Pros
Has a good foundation that supports both beneficial and at times cutting edge projects. May not be as cut-throat as other insurers, since it remains not-for-profit. At times, you can have the opportunity to expand the scope of your work, thereby making it more interesting, if you are so inclined, and have the skill set to do so. But you need to identify such opportunities yourself, and be your own advocate to engage in such work.
Cons
Merit increases fare very low. Penny pinching on almost everything, including appropriate tools to get the job done. Way behind the curve on moving vast stores of data out and converting to information usable at enterprise leve. ; however sense is that this is not much better, nor worse than majority of health insurers, with exception of 1-2 leaders.