Availity has had long term culture problems between its home office in Jacksonville, FL and its acquired/merged offices in Dallas and Indianapolis. Many of the top ranking developers and key technology staff have moved on (due to dissatisfaction), or were forced out after the acquisitions. The business models from these offices were also reinvented leading to changes in the product and, in many cases, dissatisfied customers. This has lead to a high job dissatisfaction rate for customer support staff in these offices. Turn over rates are extremely high in these locations.
Top heavy and top down leadership style.
Yearly bonuses and raises for individual employees are frequently reduced by senior leadership, regardless of numbers the supervisor/manager awards.