Decent place to work, but the large size can be discouraging - Manager Atrium Health Employee Review

3.0
12 Feb 2016
Recommend
CEO approval
Business outlook

Pros

Excellent patient care provided here, feel good about being part of the company's mission. Enjoy working with most people here. Many opportunities to move around and eventually up within the company. There is a definite push for employee engagement and retention, and the company does try to keep employees happy, even in these challenging financial times for healthcare in this country and in NC. In recent years, there has been more flexibility in work life balance options for employees, including work from home opportunities and chances to have more flexible schedules.

Cons

Politics. Also, so many layers of management dilute the ability for managers to actually accomplish things or make decisions on their own. Managers, directors, AVPs, VPs, SVPs, EVPs, President, and then CEO...there must be another layer in there because I know that, as a manager, I am considered "level 9", which means that's how many layers I have to go through to get approval on any decisions for my team. Therefore, all changes are made at a snail's pace, if at all. This can be frustrating and de-motivating. Also, I know that healthcare benefits are probably worsening for most people, but the benefits offered here were the worst I had ever seen in the 15+ years I've been working in healthcare, and during the time since I started at CHS back in the mid 2000s, my benefits have worsened every year, with this year being the absolute worst (now there is zero choice: everyone has a high deductible plan and has to pay thousands before the co-insurance benefits kick in, at which point we still pay 30% of everything). I just paid over $200 for a prescription that cost me $4 several years ago (and, my husband still pays $4 for his prescriptions, because he is on his own separate plan. He takes one of the same medications that I do, yet his insurance pays for his medicine. He is an engineer. You'd think working in the largest healthcare institution in the state might get you decent health benefits, but nope, not the case).

Explore other reviews about Atrium Health

5.0
27 May 2026
Recommend
CEO approval
Business outlook

Pros

Good benefits, work life balance

Cons

have to use PTO for holidays

1
2.0
21 June 2026
Recommend
CEO approval
Business outlook

Pros

I spent many years in outpatient rehabilitation and saw firsthand how much meaningful patient care can happen when clinicians are empowered. Earlier in my tenure, there were real opportunities for growth, mentorship and professional development. The team was collaborative and deeply committed to patients, and support staff worked hard under challenging circumstances. Those are strengths worth acknowledging.

Cons

As leadership changed, the culture around performance and advancement shifted. Over time I felt that institutional memory, specialty expertise and long‑term contributions were not valued consistently. Promotion practices seemed opaque, and I saw clinicians with substantially less experience and questionable communication acumen move into roles without clear explanations. Most importantly, I experienced increasing friction between high performers and leaders whose roles felt more performative than grounded in clinical or operational expertise. That tension appeared to be tolerated by the institution. Questions about decisions were discouraged, and requests for discussion went unanswered—even when they came from people with decades of service and a record of strong outcomes. After years of above‑average performance reviews, the feedback I received near the end of my tenure seemed inconsistent with my record and, in my view, hypocritical. This sudden shift in narrative felt like a mechanism to justify decisions already made rather than an honest assessment. For clinicians who invest deeply in their programs and relationships, contradictory or last‑minute feedback is demoralizing and undermines trust in the review process. Although department leaders appear to view themselves as emotionally intelligent, my experience was quite different: they delivered polished, stoic performances but did not exhibit the empathy, listening, or unbiased 360 assessment skills that clinicians need from leadership. That disconnect was another source of friction between high performers and management.

1
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