Pros
This is a small health plan that administers government-funded health insurance programs. The small size of the organization allows you to gain a good overview of health plan operations. Since it is a not-for-profit that provides services to the underserved, it is more meaningful than working for a greedy for-profit health insurance company.
Cons
Senior management plays favorites. Double standards exist. This could work for you or against you. You can be the person who works hard, does all the grunt work, and not get noticed/rewarded or you can be the person who blatantly goofs off and gets promoted. Performance evaluations are subjective and not 360, as claimed. 360 means having people above and below review you, but managers are not assessed for their management abilities by their subordinates. Decisions from the top (both business and personnel-related) are made almost exclusively from "feelings." It is not balanced with evidence/data. Senior managers strive for mediocrity and do the bare minimum in all aspects. They will only do something to improve services or help members if forced to by law. If you are someone who strives for excellence or doing more than what the regulations force you to do, you will not fit in this organization.