There is no free time built into the workplan to tackle fun, innovative things - you must do this on your own time. That also means there is no buffer for managing escalations, which happen in healthcare. You will never be told how many hours to work; instead you are given enough projects to keep you feeling overworked. There are a lot of "black boxes" around wages and bonuses; it's very unclear your own rank and how to improve. Team Leads are neither well-trained nor experienced managers, which means middle management is woefully inconsistent. You will never ever become a TL (manager) if you weren't offered between months 10 and 30. The company will grow when the right opportunities arise, regardless of whether there is adequate staff, and you will be expected to pick up the proverbial slack. Customizations are on a massive decline, turning a previous "hill to stand on" something more of a pain point for customers to think their vendor has become just another big gorilla. Leaving campus (e.g. lunch, appt) requires a minimum half-hour.
