Pros
1) Well compensated, good quality benefits & PTO.
2) Many talented and dedicated colleagues who genuinely care about helping members and supporting one another.
3) Meaningful work helping members improve their health.
Cons
1) The company's mission to "help people and communities achieve better health" is a scam. They do not actually care at all about helping people be well. Member concerns that are repeatedly presented to management by frontline employees are completely ignored. Health services, procedures, prescriptions, etc. are repeatedly denied for coverage despite physicians having well documented reasons for ordering them. Ultimately, their sole concern is money. Just another soulless corporation.
2) Layers upon layers of red tape making it extremely difficult to implement any meaningful changes, even when issues are WELL documented.
4) Frontline employees are expected to achieve outcome metrics despite management lacking the comprehension that actual behavior change doesn't happen after a couple phone conversations providing health education.
5) Difficulty for members to find certain in-network providers, creating frustration for both members and employees.
6) Employee feedback is ultimately ignored despite their pretend emphasis on "transparency". They like their employees to be "Yes men." They actually pre-select employees to ask scripted questions at big meetings to look like they actually care about what employees have to say. I could not believe it when I heard this from a coworker who was selected and told to ask a question!!! The new CEO actually knew all questions ahead of time that would be asked so that he would have canned responses to provide.