- At some point, “lean and hungry” just becomes starving. There’s too much work that needs to be done to too many products and systems, and far too few people to do it properly. There’s lots of after hours/weekend work and rigorous on-call expectations. It’s a particularly challenging environment for individuals with significant commitments in their personal lives.
- It’s an intense, constant-growth environment. It’s not enough to be fantastic at what you do. If you’re not on a growth trajectory year-over-year, you’ll be managed out.
- Included Health elevates and rewards transformational leaders who promise the world with confidence and energy. As a result, projects are unrealistically ambitious, chronically overdue and subject to substantial scope cuts late in development.
- Between burnout, layoffs, and routinely managing out the bottom 10-15% performing employees, a significant majority of the founding engineering team is no longer with the company. Institutional knowledge is shallow and not particularly valued.
