You cannot go a day without hearing about metrics. Metrics are held over your head no matter how good you are. You can be generally good at most things and just okay at others, and that won't be good enough for management. It's fine to have high standards, but it borders on obsessive perfectionism that is simply not realistic for most people. Different people have different strengths, and it's not respected for the most part, you must be a jack of all trades, master of all.
The aforementioned stipend bonuses are tied to this, and aren't treated as bonuses for going above and beyond, but for doing "the expectation." So, if you don't get all your bonuses, you're treated like you're slacking. Similarly, as with just about any corporate job, the dreaded year-over-year growth is also just about a requirement, even if you're already at full steam and clearly struggling to meet such high demand.
This chase for metrics also causes many internal misunderstandings as people rush communication or reading comprehension that they don't get the entire story and cause redundant behavior that prolongs solutions and simply dumps the issue on the next person who discovers it.
To make an issue of misunderstandings worse: in any non-clinical position (patient RCM, customer service, etc), you will need to be prepared to do work for any of the hundreds of first party and affiliate clinics across the country at a moment's notice, even if you are unknowledgeable about the area and its teams and their own personal rules. Similarly, those positions always have just not enough people to handle all these areas. There's a good amount of people, but not enough to properly divide and conquer, just enough that if one area is struggling, they pull people from other areas (again, barely a moment's notice), and it happens often enough to constantly be on edge.
Policies also change suddenly without notice or opportunity to input, usually for the worse, but when something beneficial for workflow is teased, you may have moved on before it gets implemented, as anything that you or other team members ask for for the sake of convenience can take several months, if not years to implement.
On the note of opportunity to input being stifled, extracurricular events are rare, and "town halls" are pretty much exclusively executive chairs and some department leads patting themselves on the back without any chance for feedback or inclusion of the roles on the ground. It used to be that town halls would be for a good majority of teams to enjoy and take an hour or two clocked in simply listening to company prospects and participating in Q/A, but that changed around 2022 where several teams still got invites but were actively told they were not allowed to join.
Finally, AI is starting to stink up the joint. Their attempt at an AI chatbot to do customer service fortunately flopped pretty hard, but any AI development creeping up in such a human-oriented field like healthcare should turn you off.
