When Rachel Marling moved to New York to study photography at Pratt Institute, a career in human resources was far from her mind. However, like many others working entry-level jobs, she discovered that career detours can lead to unexpected destinations.

“I joke with my colleagues that it’s the natural segue into HR,” Marling said during a fireside chat at From Day One’s NYC half-day benefits conference. The unorthodox start gave her a deep understanding of the intersecting paths of life and work.

Marling joined New York Presbyterian Hospital in 2018 after spending over 13 years at a management consulting firm. Less than two years later, she dealt with the disruptions that came after Covid-19. The world has been in flux ever since, forcing businesses and workers to adapt as best they can. “And we’ve come past that hump, but I’m not sure that all of the anxiety and the agita is gone,” she said. 

Marling, now the VP of total rewards at New York Presbyterian Hospital, shared insights and experiences about how leaders can help navigate instability and the unknown. 

One way she does so is by focusing on employee well-being. From a business perspective, it’s in the employers’ interests to keep their workers motivated. This is a challenging burden to bear at a time when businesses and people face hardships like soaring prices, high rents, and instability from ever-changing government policies.

Healthcare providers like New York Presbyterian need their staff to be mentally present so patients receive the highest quality of care. “Nurses are a big part of our workforce, and nursing does still skew female in particular age brackets. So, thinking about the demographics of our employee body, we have invested a lot in what I will call family-friendly benefits,” Marling said. 

The benefits include daycare subsidies, college coaching for older kids, and elder care services. Such programs help lighten the load of caregivers, allowing staff to focus on patient care while at work. The programs pay off by reducing adverse outcomes like absenteeism, presenteeism, and employee turnover.

While it’s tempting to view additional employee benefits as unnecessary overhead that organizations can avoid, Marling has a different take. “We can’t spend money we don’t have, but investing in your workforce is the same as investing in equipment that you need,” she said. “You can’t run a business without people, and those people need to be healthy, they need to be plugged in, they need to be engaged.”

Marling suggests negotiating with service providers to manage costs. “We all in our organizations are looking at market volatility and costs and saying, ‘What does this mean for us?’ Your vendors are doing that too,” she said. “So don’t be afraid when you’re going to contract, or even if your contract isn’t up. If there’s something that you want or you need, ask for it. The worst they can say is no.”

Some service providers guarantee specific outcomes or returns on investment, she says. “You can, of course, hold them to those terms. So that’s something that you should absolutely ask about if you’re going down that avenue.” 

Vendors also offer flexibility in their pricing models. Some accept annual retainers and charge clients for every employee who uses their services, while others charge a flat fee regardless of the number of employees who use their services. Employers should invest in models that work for them and their workers.

Marling also addressed how AI is changing how we interact with data. “Because of HIPAA reasons, we’re not in our claims data,” she elaborated. This is where AI comes in, keeping patients anonymous while executing pattern recognition to predict and hopefully improve patient outcomes.

Healthcare organizations can use the results to shape wellness programs for individuals who may benefit from such interventions statistically. To ensure HIPAA compliance, healthcare providers also use AI-powered tools to execute patient outreach functions.

Ultimately, wellness and productivity tools are most effective when used with intention. Marling urges leaders to be purposeful in how they support their teams, offering encouragement while also recognizing the challenges employees face both at work and at home.

“It really makes a difference in how people show up, right? Are they coming to work feeling supported, feeling that you get it, or is work becoming another source of stress for them? You can’t fix their financial problems, but you can make them feel heard and appreciated,” she said. 

Ade Akin covers workplace wellness, HR trends, and digital health solutions.

(Photos by Hason Castell for From Day One)