therapist

licensed clinical social worker

health coach

Vida Health

Our biggest contract was suspended and I was let go as a result.  My members mostly had type 2 diabetes, hypertension, obesity, and high cholesterol.  Typical day was 3 or more consultations on the days and times I set on my calendar.  Members could view your calendar on the dash and schedule based on your availability.  Initial consultations were 45 mins. and follow-ups were 30 mins. for a total of 20 consultations over a one year period for the Whole Health program.  My lead was very professional and always available to answer my questions.  We had monthly CPE opportunities and paid to attend in person via Zoom.  Bi-monthly meetings with our team.  We communicated via Slack.  They provided a Motivational Interviewing course that I took and was the highlight of my experience with Vida.  Bonus if you are a CDCES and lots of training opportunities and support to become one.  There were a few Quality Assurance requirements that they tracked.  Must respond to messages within 24 hours.  Complete progress notes within 24 hours.  Send new member an initial message with 24 hours.  Set a member goal within one week of initial consult.  You also had to track your hours in ADP and designate how much was member time vs. admin time vs. meeting time vs. training time.  If your ratio of member time was too high your time sheet was not approved.  All consults were recorded in the Dash and randomly monitored by Vida.  Every quarter they did an audit of 4 or more of a member's progress notes and messaging quality.  Monthly 1:1 meeting with your lead to review your results and provide feedback.  No section of progress note could be left blank and you must send a follow-up message in the app via chat within 48 hours recapping the consult and updating their wellness plan.  Strict about resources you can send to members, had to only be from Vida approved sources.  The members make it worth it all.  The progress they made between sessions was such a rewarding experience for us both.  

They are doing great work in the world by providing health coaching to those who need it most.  Client work is rewarding and it's fun to meet with folks from all over the country.  I applied for this as a part time job knowing that there was a 20 hour per week minimum.  I had two interviews - during both, the person interviewing me was in a rush and had no time to answer any questions that I had.  There are many technology programs to learn but they do have a pretty clean, functional interface.  Training is overwhelming and is done through online training modules without much direct support.  A coach lead was assigned to me.  She was as supportive as she could be but was clearly overwhelmed and there was not much time to communication outside of quick messages.  As a part time contracted, I was assigned over 30 clients and was not manageable on top of my other full time job.  You generally have 30 minutes to contact your client, deliver the consultation, and complete notes. Other time is spent on meetings, trainings, and following up on crisis situations.  I learned during my time there that they had grown from 200 coaches to 800 coaches in 6 months.  It was clear that they did not have enough staff to support that rate of growth.  My pay rate was $23/hour which I do believe is higher than some other online coaching programs.  As a contractor, I had no benefits at all.  I may have continued with Vida if I could have worked there full time with benefits allowing me to leave my other position.  It did not seem that would be possible any time soon.  Again, they are doing great work and they do seem to support a positive culture with fun events during all provider meetings and the opportunity to connect and share together online as a team.  

The role is heavily focused on outbound calls pushing enrollments to members who often do not want to be contacted. Employees are expected to call the same members multiple times a week, even when they have already expressed frustration about the frequency of calls. This creates an uncomfortable dynamic where agents feel like they are harassing people rather than actually helping them.

The work is extremely repetitive and heavily metrics driven. Success is judged primarily on enrollment numbers and call volume rather than meaningful engagement with members. While the job is remote and the pay is decent for call center work, the constant pressure to push enrollments can make the work stressful and demoralizing over time.

Support for employees is minimal. Most questions or issues are expected to be handled through an internal AI chatbot rather than direct help from supervisors or experienced staff. The team leads and support staff that are advertised as resources mainly focus on inbound members and their tickets, which leaves outbound agents with very little real time support when issues arise. As a result, it can feel like outbound teams are left to figure things out on their own. Communication from management is also limited and tends to come primarily in the form of audits or messages pointing out adherence issues rather than guidance or coaching.

Ultimately the job operates much more like a sales role than it is presented during hiring. I asked several times before accepting the position if it was sales oriented and was told it was not. That turned out to be very misleading. If the expectations had been communicated honestly upfront, I would not have left my previous full time job to take this role.

The work environment is a demanding and challenging pressure cooker. Employees are paid hourly, and to earn the expected pay, you must take 10-12 virtual calls daily while documenting detailed information from each call like a secretarial machine. You receive only half the pay for no-shows. Unfortunately, Vida's primary focus is not even on its employees but the almighty dollar in generating revenue rather than genuinely caring for its clients at all. 

The daily schedule is overwhelming, with an excessive number of virtual calls leading to provider burnout, minimal time for breaks, and limited opportunities for quality client interaction. This contributes to stress and fatigue. Instead of feeling like a health coach, you start to feel disconnected and robotic. The discrepancy between the company's mission and how it treats its employees is laughable.

Significant issues with management, lack of support, and poor communication make it difficult to feel valued and motivated. Upper management often resembles a boys' club, and when you ask questions, you receive only superficial answers. There is a general feeling that they do not care. The culture often feels toxic, characterized by high turnover rates and low morale, with continuous layoffs. Moreover, there is no opportunity for growth at this startup company. Overall, it has been a complete waste of time for my professional career.

As a contract dietitian I am able to work "as much as I want". However, they have undersold the amount of clients they get, and the amount of hours you work is based on the amount of clients you see. Hours they will reimburse for are continually getting slashed, and not having benefits makes it hard to see myself in this job long term. I was initially intrigued in this position because helping people manage their chronic conditions through nutrition is why I became a dietitian in the first place. The problem is, I don't see how this model is sustainable. It seems they have undervalued the work dietitians do for their clients consist of large corporations and insurance companies. It is ironic that for a company the size of Vida who provides benefits for employees of other large companies, that they are not able to do so for their own providers. You might think that they would pay more to offset those costs, but they pay based on zip code of the provider, that wage is non negotiable, on par with other dietitians in that area (who receive benefits). Vida is undervaluing the role of nutrition in offsetting costs for long term health conditions. Shouldn't they have asked for more up front from their clients, instead of making their providers pay with low wages and unpredictable hours? 

The work environment is challenging. You're paid hourly. To make the allotted pay you're expected to take 10-12 virtual calls daily plus documenting detailed information from each call. You're paid half the amount for no shows. Vida's primary focus is generating revenue rather than genuinely caring for their clients. The daily schedule is overwhelming, an excessive number of virtual calls creating provider burnout,  little time for breaks or quality client interaction , leading to stress and fatigue. You no longer feel like  a health coach instead you feel disconnected and robotic.  
There are significant issues with management , lack of support, and poor communication, which make it difficult to feel valued and motivated. When you ask management questions you are given superficial answers. The culture often feels toxic, with high turnover and low morale.  There are continuous layoffs.  There is no opportunity for growth at this start-up company. 

What is the best part of working at the company?
Fully remote position with decent pay at $21/hr and a quick interview and onboarding process.

What is the most stressful part about working at the company?
The training structure, unrealistic assessment expectations within 48 to 72 hours of starting, micromanagement, excessive camera enforcement, and a role that is misrepresented during the hiring process. The disconnect between what is advertised and what is actually expected creates unnecessary stress from day one.

What is the work environment and culture like at the company?
The culture is heavily surveillance driven. Camera enforcement is strict, Slack availability is monitored at all times, and immediate responses are expected. Micromanagement substitutes for actual coaching and support. The environment feels more focused on monitoring employees than developing them.

What is a typical day like for you at the company?
A typical day consists of making outbound calls attempting to convince members to enroll in the program. Despite being advertised as a member services role, the day to day functions are sales driven. You are essentially a sales agent without the title or the commission.

I joined Vida earlier this year as a way to stay in touch with counseling adults with chronic diseases, as my primary job as an RD is more operations oriented. I have a very supportive team lead who has supported and offered me solutions when I felt overwhelmed with work-life balance and at times when I craved a greater challenge. I'm happy to work with clients who show up every week to appointments and to learn from people of varied walks of life, something I didn't get at my previous outpatient job. The pay isn't great for a contractor position that offers no benefits, however, this is a great way to step into the realm of telehealth, especially during this pandemic. Onboarding and getting the hang of things can be extremely confusing and overwhelming, but if dozens or other coaches, RDs, etc have done it and are thriving in their role, then so can you.

Vida was a great company to work for but since 2020 the company has increasingly gone down hill.  Massive pay cuts, multiple rounds of layoffs, unnecessary micromanagement of calendars to avoid paying providers, unstable leadership, etc.  All of this with the ever changing start up environment, which was never a problem for me. but does come with its own headaches. 
Many of the original great leadership team saw what was happening behind the scenes and left on their own.  Providers: coaches, dieticians and therapists who are the face of the product and help the members achieve their health goals are not valued and Vida treats them like robots now.  I heard recently that they no longer have salaried employees and you do not get paid for no shows even though you are ready and there to work during that call time. Also, they had great benefits when I first started and now it is sub par.  

What was once a great place with a really good company culture is now a place to run from. 

Do not work for Vida!! It sounds like a nice WFH job but management is horrible. Pay is sub-par too; definitely not a job worth the stress and way too many meetings. Vida demands perfection and finds any fault with no acknowledgement of what you are doing right. They want a robot and only focus on unclear metrics, never a person who has a life outside of work and who is improving (their words but still let go). They taut Motivational Interviewing but don't hold leads accountable to use it or anything else. My clients were happy and felt supported with no complaints about me but it didn't matter.

Top Job Titles	Average Salary
Therapist 3 salaries reported	$64.17 per hour
Licensed clinical social worker 2 salaries reported	$56.75 per hour
Health coach 1 salary reported	$23.00 per hour

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