Squandered Opportunity - Phreesia Could Have Been Great - Anonymous employee Phreesia Employee Review

2.0
26 Mar 2019
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

1. Standard Company Perks + a Little Extra - Phreesia offers standard company perks, plus extends their vacation offering to unlimited vacation (please know that unlimited vacation comes with a lot of limits and can be problematic as more junior employees don’t know how much time they can take and so often take very little). The company hoodies are nice and employees always enjoy getting them. 2. Business Systems Investment - Phreesia does invest heavily in their business systems (other than telephony which has always been a major issue there). They use the best of the best and have a team that supports the investment. They’re always looking for opportunities to consolidate systems, but the team completes their assessments thoughtfully. 3. Market - US Healthcare is dynamic and Phreesia gives employees a great opportunity to understand healthcare from the inside. This can set you up for bigger and better opportunities down the road. 4. Early Career Opportunities - Phreesia is focused on early career hiring. This can be great for students coming out of University that are looking for their first job. Phreesia offers better than market average compensation, benefits, and comprehensive training. This can help young employees get their feet under them, gain some experience in a tough environment, and build a resume of skills to take with them to new opportunities. 5. Great Customers - Phreesia has some really wonderful customers who care about the product, care about the company, and want to partner with Phreesia. Phreesia's internal processes and staffing issues sometimes let these customers down but Phreesia keeps their churn low because they serve a true market need and their customer service is top notch. They may not be perfect (far from it) but their product closely aligns with the needs of customers. 6. Product - Phreesia has an innovative product. They're constantly expanding their product offerings and engaging with the market to understand what will be the next big thing. Strong integration partnerships, with the heavy weights in the EHR market engaged as partners, along with the ability to service both ambulatory and acute care settings mean that a huge market opportunity is open to them.

Cons

1. Chaotic Leadership - Phreesia’s CEO is chaotic, unprofessional, and unreasonably demanding. His leadership style frequently creates internal chaos and instability - teams are constantly refocused or restructured in order to support his new direction (or whim). The leadership team tries their best to control his worst impulses and mitigate the chaos he creates, but an inordinate amount of energy is spent managing around him. Many VPs are frightened of the CEO and will bend to his requests, regardless of the impact it has to their teams or customers. Whole days can be spent completing research based on an off hand request from the CEO - Directors and VPs will rush to move resources around in order to complete these requests, only for the question/issue/idea to never come up again. Evening leadership meetings are a requirement and frequently have leaders scrambling on the day of their meeting to coach employees, prepare material, and prepare back up material in case the CEO is in a bad mood (once the call starts, it’s not uncommon for one of the more senior leaders in the room to tell their team that the CEO sounds like he’s in a bad mood and to get ready). Phreesia wastes so much energy catering to their CEO, his moods, his whims, and his opinions. The panic that comes over their VPs faces when he emails or calls them out of the blue isn’t normal. 2. Company Culture (or lack thereof) - Phreesia’s founders don’t believe in “manufactured culture”. They approach company culture as an organic development. This might have been effective when the company was under 100 employees. In their earlier days, the employees they hired had similar work ethic, backgrounds, and motivations. But, as they grew, this was no longer entirely true and there became no overarching company culture for new employees to tap into. There are no core values that all employees could name, let alone uphold. Additionally, and most concerning, the approach to “organic” culture means that negative company culture can permeate if there are a few leaders that promote that kind of environment (lack of empathy, bullying, lack of respect, public shaming/ call outs, blame culture, etc.). Those leaders, that have brought with them negative company culture or leadership tactics, create a toxic workplace. 3. Toxic Workplace - Phreesia is an “always on” company. People are sending emails as early as 5 am and as late as midnight and they are often expecting an immediate response. Feelings of guilt creep into many employees daily lives - they’re worried that they aren’t seen as doing enough, achieving enough, or being available enough. It’s not uncommon to see people in the office from 8am-7pm. The message from management is always “you don’t need to work that long/ that many hours” but they are setting the example by being there, and available, at all hours. A normal work week for many gets close to 60 hours per week, with more hours expected during busy periods. History has also shown that those people who only work a 45 hour week don’t get promoted or praised. They don’t get opportunities. Favouritism is real at Phreesia. If you’re not liked, you aren’t getting ahead. Even if you’re qualified, doing excellent work, and taking on the responsibilities of a more senior position, if you’re not a favourite you’ll never make it. Some directors have spent months trying to get people’s opinions to change on certain employees in order to get them promoted. They deserved the promotions and were great employees but if senior leadership has a negative opinion it can be almost impossible to move that person ahead. 4. Performance Management - Phreesia’s performance management culture is extreme. Missed objectives mean performance plans. Note, it isn’t a “trend of missed objectives” - a single missed objective is enough to get someone on a level one performance plan (not always, but this does happen). This has been true across the organization, from SDRs, Client Success, Client Services, etc. This is not an isolated departmental issue. There is always a focus on the “bottom 10%” of performers company wide. The question to managers isn’t “How can we help this employee succeed? What do they need help with and how can we get that for them?”, it’s “What are you doing to get them out or make sure they're performing above plan? When will you put them on a performance plan? What month do you think they will be termed?”. These are conversations all managers, directors, and VPs are having. The pressure on middle management to clear out their “bottom 10%” is felt by the employees. Most employees, who aren’t part of the favoured few, constantly fear for their jobs. They see their coworkers terminated with no communication from management beyond the fact that the performance management process was followed. This has a devastating impact on morale. It also contributes to their high attrition rate - no one wants to stay at a company where they don’t see stability. Monthly “flight risk” meetings are a common occurrence for most department managers. Most employees are, at minimum, casually interviewing. Phreesia is keeping other tech company recruiters busy. 5. Communication and Transparency - Phreesia has a communication problem. Either information is not communicated, communicated ineffectively, or communicated with little to no lead time to make an impact/ alter decisions. There’s very little transparency into the decision making processes which leaves employees feeling destabilized and in the dark. Phreesia promotes that they are “Always Changing” but offer very little reasoning behind their changes. This creates mass confusion, gaps in processes, and fear - instead of communicating why a change is happening, how it will happen, and when it will happen, employees are frequently told “this is how we’re doing this now” and don’t get an opportunity to ask questions, learn the process, or address concerns. Communication happens in silos, with almost no collaboration or shared messaging. It is not uncommon for there to be more than one team tackling the exact same problem/ creating the exact same new process. It’s a waste of time and frustrates employees. 6. Little Opportunity for Growth (in Ottawa) - Ottawa based roles have little opportunity for growth. The expectation is that most people hired into jobs in Ottawa will stay 18-24 months and move on (with even higher attrition rates expected from early career employees). If you’re hired in Ottawa don’t expect many opportunities to move around the company or to try new jobs - they don’t exist for Ottawa based employees. There has long been a perception that the Ottawa office will eventually be closed. Many in Ottawa believe that the Ottawa team is perceived as junior, undereducated, and less capable than the American teams. Leadership creates this perception and it infuses most cross-functional team interactions. The Ottawa team is filled with smart, talented people who don’t get a chance to show their strengths.

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Phreesia Response
7y
Thank you for providing us with your feedback. We appreciate the time you put into this, and we wanted to take a minute to address some of your points. First, we agree with all the pros you’ve highlighted in your review. We have invested a lot in all these areas and we receive a lot of great feedback from our employees about our perks and benefits. As you mentioned, we have great customers. They push us to be better and to continue to innovate our products. Our Early Careers program has been a great success and has been integral in building teams that support our culture of hard work, collaboration, accountability and growth. This program has clearly defined growth paths, which employees and managers review regularly. We also follow a hiring philosophy that leads us to incredibly bright and driven individuals. As our company continues to grow, we will continue to foster internal growth and enhance our focus on professional development, communication and transparency in our process. We do have a robust performance management process and are focused on defining and measuring objectives for each individual employee. This process allows us to ensure everyone is connected to the bigger picture and clearly understands the importance of the work they do and how it impacts the overall business. Not everyone will be successful and while we will give multiple opportunities for individuals to learn, grow and make mistakes, repeated misalignment with expectations does need to be addressed. It would be unfair to the employee and the business to ignore it. We recognize there are two parts to performance management: developing and growing great talent and managing poor performance. We provide our people leaders with tools, training and coaching to enable them to manage the overall performance of their teams and employees. We have career paths for all roles to focus on the skills needed at each level and help employees get to the next step within Phreesia. Managers have regular conversations about career growth and development plans. We have invested in technology and continue to roll out new features to enhance feedback opportunities and 1:1 conversations. All of this supports our employees and our business. There are many growth opportunities for all our employees, including our team in Ottawa. In Ottawa alone, we have seen employees move into Finance, Product Management, Business Systems and Development. We continue to adjust our career paths to meet the needs and demands of our growing company. While change is inevitable, it has opened many new opportunities for employees. With each change, we strive to increase communication and transparency, and reflect on what can be improved regarding change management the next time around. We are excited about the changes and our evolution as it has enabled us to invest in our people and their development. Finally, I would like to specifically address the notion of our Ottawa office closing. Our Ottawa office has continued to grow year over year with new roles being added regularly. Our employees in Canada are integral to the operations of the organization. We will continue to invest in our Canadian office and provide great opportunities for our employees.

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Pros

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Cons

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Pros

The paycheck was on time. Literally, that is the only positive thing I can say about this experience. If you are looking for anything else—growth, respect, or a sense of purpose—look elsewhere.

Cons

Financial Embarrassment - It is insulting to watch leadership spend millions on flashy team meetings and corporate vanity projects, only to turn around and lay off the very employees who keep the lights on. Favoritism - This company does not run on merit; it runs on favoritism. If you aren't one of the hand-picked favorites, you will never be appreciated or respected. You are essentially a ghost in the machine, expected to do the heavy lifting while the "favorites" get the accolades. Culture - The environment is suffocating. Management from the top down has zero interest in the needs or well-being of their teams. There is a total lack of empathy and a complete refusal to listen when employees ask for help or resources. Work-Life Balance - Management views "work-life balance" as a myth. They expect total devotion but offer zero flexibility or support in return. Compensation - The compensation is significantly below market rate for the level of stress and the volume of work expected.

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