Smoke and mirrors, cliques and poor leadership - Client Success Included Health Employee Review

1.0
8 Jan 2026
Recommend
CEO approval
Business outlook

Pros

Good pay, sales incentives on renewal and upsells which is uncommon in CS. Talented, hardworking people on the front lines. Many teammates genuinely care about members/clients and try to do the right thing. If you like ambiguity and firefighting, you’ll get a lot of reps quickly, but there is a burnout culture.

Cons

CS took a noticeable turn about three years ago and has been on a steady decline since -- higher turnover, less stability, and more “cliques” driving how information flows and decisions get made. Lack of clear senior leadership strategy and consistent execution. Priorities shift frequently, and teams are left to interpret (or rework) direction without stable decision-making. Customer Success is treated as the catch-all owner for nearly every facet of delivery, renewals, upsells, plan changes, marketing execution, operations, billing/escalations, often without authority, resources, or cross-functional accountability to match. Direction can feel overly influenced by a small informal circle across Sales and CS. If you’re not in that inner loop, it can be difficult to get context, influence decisions, or challenge assumptions—even when you’re closest to the customer reality. There is an underlying fear culture within CS. Speaking up or pushing back on decisions can feel risky, and many people choose silence over candor because they worry about repercussions through performance management. Decisions are regularly made top-down and then reversed weeks later once frontline teams explain why the approach won’t work in practice. This creates churn, rework, and burnout. Leadership culture can feel more focused on optics and managing up than understanding day-to-day CS realities and enabling teams to succeed. Product and market competitiveness feel stagnant. Limited meaningful product innovation, uneven delivery for members/clients, and competitors have closed the gap, making value harder to defend at current price points. Commercial headwinds are visible: new logo growth has been difficult, and more clients are terminating year-over-year. Significant leadership turnover across business units, with insufficient backfills for critical roles that support client delivery. The load rolls downhill to frontline teams. No clear career path in CS. The ladder is essentially CSM → Sr. CSM, and internal mobility from CS into other functions is uncommon. As a result, many strong performers ultimately leave rather than grow within the company. There is a distinctive inner circle across Customer Success, Sales, and Onboarding that disproportionately influences decisions and too often those decisions seem driven by personal incentives rather than what’s best for clients or the broader CS team. The culture can feel performative and self-promotional (“look at me” leadership) instead of grounded in outcomes and collaboration. Adam Grant’s Give and Take distinguishes between “givers” who invest in others and “takers” who seek to extract more than they contribute. In my experience, much of senior go-to-market leadership at IH (AVP/VP/RVP levels) operates more like takers than givers. If you’re comfortable competing internally and stepping on colleagues to get ahead, you may thrive here. If you value humility, shared accountability, and team-first leadership, it can be a frustrating environment. You should know that CS leadership presents as supportive, but in practice it often feels self-serving and image-driven. If you’re not in the inner circle, you’ll have limited influence and you may be blamed for outcomes you don’t control. I wish someone had warned me.

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Included Health Response
4mo
This is the last thing we want to hear, and we are sorry that this has been your experience with us. Please know that your Talent Partner is always available to provide the support needed to improve your time on the team. We’ve escalated your feedback to leadership and thank you for everything you do.

Explore other reviews about Included Health

5.0
6 May 2026
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

Included Health offers a strong combination of purpose and flexibility, It's a mission driven company leading innovation at the intersection of healthcare, AI, and technology, while also supporting employees with work life balance, remote flexibility, and access to Included Health services for employees and their dependents.

Cons

Possible downsides of working at Included Health are that it can be a fast-changing, ambiguous environment. Being a remote company, communication, shifting priorities, and meeting load can sometimes make focus and alignment more of a challenge.

1
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Included Health Response
2w
We’re glad Included Health’s mission, innovation, flexibility, and employee support have stood out for you. We also appreciate your candid feedback on communication in a remote environment as we continue to grow and improve. Thank you for being part of the team!
1.0
6 May 2026
Recommend
CEO approval
Business outlook

Pros

A positive aspect of the company is the opportunity to gain valuable experience in a fast-paced healthcare environment. The role helps build strong communication, multitasking, problem-solving, and customer service skills. There is also meaningful work involved in helping patients and clients navigate important healthcare needs. Many employees are committed to doing their best and providing quality support, even in a challenging environment.

Cons

Expectations are unrealistic, and performance is heavily micromanaged by leadership through constant metric tracking. Employees are expected to keep up with frequent changes while prioritizing contract clients and patient satisfaction, often at the expense of employee well-being. Very stressful and overwhelming experience! There is little work-life balance they will add you to Evening and weekend shifts even if you were hired mon-fri. Overall, employees feel undervalued, overworked, and unsupported. TERRIBLE EMPLOYER

1
avatar
Included Health Response
2w
Thank you for sharing your feedback and for highlighting the meaningful work and care your team brings to members. We’re sorry to hear this has been your experience. We’re committed to fostering a supportive environment and as a current team member, your Talent Partner is also always available to provide direct support.
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