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Tandem Diabetes

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Toxic management and low morale lead to burnout - Software Engineer Tandem Diabetes Employee Review

1.0
May 26, 2026
Recommend
CEO approval
Business Outlook

Pros

The patients. The engineers building the pumps care too much about the users to walk out mid-cycle, which is the only reason this place hasn't collapsed.

Cons

1. No Equity for the People Doing the Work. At the May 2026 meeting, investors approved a massive new pool of millions of shares, but management hoards RSUs exclusively for Directors and above. Embedded developers building the core product get zero equity. Instead, when RSU eligibility was stripped from our levels, we were insulted with a single extra day of PTO that didn't even start accruing until seven months later. 2. Unrealistic Deadlines & Demanded Sacrifices. The exact same management tier that stripped our RSUs has always forced completely unrealistic deadlines down our throats. They expect endless personal sacrifices and grueling hours from the very engineering talent they are actively ripping off, treating our time as a free resource to cover for their poor planning. 3. Incompetent, RSU-Hunting Managers. Recent outside management hires are completely clueless about medical device software and don't care about the culture. They constantly change development directions just to look productive. Their clear and only goal is to ride out their vesting RSU schedules and cash out. 4. Skyrocketing Medical Premiums. For a healthcare company, the benefits are a joke and degrade annually. Employee health insurance premiums have literally tripled over the last couple of years, resulting in a back-door pay cut. 5. Chaotic Dev Process Driving Mass Dissatisfaction. The embedded software pipeline has devolved into a bloated, overcomplicated nightmare. The environment is so fractured that it has driven mass dissatisfaction across the entire team; the vast majority of pump developers are completely burnt out and actively looking for a way out. Morale is at absolute zero, and virtually everyone is updating their resumes. 6. Constant Looming Threat of Random Layoffs. On top of everything else, there is zero job security. Management relies on random layoffs that seem entirely arbitrary, cutting talented, hard-working people with no clear operational logic. It destroys any remaining trust and forces everyone to work under a constant cloud of anxiety, wondering who is next on the chopping block.

Explore other reviews about Tandem Diabetes

5.0
Jul 9, 2026
Recommend
CEO approval
Business Outlook

Pros

Fully remote Great people Fair payment

Cons

Career path growth is limited

2.0
Jun 12, 2026
Recommend
CEO approval
Business Outlook

Pros

When I started at Tandem in 2023 honestly it was a fine job. I didn't like my role specifically as I started on the phones and hoped to move up quickly. It started with supportive supervisors in our department and my supervisor did care about my growth.

Cons

While they claim to like to promote from within, they hardly ever actually do. You get stuck in your current position and unable to move up or even to another department. Once a competitor opened their doors, it got even worse. When Sequel MedTech launched, they got a lottttt of our good people and a lot of people started leaving. It ended up that one of the managers, and the three positions above him left (not all went to sequel but they all left about a month after eachother) so that left customer support basically bare bones. It just continuously got worse and I had to get out of there. SOO glad to not be dealing with the hierarchy and having to deal with patients making real complaints and recs, escalating that to management and getting no where. The only reason it's two stars and not one is because I know most call centers only pay like $12-14/ hr and I was making around $21 but truly the pay did not offset the headache of every day work there.

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