The higher up the management chain you are, the busier it seemed they were watching their backs rather than helping clients and patients. Managers/VP’s have no problem throwing their direct reports under the bus to save their own skins if/when it suited them.
I believe in chain of command, but it is so rigid at ESI that people would get in trouble with their boss, if they even said something business related in passing to someone higher up.
I was reprimanded severely once for proactively providing another department reminder information regarding an annual mutual project. My VP was easily threatened if ideas didn’t seem to generate from him to other departments./VP’s. This is/was a common phenomenon with VP’s because of their overinflated egos which seemed to be a requirement to move up.
Moral in my department was pretty much non existent but what do you expect when turnover has been astronomically high since Medco/ESI merger? You’d be hard pressed to find any Medco employees left. There were 8-9 major RIF’s in the short time I was there.
Promotions, opportunities to advance and raises in my department were heavily based on if you were liked, rather than your annual performance reviews, merits or achievements.
