specialist

director

senior software engineer

manager

software engineer

Aledade, Inc.

In my opinion, Aledade suffers from a culture of toxic positivity. I'm all for positivity, but you have to be able to talk honestly about issues too--they won't just go away if you ignore them.

If you're a mission driven person, I would avoid Aledade because there's a good chance you won't feel connected to the mission. Despite all the happy talk, it's essentially just like any other company with ineffective management, self-promotion, domineering types (enabled by complacent managers), excessive meetings, inefficient project management, and so forth.

If you're more money or career driven, you'll probably also want to avoid Aledade since salaries aren't great. Career advancement seems to be haphazard and not necessarily based on skill, experience, or even having a good attitude. Even if you're good at navigating all the corporate stuff, you're still not gonna get paid as well as you could elsewhere.

I could really only recommend it as a first or second job that you stick out for a year or two and then move on.

The onboarding process is a massive slog where you spend weeks essentially on your own working through a ton of courses in a learning management system. There's important info in some of these courses, but there's just so much that it's impossible to absorb it all.

In addition to all the courses, there's also a bunch of other tasks you have to do, as you might expect, but much of the information is out of date, so you might spend a ton of time confused trying to find the right person or page in the wiki to get things done, often being redirected or given incorrect info. You might also end up waiting an inordinate amount of time to get all of the access necessary to actually do your job.

I don't know if everyone has the same experience, but I wasn't told what I would be working on until I was dumped on a random team, and even then it wasn't clear for a while because the team itself didn't have any sort of onboarding process and made very little effort to explain our work or how it fits into the mission.

Like many companies, DEI seems to be bolted on. They make some effort in this area, but it didn't feel all that welcoming or inclusive to me.

On the technical side there doesn't seem to be a coherent product vision, so there are many glaring issues and inconsistencies. This is somewhat to be expected, but it seemed particularly bad to me without much hope for improvement, largely because any gains would be offset by new issues on an ongoing basis.

Although Aledade is currently growing, I'm not sure this is a good indicator of their future success.

This was absolutely the best job I have ever had until about a year ago and it has been on a steady decline since then, with rapid decline in the past 3-6 months. Seems to get worse each week. Aledade has always been very data-driven, and build their business plans and strategies around data and metrics. However, when data and numbers become a priority over patient care and being personable, and quality takes a backseat, that's when it becomes a problem. There needs to be a balance. It is all about analyzing data and numbers now and not at all about quality or patient connection. That is not what I came here for and that is not what drew me to this job. The patient is what I am here for. Having tough conversations. Building a rapport. Not checking off boxes, or being a salesperson. Aledade has taken a very important, specialty program and driven it into the ground by trying to turn it into a call center when it is NOT that kind of work. They do not listen to feedback from their employees that are doing the work every day. They make major decisions without any feedback or discussion. Upper management is circulated in and out constantly, and they have no idea what the work actually entails, but make decisions that affect us in huge ways. It's a joke. 


While there was a lot of discussion about diversity, inclusion, and 'care actions,' as well as training on effective communication and feedback at all levels, the reality was different. Providing upward feedback often led to it being perceived as disrespectful, and empathy from managers was noticeably absent – an expectation that seemed to apply only to employees. If you encountered issues with your supervisor, termination without clear justification was a common outcome. When seeking explanations, management tended to avoid addressing these issues directly. HR support felt lacking. The company underwent frequent changes, often accompanied by misinformation. Instances of favoritism were not uncommon. The flexibility initially promised became non-existent. While professional development was a recurring topic, it often appeared as mere talk without substantial follow-through. The existence of employee resource groups offered the promise of learning opportunities and community bonding, but the encouragement to participate did not consistently translate into permission to attend these meetings. Terminations seemed to lack clear reasoning, potentially serving as a means to lay off employees without providing severance, despite assurances of job security within the company.

When I started two years ago, Aledade really felt like a mission-driven start up and now it feels much more corporate as the company has scaled.  Turnover rate among entry-level employees and young talent has increased over the past few years.  With so many new hires coming in, there is limited opportunity for internal promotion.  Used to be more of a horizontal org structure with strong emphasis on employee learning and development, whereas now it feels much more vertical with my team manager developing a new metric to grade employee productivity each month.  I hope they can find a way to better balance team goals/productivity with employee growth/development.

The fully remote work environment makes it harder to develop meaningful interpersonal relationships with co-workers.  The once a year retreats are nice, but then within two weeks everything is back to how it was before.  

Once leadership takes a breath and stops chugging the Kool Aid, they will see there really are a number of innovative health systems and alternative models out there that support primary care in addition to Aledade's platform.  Tired of hearing leadership bad mouth the competition... this hubris really extends from CEO down.  Yes, confidence is important, but remember to be humble.

Aledade's model has proven to be profitable and the company is now in fast growth mode. This means many colleagues are newer to the company, and the tools and focus areas are continuing to evolve. The leadership team is very strong and accomplished, and their focus on company culture is genuine. As new roles are created all the time, career growth is achievable, although notably more in some teams than in others. Aledade has only a few offices and employees are not required to work in an office. We've learned how to be effective through minimal travel as well, so work life balance tends to be above average. Our work is changing the lives of hundreds of thousands of patients for the better, which is a rewarding aspect of the work. With a startup comes a lot of lattitude to get the work done how best you see fit, which also brings challenges of non-standard framework, but a new team is working to improve this. Unique benefits include equity in the company, 6 week paid sabbatical, tuition reimbursement, and gender neutral parental leave. Aledade is an exciting, challenging, and rewarding place to work!

As a healthcare veteran with clinical and administrative medicine experience I wanted to work for a company with a healthy organizational culture, a strong mission to transform healthcare and on the leading edge of technology enablement for primary care.   I found all that and more at Aledade.   I'm happy I have been able to apply all of my knowledge and experience while finding further opportunities to grow and learn.  I feel valued and more importantly, get to work with truly talented, friendly, amazing people I'm proud to call my colleagues and friends.   I love how we celebrate our primary care partner practices in our ACOs - it's the first thing you see when you come to our office.   We are growing by leaps and bounds yet maintaining our unique culture.   Any healthcare organization that is bent on making the lives of our patients truly better through tech-enablement while partnering closely with exclusively primary care independent practices AND that has spa-water Wednesdays can't go wrong!

As a contractor, I was super excited to work for this company and start the job. I had a couple of hiccups the first week (all my doing)  which were corrected, however, two weeks later into my third week, I was let go. My contractor let me know it was due to the reasons that were cited to me two weeks prior. This AFTER I had been given positive feedback that I was doing well and asking the right questions. While I wouldn't discourage anyone from working for this company, I would indeed tell you that if you're coming in as a contractor, don't expect to get honest feedback across the board, expect to have to stay on the head of said 'team lead/supervisor' for feedback and make it clear you want to be on the same page about it, so in the unfortunate event of them letting you go, you know you did everything you could do to communicate and have transparency in your communication. 

On the local level our team is tight knit and helpful. Aledade upper level leadership is constantly in flux. Restructuring seems to be non stop and all of a sudden people are gone. We end up with constant tasks from the top down that don’t take into account our states contracts and work needs.salary and raises aren’t keeping up with industry average and bonuses have been later every year. Aledade takes good care of the practices we work with but not its employees. The people team is worthless. You’ll never get a response and if you do they don’t answer questions or just don’t respond or toss it to someone else that can’t answer it. 

Positives- great colleagues, good “swag”, provides work at home equipment, focuses on doing the right thing for patients, DEI focus, excellent medical benefits. 
Negatives- no work life balance - people across all teams are working way over 8 hours a day, many up to 80 hours a week. They encourage work life balance but in reality there is no way to get the amount of work done in 40 hours, duplicative work amongst teams, silos, hiring more and more executives and not people to do the work, young company who promotes young people with limited job experience and no experience outside of Aledade - creating downstream effects on teams. 

The company started out extremely strong. The culture was great; everyone supported each other; people worked super hard in the name of the mission. A few years later and the wheels seem to be falling off. The C-suite remains the same year after year and they just repeatedly fire all the people directly beneath them and start over from scratch. Leadership’s arrogance seems to be getting in the way as they refuse to believe that we have any real competitors. The culture has become really bad and many people are feeling extremely discouraged and disheartened. 

Top Job Titles	Average Salary
Specialist 1 salary reported	$72,500 per year
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