Pros
Great people - learned a ton about rev cycle and my team members really are good friends at this point; exposure to new technologies (important from a career mobility perspective); varied projects at times; management does care and are finally starting to invest in personal growth; C-suite has potential but sales team unable to deliver - the firm continues to lose clients but is unable to sign any new ones
Cons
Depending upon the client site, you can fall into a monotonous hospital operations role in which you learn nothing at all and the learning environment becomes stagnant. Many of my colleagues have left the company for this reason. Less pay than competitors. No tuition reimbursement benefits unlike other firms. Management has started to invest in professional growth ONLY after myself and peers threatened to quit. Industry is booming, Accretive is not. Competitors will continue to overtake us if firm does not adapt quickly (admittedly, I don't have the answers here).