4 ms·

I’ve worked in healthcareIT and the biggest diagnostics firm and yes: the more they speak about meaningful job and patient first the bigger the facade that in r

by esel2k 5y ago

I’ve worked in healthcareIT and the biggest diagnostics firm and yes: the more they speak about meaningful job and patient first the bigger the facade that in reality it is about their money and their career. I would be curious to know from your learnings where you think engineers/product people should head to be fullfilled in such environments as I am starting to be clueless. Thanks

soylentnewsorg 5y ago
You have two options in my opinion. Your healthcare experience is worth a lot. The most money is if you jump on the bandwagon (for example go work for EPIC, or go into management at a hospital). If you need to look yourself in the mirror while you shave (to avoid cuts), my solution is to be the vendor. You can do delivery for stuff medical companies buy (delivery/residencies/support) and your experience on the customer side will add big bucks to the salary the vendor pays you. Hospitals use AIX, they run EPIC on it. IBM will pay you more if you can go to hospitals that buy from them and help them set up AIX for EPIC. If you do storage like I do, those hospitals buy EMC/IBM storage, and medical applications need specific layout, path and disk group separation, etc - if you know those, EMC/IBM will pay you more. Your "customer" at this point is the IT staff at the hospital, and they're good guys and a pleasure to work with. If you want even more money, again go for a vendor or a VAR, but do presales engineering. One downside to that, those toxic unethical managers are now your customer. But they'll pay you a lot, and you won't be asked to attempt killing people with a script by making an xray disappear from a display during surgery. Both options are good, I've done and do both. If you work for a VAR instead of a vendor, you get the same salary as the vendor, but you also get spiffs from the vendor. I average about $5k/month in spiffs when I do presales engineering. But you feel a bit like a used car salesman - the spiffs are bigger when you sell what the vendor is pushing instead of the best solution. So in short - all depends on how "straight-edge" you are, and how comfortable you are being around bs. the worse the smell, the more cash in your pocket unfortunately. I personally have screwed large corporations out of millions to end up with tens of thousands extra in my pocket. And that's something I don't like, but am comfortable with - as opposed to damaging individual people. If you are completely ethical, more power to you. Go work for VMware or Nasuni or something on the delivery side, tell them you know a bunch of medical applications, and they'll pay you more. As ballpark, the current ceilings from my personal experience (storage), the total income including bonus and spiffs are: 150k delivery engineer for a vendor, 140k delivery engineer for a VAR, 180k vendor presales engineer, 200-250k pse at a VAR (because of spiffs). In cali or nyc, add about 10% to those. personal fulfillment is on the delivery side, monetary is in presales.

by esel2k 5y ago

soylentnewsorg 5y ago

You have two options in my opinion. Your healthcare experience is worth a lot. The most money is if you jump on the bandwagon (for example go work for EPIC, or go into management at a hospital). If you need to look yourself in the mirror while you shave (to avoid cuts), my solution is to be the vendor. You can do delivery for stuff medical companies buy (delivery/residencies/support) and your experience on the customer side will add big bucks to the salary the vendor pays you. Hospitals use AIX, they run EPIC on it. IBM will pay you more if you can go to hospitals that buy from them and help them set up AIX for EPIC. If you do storage like I do, those hospitals buy EMC/IBM storage, and medical applications need specific layout, path and disk group separation, etc - if you know those, EMC/IBM will pay you more. Your "customer" at this point is the IT staff at the hospital, and they're good guys and a pleasure to work with. If you want even more money, again go for a vendor or a VAR, but do presales engineering. One downside to that, those toxic unethical managers are now your customer. But they'll pay you a lot, and you won't be asked to attempt killing people with a script by making an xray disappear from a display during surgery. Both options are good, I've done and do both. If you work for a VAR instead of a vendor, you get the same salary as the vendor, but you also get spiffs from the vendor. I average about $5k/month in spiffs when I do presales engineering. But you feel a bit like a used car salesman - the spiffs are bigger when you sell what the vendor is pushing instead of the best solution. So in short - all depends on how "straight-edge" you are, and how comfortable you are being around bs. the worse the smell, the more cash in your pocket unfortunately. I personally have screwed large corporations out of millions to end up with tens of thousands extra in my pocket. And that's something I don't like, but am comfortable with - as opposed to damaging individual people. If you are completely ethical, more power to you. Go work for VMware or Nasuni or something on the delivery side, tell them you know a bunch of medical applications, and they'll pay you more. As ballpark, the current ceilings from my personal experience (storage), the total income including bonus and spiffs are: 150k delivery engineer for a vendor, 140k delivery engineer for a VAR, 180k vendor presales engineer, 200-250k pse at a VAR (because of spiffs). In cali or nyc, add about 10% to those. personal fulfillment is on the delivery side, monetary is in presales.