general IT needs & automations
Pega Analyst
“ I want to help clients understand their data, so that they can
optimize operations and evaluate improvements”
Goals
• Analyze clients data to discover and make recommendations on useful features for our clients
• Assist in determining ways to provide more meaningful data.
• Review client’s data to provide answers to the client, so they don’t have to go searching for the answers.
• Creating algorithms that enhance and drive decisions in the product
Key drivers
• Available solutions
• New features
• New insights
• New algorithms
Tools
• Excel
• Tableau
• Python
• Sql
• Hadoop
• (Language?)
Main stakeholders
Goals
• Access client infomration, such as: logs of the WFI WOrker, Node API, and Ingest
• Answer questions like "Are we using the right instance sizes for performance monitoring"
• Quickly stand up or upgrade environments for clients
• Monitor clients' stack to ensure they remain up and running
• Bulk hierarchy updates
• Intelligent monitoring
Key drivers
• Logs
• Instance sizes
• Performance monitoring goals
Tools
• AWS console
• Email/Chat
• Database
• SSH
Main stakeholders
Goals
• Ensure the client has a successful roll out of the Pega Product
• Continued support of the WFI clients
• Track rollout of runtime for who has received and who is waiting
• Adoption rates of the product
• Access client's usage, data, and application
• Assist in upgrading current clients
• Ensure clients are happy with the product
Key drivers
• Adoption rates
• Number of rollouts and upgrades
• Tickets resolved
Tools
• Email
• Webex/Calls
• CRM
Main stakeholders
Pega Support
“ I want to resolve client issues quickly, so that I can meet SLA's"
Goals
• Support clients once their WFI solution has been rolled out
• Runtime client configurations
• Access clients's usage, data, and application
• Help troubleshoot client's issues
• Report any issues found
Key drivers
• SLAs
• Average resolution time
• First contact resolution
• Tickets resolved
Tools
• CRM
• Runtime
• Email/Chat
• Webex/Calls
Main stakeholders
Sponsor
“ I want to pick the best technology solutions for my company, so
that I can bring value at a reasonable cost
Goals
• Understand, present, and share entire value of entire application
• Learn the basics of most pages
• Learn how they cna apply WFI to help their company save money
• Increase efficiency
• Improve processes, technology, and people
Key drivers
• Cost savings
• Efficiency
• RIO
Tools
• Email
• Webex/Calls
Main stakeholders
Tech Administrator
“ I want to make sure runtime and automations are deployed
properly, so that everything is running as expected
Goals
• Get everyone up and running quickly
• Ensure system is running as expected
• Have enough information to decide if something is working or not working
• Effectively implement automation solutions and ensure they are being used
• Evaluate wait time for applications
• Build client configurations
• Assisting integration with other data (system event logs, APIs)
Key drivers
• Total automations
• Adoption rate
• Wait time
Tools
• Text/editor
• Email/Chat
• Automation builder
• Robot Manager
Main stakeholders