Leadership is clueless. Kids of the owner run the show. Over the last 5 years I have been here, we work our tails off and receive no recognition, only harder deadlines and comments about reducing staff by 10-20 % every year. They used to have some great managers in the corporate office but they all eventually leave or get pushed out. If you are a yesman/yeswoman you get promoted rather than talent/ability. Senior positions held by mostly family members. Some departments are a complete joke such as Patient Access. Here is an example. They had a really good project manager named Baljit from Chicago who was a doctor. He made some good changes and so this department finally knew about policies of admitting patients, accepting insurance etc. He worked closely with another manager Janet who was very knowledgeable. These two individuals were on different teams tackling different issues in patient access from different sides. The leadership at the time didn’t like that for some odd reason and moved the people who actually knew what they were doing from the process. Since billing/coding/utilization review/patient access all has to work together in this work setting, every department leader is stuck in their own way of doing things. They don’t like to collaborate to solve problems because they think they are losing something.