I don't really even know where to start. Optimum's lack of professionalism and organization, and proclivity towards treating employees like high school students could probably only be tolerable long term for recent graduates who don't know any better or immigrants who are grateful to simply have a shot at US employment (and Optimum seems to concentrate their hiring on both of those groups). If you're intrinsically motivated, used to working for and alongside forward-thinkers who bring their "A" game, or dislike being embarrassed of your employer,this isn't the company for you. Pursue work with one of the many other consulting firms in the healthcare IT space.