The Client
A Fortune 50 healthcare company with over 300,000 employees across the globe, bringing significant onboarding and offboarding challenges and HR needed to handle a large amount of employee transitions annually.
- Total Employees: 300,000+
- Industry: Healthcare
- ATS System: Taleo
- HRIS System: PeopleSoft
The Challenge
- Onboarding 40,000 new employees each year
- A manual onboarding process that involved 6 different emails with instructions to visit a certain website or complete a specific form
- An entire onboarding team needed to manage this time-consuming process
- A poor employee onboarding experience - reflected in a low NPS score
The Need
A way to keep up with all of their employee onboarding needs, ideally without adding headcount everytime HR and TA teams became overwhelmed by the sheer volume and complexity of their processes.
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The Outcome
Significant Savings - In HR Time & First-Year Retention
Our numbers show at least $2 million savings, with estimates as high as $3 million based on:
- 40,000+ onboards a year
- 25% time savings for HR = 1.5 hours per onboard, with a $35/hr average wage (per SHRM, 2025)
- Dedicated global onboarding team scope
This number also doesn’t include first-year retention impact from improving eNPS by 35 points; assuming just 250 of the 40,000+ annual hires stayed longer as a result of employee onboarding improvement leads to another $6M+ in annual savings. (Research estimates $25,000 blended replacement cost per healthcare hire, per Gallup and SHRM).
The client’s team, with our help, built a new guided workflow that led new hires through the onboarding process in a linear fashion. This greatly reduced errors and delays in getting them started and led to less time on their first day on administrative tasks – with all updates automatically pushed to their HRIS.
Even better? If someone was stuck, HR knew where thanks to status updates, allowing them to triage and proactively reach out when needed.

