Insurance is a joke; gets worse every year. If you stay too long, you will actually lose out on earning potential. Raises are non-existant. If you count inflation + the rising cost of premiums, I've actually lost money by staying at optum.
The CEO has abandoned the culture that Hemsley and Renfro started and Wichmann tried to continue. So the culture which used to really focus on the humanity of the organization now focuses on dollars and cents alone.
In that light - leadership is making decisions on the ranking system to force people into lower rankings based on their tenure. Even if you've exceeded your goals, the company has decided to save money by rating you lower. This affects your bonus and your (non-existent) raise.
The company continues to acquire other organizations and cannot figure out how to integrate them. After folks realize a bunch of money has been wasted, the company then lays off tons of employees.
A higher up in finance discussed how OptumRx grew very well in both revenue and earnings; but since we didn't meet "internal targets" (whatever those were) bonuses are going to be much much less.