Crabs in the barrel mentality, resources are limited. While there are some great people working for the company, they are often overshadowed by those who are allowed to take credit for the work of others. Reporting any complaint to HR is a joke and often results in retaliation. My vacation time was spent constantly working. Never could disengage from work. The health plans are run autonomously and there is little- to -no connection with the specialty companies if they choose not to .