Management lacks organization and focus in their initiatives at times. What you work on or who you work for can change at any moment and there isn't much discussion about it. People disappear into thin air as there have been many lay offs. Salary increases are very low so even if you come in at a decent salary, don't expect it to keep up with the cost of living and that is a problem. Not many opportunities for promotion or growth. Some real problems in the culture of the management. Although there are some professional and nice people, there are managers that exhibit abusive behavior. Bottom line is: Premera was once a great company to work for but leadership has changed and the company is losing a lot of money. They will likely sell and whenever that happens, companies begin to scramble in their initiatives - it is clear that this is what it happening.