High Turnover, Poor Management, and Unsafe Work Conditions — Proceed With Caution - Nurse Practitioner Optum Employee Review

1.0
Dec 6, 2025
Recommend
CEO approval
Business Outlook

Pros

• Help underserved and elderly members—work can feel meaningful. • Solid benefits, including competitive health insurance. • Opportunity to assist members with longstanding issues and educate them about their care. • Student loan repayment ($40,000) and retention bonuses ($20,000) offered. • Calm app subscription included. • Flexible self-scheduling (requires 6–8 weeks’ notice). • Internal classes available for employee improvement.

Cons

• Safety often feels secondary; low-cost vendor contracts affect workflow, documentation, and support. • Management is disconnected and rarely engages with NPs directly. • Surveys feel performative; meaningful change is minimal. • Heavy workload with clunky documentation; allotted charting time often lost to meetings or travel. • Pay inequity: new hires start significantly higher while existing staff get minimal raises (~1%). • Work-life balance is advertised but not reflected; mental and physical exhaustion is common. • High turnover; few clinicians stay beyond three years due to burnout. • Culture leans on fear-based management: unrealistic metrics (85%+ completion efficiency) and small errors (expired or incorrect labs) can trigger performance improvement plans.

Explore other reviews about Optum

5.0
May 17, 2026
Recommend
CEO approval
Business Outlook

Pros

Great company to work with Good work life balance Good pay package

Cons

Neee to focus on new growth

3.0
Jun 4, 2026
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

Some very talented people give so much of themselves to the company, the clients and their co-workers. I work with (and have worked with) some excellent, smart, supportive people.

Cons

Too many layoffs. Upper management is clueless about how the day to day work gets done, what it takes to make certain changes to processes, and how to treat employees. Some are great. Mostly, they just look at numbers. So many of us have been doing our jobs long enough to know what is needed for certain requests. But we don't get a voice. We just have to do it and suck it up. They are firing ('reduction in force') all of the seasoned staff and let the rest deal with the fall-out. So many teams are losing good people but those people are training their off-shore replacements before they are told about being cut. So how is that a reduction in force? It's just a reduction in payroll numbers. Everyone is on edge just waiting for the next axe to fall. And we have to try and learn or teach another role with less experienced people and more work. It's crazy. On milestone anniversaries, they send an email recognition but once the milestone gets to over 15 years, you are a target. Pay and benefits are fine by me. Raises are practically non-existent, even after layoffs and asking employees to take on more responsibility. that's messed up. They talk about work/life balance but that doesn't trickle down to the actual workers who are so stressed they fear for their jobs if they don't do the extra mile. Many of us are just hanging on instead of quitting so we can at least get some severance. Others are actively looking.

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