Pros
1) Plenty of Autonomym, if your driven and want free reign this is the place 2) Not at arms length with the client as you would be with a consulting firm (don't call yourself a consultant here or you'll get chewed out) We are infused management. Direct personal relationships with the hospitals you work for. 3) When it comes to implementing your policies/stragies, little to know beurachracy. Compared to consulting firms where your superior shoots down or pokes holes in all your ideas because it doesn't conform to theirs. 4) No established methodology - again the opportunity you have to define the companie's strategy is huge.
Kontras
1) Plenty of Autonomy - It's a blessing and a curse. Too much oversight allows for people to shirk. 2) LIttle to no support to field operators. You'll be frusterated if your used to having IT, HR, Payroll, Expense Audit, Corporate support help you with the administrative items. It's not clear if they are understaffed or they just don't care or realize how dificult working remotely can be. 3) The talent is sub par compared to consulting shops - however it seems they've recognized this recently and have started aggresivlely pursuing talent from some of the better known shops 4) Top heavy organization - too many cooks in the kitchen, and these cooks really don't understand how things work at the operational level. They pound it into your head that you're not a consultant and they are right, but they operate the business like a consulting firm and are cluesless as to how the "infused management" relationship doesn't work the same way operationally. 5) No established methodology - if you don't know the industry stay away, you'll just be adding to the frustration of those who do have experience who already have to deal with clueless VPs. 6) The CEO is beyond being too much into the detail. She needs to start acting like a CEO instead of a micro managing Manager 7) Incentives don't seem to be aligned with clients 8) Long term prospects of this company look very shortsighted - it's not clear yet but this may be just another quick build to IPO then a fizzle unless they change the business model focus to something that is better aligned for the client's 9) This company is still very young - and a reputation has yet to be defined, it's only a matter of time before it has one, and if things don't change internally it won't fare well for it's long term viability. 10) Culture that is bred here leads to the above point.