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Flatiron Health

Part of Roche

Engaged Employer

Organizational disfunction, albeit good mission - Anonymous employee Flatiron Health Employee Review

1.0
Mar 30, 2018
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

- There are some very excellent people there, though many are disgruntled so watch out for people leaving. - Some opportunity to accelerate cancer care (but it feels pretty mercenary in what is invested in vs not so I this is purely driven by the market and pharma, aka "life sciences companies"). I suspect it will be even more mercenary after the acquisition.

Cons

Overall a super-immature company with troubling growing pains for a company of ~500 - * Major issues with prioritization and under investment in capacity building. * Loads of avoidable fire-drills due to lack of planning and prioritization and resourcing and leadership. * Retention is terrible on certain teams but noone seems to care / do anything about it. I have heard that some execs think that b/c of the social mission we'll just keep attracting great people - that's hard to see. I warn anyone who asks me for a referral off. I have heard people say, "our retention is no worse than other start-ups" - maybe in aggregate, but there are clear areas that are problematic, and I have seen the 'leaders' in those areas just get promoted even when the team is bleeding people. Meanwhile junior low-performers aren't managed out. * Many really insecure people. Therefore it's hard to say 'i don't know', and hard to hear new ideas. * Many former management consultants who don't think broadly enough (consulting style of managing scope creep vs. a broad view of what a product is / should be). * Strange power dynamics with different functions: oncology / product / quant / eng. * Most meetings don't have a final decision maker, similarly for projects. This lack of leadership is problematic.

Explore other reviews about Flatiron Health

5.0
Dec 20, 2025
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

Smart, kind colleagues that all care about the work Inspiring mission Flexibility New CEO/COO have a direction No toxicity

Cons

There are constant changes - reorgs, layoffs, new leadership, etc. Some things are unnecessarily complex and cumbersome but the new direction is focused on tackling this Limited promotions and opportunities for career advancement in general

2.0
May 26, 2026
Recommend
CEO approval
Business Outlook

Pros

Flexible work, anytime and anywhere. Flexible number of hours. Meaningful work. Good managers.

Cons

Terrible pay and poor career opportunities. No raises have been given for nearly 6 years, during which time cost of living has soared 35% or more, and during which time they've actually reduced benefits (decreased bonuses and continuing education fund). There is no financial incentive to work beyond the bare minimum because of the terrible pay and lackluster bonuses. I applied to a higher level position which perfectly matched my background and experience; despite working for them (without a raise) loyally with quality work for 5+ years, I didn't even get an interview. There is just no future at this company.

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