Company pays a VERY below market base salary, they don’t allow room to negotiate on this. They also guarantee you at least $5000 monthly in incentive compensation for the first 6 months, which sounds nice on paper, but it takes A LOT of patients to exceed this minimum, many do not exceed it within the 6 month guarantee period. They also refuse to share details on how it is calculated which makes it difficult to predict how much you should be making in a given month. The support staff mentioned above are hit or miss. Some psychiatrists have great staff, others have staff that do not respond within an appropriate time frame leading to a lot of headaches falling to those psychiatrists. PTO is also very punishing. Instead of paying you base + a rolling average of your incentive compensation which would make more sense, they only pay you your base on days you take off, so it is VERY punishing towards meeting that incentive compensation threshold, especially since they’re formula is exponential, so PTO becomes more punishing at higher utilizations. So missing time in essence lowers your utilization for the month and thus your pay, so there’s really no incentive to take time off. The company is unfortunately outgrowing its current infrastructure. Also there is no long term plan for how to deal with prescription of controlled substances (which honestly should be a company wide policy not to allow prescription of these) which could be an issue once Ryan Haight Act comes back into effect. Patients are also poorly screened or not screened at all. Many patients have to get referred to in person care. The company encourages you to see these patients even if you know in advance that they are not appropriate for telehealth, which feels unethical to charge a patient just to give them generic in person resources when you know they’re inappropriate. Finally, recently these issues were brought up in a private company channel by one of our psychiatrists. Leadership then deleted the post and encouraged us to only essentially only share positive things on the channel, and to raise concerns with our chiefs (which many of us already do and results in nothing). But this was clearly an act of censorship within the company that refuses to acknowledge that there are issues to be addressed. Bottom line — they have toxicity issues that need addressing. They’re clearly not invested in employee happiness/retention despite superficially making it seem so as they’re unwilling to enact meaningful change outside of “hearing” us.
