Pros
Working for a Safety Net hospital system is a great cause!
Home-spun management
Working with doctors, clinicians, Sr executives, and C-suite is the best part
Cons
EPMO management is weak and ingrown, lacking experience with people, close-minded, and cannot discern second-handed information from fact. EPMO management does not empower their people. EPMO is openly Anti-Agile and non-collaborative, specifically reprimanding collaboration between departments. Leadership is lacking because EPMO manangement cannot get their focus off "self" and on to others.
EPMO was a good organization when Sr management had direct oversight of the department. Since then, EPMO management is adolescent in its Capability Maturity Model Integration: Junior manager has less overall management and/or project experience than any single team member or peer, thus creating a non-supportive environment. Weakness: Manager title among VP peers puts EPMO at a disadvantage and weakens their voice in the organization. EPMO is further weakened by lack of promotion and recognition by Sr management/CIO across the organization so project managers must "fight" clients for the right to manage projects, creating an adversarial relationship.