Key Takeaways
- Prioritize financial operations and revenue cycle experience for administrative leaders, as understanding money flow is essential for advancing the organizational mission.
Why did Myrna Brignol choose healthcare administration over medicine? In the first few minutes, Myrna is upfront: she started college as a premed major, driven by a childhood vision but gradually realized her true strengths lay elsewhere. “I definitely was first on the premed track... but it wasn't until my junior year of college I was like, is this really what I want to do?” She discovered her passion wasn’t in “hardcore science classes” but rather in leading organizations and working with people.
Key drivers of her pivot included:
Enjoyment of leadership roles: “I loved leading organizations. I was president of my sorority my senior year.”
A desire for broad impact: “I always knew I wanted to be in healthcare… but how do I marry my interest with wanting to work with people?”
Exposure to health administration through mentors and connections, including a sorority sister who was a fellow at Cleveland Clinic.
Takeaway: If you’re drawn to healthcare but find yourself craving systems-level impact and human-centered leadership, the administrative path offers a compelling alternative to clinical practice.
How did Pitt’s program set Myrna up for success? Myrna’s academic path at the University of Pittsburgh (Pitt) started in biology but culminated in a Master of Health Administration (MHA), chosen for its blend of rigorous academics and direct health system connections.
What made Pitt stand out:
Strong clinical ties: “The main reason why I went to the University of Pittsburgh… is because Pitt is a very strong premed school because of their connections with UPMC.”
Built-in residency requirement: “They have an internal residency matching program… you’re guaranteed to get a residency because it’s a graduation requirement.”
Practical exposure: Myrna deliberately sought a program with required field experience, believing, “I just really wanted to make sure that I was getting as much experience in the field as I could in grad school so that I could pursue my career moving forward.”
Advice for future applicants: Look for programs that provide direct access to health systems and real-world management challenges. Residency requirements can accelerate learning and build confidence before entering fellowships.
Why did Myrna prioritize financial operations during her residency? In a field where “follow the money” often leads to the biggest operational insights, Myrna sought out a residency at Temple specifically because it offered a financial operations focus.
“Temple… was the only residency that had a financial operations experience. I told myself, I have no idea what financial operations looks like in a health system so this is going to be my time to learn.”
Key experiences included:
Working directly with the CFO, Nick Barcelona, and his team on revenue cycle and business intelligence projects.
Exposure to the full lifecycle of health system finances—not just “crunching numbers,” but understanding how money moves and supports organizational mission.
She candidly notes, “Revenue cycle… is a major part of health care systems that I feel like people sometimes neglect… but it really is the flow of how money comes through the system, how it goes through and how you know we use it to advance our mission in each organization.”
Takeaway: Seek residency and internship experiences that force you out of your comfort zone—especially in “hard skills” like finance and operations. They’re critical for future leadership, and you’ll rarely learn them from a textbook.
How and when did Myrna apply for administrative fellowships? If you’re overwhelmed by the application grind, Myrna’s approach may surprise you. She started applying in October of her final MHA year, targeting just two fellowships: “I only applied to two… These are the ones I want to go to and I see myself in, so if it’s meant to be, it’ll be. If not, I’ll figure it out.” Both programs offered interviews.
Key tips for future applicants:
Quality over quantity: Focus on programs where you can truly see yourself.
Start early: Most fellowships open applications in the fall.
Be intentional: Research culture, retention, and leadership styles.
Myrna’s directness—choosing only the programs that felt right—illustrates the value of self-awareness and strategic focus.
What drew Myrna to the Jefferson Health Administrative Fellowship? Myrna’s answer is unequivocal: retention of fellows and a culture of real investment in talent.
“The reason why I wanted to do the Jefferson Fellowship was because I saw how many fellows they retained… Not really usual for fellowship programs to really retain most of their fellows year after year.”
What sets Jefferson Health apart:
High fellow retention rates: Most fellows stay on after their fellowship, a sign of strong internal development and satisfaction.
Culture of mentorship: “The leaders I’m working with… they’re really ingraining me in the beginning of a lot of cool programs that we have here. I really appreciate the time they’re taking to invest in me.”
Opportunities for growth: Jefferson is described as being in “a time of growth” and actively fostering future leaders.
Takeaway: Culture is everything. Look for organizations that treat their fellowship as a talent pipeline, not just a resume builder.
How did Myrna’s time at Temple shape her approach at Jefferson? Myrna credits her Temple experience, serving a primarily Medicaid population, with teaching her to “do more with less.” She emphasizes the lesson: “Every little thing matters. Everything you do is going to add up to a greater good… If you could save a dollar here, if you could make an improvement here, it’s always going to matter.”
This attention to detail and incremental improvement—honed in a resource-constrained environment—transfers directly to her current work at Jefferson. She sees value not just in big projects but in small, daily actions, both operationally and interpersonally: “Even saying hi and smiling to them, they could really remember that for literally the rest of their life.”
Tip for future leaders: Don’t overlook the power of small wins. In complex systems, seemingly minor improvements accumulate into transformational change.
What are Myrna’s career aspirations post-fellowship? Myrna is refreshingly honest: she doesn’t have a specific job title in mind. “I could genuinely tell you I have no idea… I just know what I want to do.” She’s drawn to business development, data-driven projects, and operationalizing strategic plans.
How does she approach long-term planning?
Openness to opportunity: “A lot of leaders… say, ‘I got to where I am today because I just said yes to the opportunities that were presented before me.’”
Desire for well-rounded leadership: “I want to be a well-rounded healthcare leader, so whatever experiences I can do to get there is what I’ll do.”
Key lesson: Focus on building core competencies and being adaptable. The specifics of your career may change, but skills in strategy, leadership, and operational execution remain invaluable.
What advice does Myrna give future fellowship candidates? She offers clear, actionable guidance:
Embrace challenges: “Don’t be afraid of challenges because you’re not going to get better, you’re not going to develop yourself if you’re sticking to what you know.” Myrna purposefully sought a financial operations residency for this reason.
Make connections: “I really sought out people’s experiences… making connections with people that were past fellows, even leaders I knew, I just reached out to everyone.”
Build relationships where you are: Success often comes from nurturing relationships with your current team, mentors, and colleagues.
Myrna’s approach to networking is both bold and humble: “You have to really remember that… even though you’re just starting off in your career, they started where we were too. Everyone’s human. They were at your position at one point.”
For those intimidated by networking: Start at smaller, more intimate conferences—like the HFMA Women’s Conference—which make it easier to engage with leaders and peers alike.
Which professional associations and conferences does Myrna recommend? She is a big advocate for the Healthcare Financial Management Association (HFMA), especially its Women’s Conference held every May: “It’s awesome because it’s a smaller group, very intimate, and they invite a bunch of leaders—not just financial leaders but healthcare leaders from the area—to sit on panels and speak.”
She also values:
ACHE conferences, which she attended during her time at Pitt
NAHSE (National Association of Health Services Executives) and its case competitions
Participating in HFMA’s mentor-mentee programs, “with my mentor from Temple, the Rev Cycle VP, so we’re like mentoring in that program now as well.”
Tip: Seek out both large and small events, as well as formal mentorship programs. Even brief connections can lead to opportunities years down the road.
What should applicants know about relocating for education and work? Myrna’s journey has taken her from New Jersey to Pittsburgh and Philadelphia and back. Each city, she notes, has its quirks: “Pittsburgh… didn’t snow a lot but gets very, very cold. It’s the second rainiest city in America right after Seattle.” Her advice? Try new places, but be aware of climate and culture fit—it can influence your overall satisfaction.
Insider tip: For those new to Pittsburgh, Myrna recommends attending a Pirates game in the summer and soaking up the city’s unique vibe—“It’s a very good starter city. You get a city feel without being thrust into Philadelphia or New York City.”
The Jefferson Health Administrative Fellowship—as experienced and articulated by Myrna Brignol—exemplifies what a robust, growth-minded program should offer: deep exposure to real operational challenges, genuine investment in fellows, and a culture where both incremental and strategic changes are valued. Myrna’s story is proof that you don’t need to have every step mapped out; instead, invest in core skills, say yes to new opportunities, and never shy away from a challenge.
As you consider your own career in healthcare administration, remember Myrna’s parting wisdom: “Don’t be afraid of challenges… Make connections where you want to be and also where you are. Every little thing matters.” Whether you’re just applying or already advancing, keep learning, keep building relationships, and let your career unfold one courageous step at a time.
<p>[Music] hello everyone this is Cole from the American Journal of healthc care strategy I am joined here with the administrative fellow from Jefferson Health in New Jersey Mna brignall Mna why don't you go ahead and introduce yourself yes so hi Cole I'm pleasure to be here with you my name is Mna brignol and I'm currently the administrative fellow here in Jefferson Health's east region primarily based in our Washington Township campus and I received my masters of Health Administration from the University of Pittsburgh I'm always happy to be able to talk with a fellow Jeffersonian I think that's what that's how they pronounce it um and then so you came from the University of Pittsburgh which I'm really interested to hear about because I've actually been looking uh maybe potentially to move to the Pittsburgh area so I have some selfish reasons for wanting to interview you so you got your Bachelor's in biology first right at the same College yes at the University of Pittsburgh as well and what led you to get the B was it originally like Prem medicine pre nursing what was your thoughts yeah I definitely was first on the Premed track and it's funny because it's what I envisioned you know for my life ever since I was younger and it wasn't until say my junior year of college I was like is this really what I want to do I wasn't really all like my heart wasn't completely into say like the hardcore science classes I was taking like it was just really it seemed like a thing that I was just checking off my list and not what I was really passionate about so it wasn't until I learned about health administration that I was like okay this might be more up my alley because I was always involved in you know like organizations at school um I loved leading organizations I was president of my story my senior year so I just like working with people and just working with a bunch of people from different backgrounds as well so I was like I always knew I wanted to be in healthcare so I was like how do I marry in my interest with wanting to work with people but also being on Health Care being in healthcare so um so yeah so that's what led me to health administration and I would say it was a good choice because I'm really enjoying what I'm doing excellent yeah I I think that that's a similar start to myself I was very kind of dead set on Premed I got my first job as a medical assistant and I said uh patient care is really complicated uh and not exactly what I wanted to do I I joke with some of my doctor friends and and I'm kind of honest in some ways that some of the classes are just too hard for me to be honest and and it's funny because some of them some of the process improvement classes are too you know like very challenging for them so it's it's great to kind of find where your skill set is and then just go with that and so you said from early on you were doing lots of leadership when did you discover and how did you discover healthcare administration yeah so it wasn't I would say like I when I was really thinking of my what my future would look like when I was a junior um in undergrad it wasn't until I actually had an older sister in my sority who was a fellow at Cleveland Clinic at one point so I was just like oh like what does entail and I did you know Google researches and everything and then I just found out that through Health Administration you really have a wide impact on the healthare industry and you know it's just not that onetoone patient care you really have an impact on a bunch of patient care so I was like this might be something interesting for me because I like I said I always knew I wanted to be in healthcare but it was just figuring out the capacity that I would be involved in the industry so I connected with that Sora from my um sority and she just told me about what it really entailed and I just felt like it was for me so excellent so early on the connections were already helping you to to kind of find information out and then what you know why did you choose then to get your mha at the same University what did you like about University of Pittsburgh yeah I would say two reasons so the main reason why I went to the University of Pittsburgh in the first place is because I was Premed and I know that pit is a very strong Premed school because of their connections with um UPMC so I was like that is very interesting to me and I knew in order to be in the field of healthare administration that connection with the health system would probably also help me go very far as well and I also really liked about pit is that they have an internal um residency matching program so instead of having to compete with say a bunch of mha students from across the country you're just really going um head-to-head with your classmates for a select number of residencies and you're guaranteed to also get a residency because it is a graduation requirement excellent okay so you did go for the program that had that graduation requirement and so with that requirement I know some students have said they didn't want a program that had that because they wanted the freedom to kind of choose whatever and some students like yourself have said that they sought that out yes what was your reason going into it that made you think that you really wanted a residency yeah it's really because I wanted the experience since primarily I was Premed I wasn't doing anything really outside of say my extracurriculars I was involved in in undergrad I wasn't doing ad management projects or I wasn't involved in management of a health system or programs or that sort of thing so I just really wanted to make sure that I was getting as much experience in the field as I could in undergrad so or excuse me in grad school so that I could you know pursue my career moving forward excellent that makes a lot of sense um so I guess I kind of want to figure out how things have been geographically for you did you start off living in Pittsburgh or what side of the state are you originally from yeah I'm originally from Jersey so yeah so I'm from Jersey and then I went to pit for like six years for undergrad in grad school and then now I'm back in Jersey and now you're back okay that makes sense so how was it going to Temple how did you enjoy that experience yeah it was awesome so it's interesting because you know with the UPMC connections a lot of people think that primarily our residencies are with UPMC and that is the case but I was lucky and fortunate enough to match with temple and I ranked them first when we did our whole matching process because they were the only residency that had a financial operations experience so I told myself I have no idea what Financial operations looks like in a health system so this is going to be my time to learn so so yeah so that's how I ended up with the temple Residency program and it was awesome because I was fortunate enough to have a hybrid model so during the semester I was in Pittsburgh doing remote work and then during the summer I was able to come home and just commute to Philadelphia which was awesome that's great I think that's a really smart way of thinking about it as well I chose the NBA because did my bachelor's in uh healthc Care Management so I understood the health care part a bit and I wanted to do something that was like really different and not really healthcare related so that I could get that management and finance understanding so that that's great and how did that Finance piece work was that did you gain a lot of knowledge during that about Finance yeah for sure my preceptor was actually the CFO at the time of Temple Nick Barcelona so I worked directly under him and his financial operations team which include included business intelligence Revenue Cycles so I really was exposed to a wide array of projects that fall into the financial operations realm but it wasn't like I was just sitting there cranking out Excel sheets and crunching numbers I was learning what revenue cycle was which is a major part of Health Care Systems that I feel like people sometimes neglect because they're like what even is that but it really is the flow of how money comes through the system how it goes through and how you know we use it to advance our mission in each organization so thanks to Temple I was able to get that experience and also learn a bit a bit of the business intelligence side as well as well as you know the hardcore Financial operations side of it with you know the excels and looking at numbers and that sort of thing that's great that sounds like a really fun experience to be honest yeah it was awesome I love it revenue cycle I feel like it's hard to learn from a book I've had a really hard time grasping what revenue cycle is it it it is like it's a weird term to me revenue cycle but once we had to start doing like some projects in class I start to understand a little bit more but I still would like to have that experience that you've had in terms of actually working with someone who's actually performing the revenue cycle or whatever the terminology is yeah yeah for sure because you literally like I didn't really learn much about revenue cycle in my program so it was like this was I felt really the opportunity for me to learn what that actually means in the real world so yeah it was awesome so then after that you of course graduated your program and then after you graduated from from pit or what I was going to actually ask is when did you start applying for fellowship before graduation after what does the timeline look like yeah so I began applying to fellowships October of my last year in the administration program so the October of your last when was your last year 2023 20 23 I graduated in 2023 so October 22 is okay October 22 okay so and then how many did you apply to so I I feel like I was an anomaly in the uh the fellowship process because I only applied to two so that is unusual yeah yeah yeah I only applied to two and I was like these are the ones I want to go to and I see myself in so if it's meant to be it'll be if not I'll figure it out and then did you receive interviews at both yes I did was so I guess about that question kind of been eight months into the fellowship and is it a two-year or a one-year Fellowship it is a oneye fellowship okay so you're almost you have four months to go then or so yes so do you want to stay with Jefferson after definitely like that is my that is my number one plan right now to stay here that's great I've heard from some fellowships at different programs yes they want to stay some have said absolutely not uh so with Jefferson I have heard mostly people say that they do want to stay but what is your reason for wanting to stay with Jefferson yeah and it's it's actually interesting you bring that up because the reason why I wanted to do the Jefferson Fellowship was because I saw how many fellows they retained which is you know not um like you said it's not really usual for Fellowship pro programs to really retain like most of their fellows year after year so that was one reason why I definitely wanted to come here to the Jefferson fellowship program and the reason why I want to stay now that I've had experience here is because Jefferson is going through a time of growth and they are really looking to I would say Foster and teach future aspiring Healthcare leaders on what really it means to be in this industry and I really appreciate that because the leaders I'm working with you know it's just not like they're giving me tasks and it's like okay get this done and cool like they're really ingraining me in the beginning of a lot of cool programs that we have here so I really appreciate you know the time they're taking to invest in me so I feel like it is only right for me to also invest back in the organization that's beautiful that's that's great I I've faced really good support from Jefferson as well definitely different I don't know what your background is personally my parents are blue collar HVAC technician you know many years ago and then a a school teacher and so I was not familiar with the corporate world at all and I was told to start you know getting connections so I sent you know an email to to Bal and you know he's like oh yeah I'll meet with you and an email to you know my SVP and so it's just a different culture than what I had expected going into it I agree it's nice that you've had similar experiences too yeah and I guess that just speaks to really the culture here and what they're trying to do like one of the main things they always drive home with their strategic priority is to really invest in their talent and it's not just you know words on paper or nice a nice thing to say in a presentation like the leaders here are really taking that seriously and I really appreciate that I know Temple is in a bit of a different area of Philadelphia than kind of New Jersey is Right were you at Temple in in North Philadelphia yes I was okay how how did that kind of population and you know the the way that hospital operated did it give you any special skills that you've then applied to the New Jersey area I would say for sure because Temple has to do more with less so with a primarily medic population the reimbursements they're getting are like 60 cents the dollar compared to say commercial payers or even say Medicare in some instances but usually it's primarily Medicaid so one thing that I thought was so valuable in my healthc care experience moving forward that I will never forget that Nick and the team at Temple told me is that every little thing matters everything you do is going to add up to a greater good so just don't you know Overlook the little things like if you could save a dollar here if you could make an improvement here it's always going to matter so just don't overlook the small things and I think that is what I have brought into my temp my fellowship here with Jefferson is every little thing matters no matter and I just have that mindset just in life like it doesn't matter if I'm just walking down the street and I smile to one person or I just say hi to you know someone across the street like that every little thing you do in your everyday life really does matter so just keeping that in mind when you're really working in healthcare too that you might have a patient that comes in and they're having the worst day of your life and just even saying hi and smiling to them they could really remember that for literally the rest of their life so yeah so I think that's one great lesson that I learned from Temple is that everything matters every little thing matters and to try your best to really not Overlook anything that is really good advice and and I appreciate how you frame it positively as well you know everything you do matters but you know for the good I know that there's that illustration of you know the government spending you know a billion dollars on pencils a year and right go the negative way but the positive way is excellent so I I love that now you're getting close to the end of your fellowship are there any we'll start with the kind of the short term are there any departments or roles or things you want to do Post Fellowship that you're looking forward to yeah so it's um it's interesting because you know I I'm getting that question a lot and I could genely tell you I have no idea like I in my head I don't have a certain role that or title that I would want I just know what I want to do so I would say a lot of my time with Jefferson thus far has been really you know doing business development looking at data looking at how like strategic thinking and just not only strategic thinking but really learning how to oper operationalize plans so I would love to do that in my future role to really you know Start programs and get them started and really see them through so I hope that answers but I when anyone asks me I'm like I can't tell you what title I have in mind I just know what I like to do so hopefully you know something comes my way that aligns with that I think that's uh that's a great description and then and I is it the same way for the next 20 or 30 years down the road you're kind of letting that be an open I am yeah yeah because and when you meet with a lot of leaders they tell you they tell you like svps VPS presidents they're like if you asked me if I was going to be here 20 years ago I would probably be like oh really like that's so cool like go me because they never had that in their minds they just it was a series of yeses that's another thing that I've learned talking to leaders like they're like I got to where I am today is because I just said yes to the opportunities that were presented before me so that's how I'm kind of framing my mindset when I think of my career journey I just want to learn learn as much as I can and just really be effective as I can so I would say that's really where I see myself 20 years down the line is just I know and I always say this even when I was applying for fellowships that I want to be a well-rounded Healthcare leader so whatever experiences I can do to get there is what I'll do so you focus on those the core principles of leadership and being well-rounded and then kind of let things take you and you know funny because you know when I was you know 18 or 19 you know in high school it's like such a pinpoint you know you keep bouncing from pinpoint to pinpoint of what you want to do and then as we go through school and we get more experience it becomes like a kind of just a category a general category you know I want to be good at something in healthcare right no yeah literally it's like whatever whatever I could do and be good at sign me up yeah I love that I love that so you've provided excellent advice so far but there are there any specific points that you want to give advice to I think one of the the target audiences is people who come from fellowship programs they're trying to get into an administrative Fellowship are there any advice you have for them on how they can shape themselves during their mha program during their Fellowship to turn themselves into this great you know Healthcare leader that you're you're becoming now are there any things that you've done any tips that you have yeah I would say I think I have like two main things I think about it the first thing is don't be afraid of challenges because you're not going to get better you're not going to develop yourself if you're sticking to what you know that there's that's no way to grow so that's one thing I established right off the bat I was like I'm not going to be afraid of challenges I'm going to embrace everything that comes my way and try my best because that's all I could do at the end of the day so you could even see that with the experience that I spoke about with the financial operations residency at Temple I did not have to do that I could have just went a normal operations route and called it a day but I was like no I'm going to challenge myself because in order to be a leader you need to have an idea of what Financial operation looks like how you deal with money how you you know work the money to get you in your program to where you are so that's one thing I always say to people is Embrace challenges because you never know where it could lead you and you never know what you could learn and I would also say it's really important I feel like everyone always says this but it is important to make Con CS because I feel that the reason why I um ended up in a fellowship is because I really sought out people's experiences I sought out making connections with people that were past fellows you know even leaders that I knew I just reached out like I really reached out to everyone and to get the an idea of really what being in an organization like this would look like and that also goes back to making connections where you currently are so at Temple I I formed great very great relationships and connections with the people I was you know working with and reporting to yeah so I would say those three things so make sure you're stepping out of your comfort zone and challenging yourself making connections with where you want to be and also making connections with the people who are around you how did you get comfortable making connections you know for me when I started even now one of the the only ways that I found is if you kind of picture the scariest person to meet with I've try to meet with them and then after that everyone else becomes easier so you know if I can meet with Dr konne you know and he likes me then everyone else I think is gonna be okay but you know how did you do it what how did you start off and how early did you start making connections too yeah so I would say honestly with making connections the way it's say easyer for me to just be at conferences and just walk to walk up to people like VPS and be like oh like my name is SAA like nice to meet you and just start picking their brains is you have to really remember that even though you said you know we're just starting off in our careers they started where we were too like they were us at one point and they just have more experiences than we do so it's just really just keeping that in mind and everyone's human too just because they're a higher level than you are doesn't mean they're like super human they're human just like you they were at they were at your position at one place like they were sorry I'm getting they were in your position at one point and and yeah so just see that see this as a person that you're just forming connection with and not only are you wanting to learn about them and learning from them they are here to also learn from you because even though you're young and starting out in your career you are valuable you have insights and you have life experiences that you can bring to the table as well and I think that's good about the conferences that's a good point about that and you know I always get very worried about that because like you're saying I don't know what I have to bring to the table and at these conferences I feel very awkward I walk up to somebody like hey you know it's kind of weird but it's amazing because there's people who all I've done was exchange a business card with at a conference didn't really you know have a a conversation that I felt like I was you know being very socialable in right two years later I connect with them and we you know do a project together we have a role together and that bond is remembered fondly from the conference and that's amazing yeah just recently I interviewed uh Scarlet from the uh University of Scranton couple weeks later you know were on the AC and she joined one of the Committees I was on so it's weird yeah yeah unbel world yeah and like you said it's just putting yourself out there because I also always think if I feel awkward other people feel awkward to so let's just be awkward together that's what I gotta remember that's because I I do I feel very awkward you know I don't know what to say what to do and yeah it's just it's just awkward but I'm like you know what this is not a unique experience everyone is feeling awkward we all have to do it so why not just embrace it head on and just see where it goes I have a kind of a personal question too I have two personal questions the first one is are there any conferences that you went to that you recommend yeah so one that I've gone to on a regular basis I would say is um the hfma so the healthcare financial management association they have a women's conference every May so it's awesome because it's a smaller group and it's very intimate and they invite a bunch of leaders not only just Financial leaders but they do invite Healthcare leaders from the area to you know sit on panels and speak so that I've been going to that since I started at Temple because that was how I kind of started getting involved in hfma from one of my um mentors that I met during my temple experience she told me she's like you should come to this conf confence it's great um and I was like okay so I've been going for the past I would say like two years now so the one coming up would be my third one and I'm looking forward to it so I would say that's a really great one and you have your AC conferences as well which are awesome I've went to um both of them two of them during my time at pit which was great and I also go to the NAC conferences I was fortunate enough to be on the case competition my last year at pit so I was on that case competition and we competed and went to that conference and that was amazing so I would say those are definitely great and yeah even if you're you know if you're a person that networking is really intimidating start off on the smaller ones like the Women's Conference is a on a smaller scale so it's definitely more intimate and it's easier to you know just walk up to people and just strike up conversations yeah very good advice very good advice and then uh with the hfma I love the HF big fan of them do you know Amanda burdge that name sounds familiar she's the CFO of Roxboro Memorial and so she told me about the hfmn like you got to get involved and I was like oh I don't know you know and then I did and their learning materials are excellent yeah yeah they're amazing and they also have a mentor mentee program there as well into that too yeah so I'm in that actually um with my mentor from from Temple the r cycle clone the Rev cycle VP so we're like mentoring m in that program now as well excellent that's very cool that's how does and I'll I'll let you go I want to take up more than half an hour how does the weather compare Philadelphia New Jersey and Pittsburgh so it's interesting Pittsburgh when I was there it didn't snow a lot but it gets very very cold okay cold cold and I don't know if a lot of people know this but it's the second rainiest city in America right after Seattle so it rains a lot in Pittsburgh a lot so you're used yeah it RS a lot so if you're used to you know sunny days and the snow here you're not going to get that you're gonna get rain and Bone chilling coldness oh no okay yeah I'll I'll cross that off I mean I don't know UMPC seems like a cool place yeah work but uh for me I really do care about the weather I like the snow you know so you're not gon to it does snow but usually it I remember one year when I was up there it snowed like an obscene amount and everyone was like this is not normal and I was like really okay yeah but I honestly sometimes I'm here and I'm like dang I kind of I kind of do miss Pittsburgh because have you been yet I have never been to Pittsburgh you need to go because it's its own little like culture and it has its own little Vibe like it's a very I think it was a great City for me to start at you know just going as a freshman in college like 18 just moving out of my parents house for the first time because it's a very good starter City so you get a city feel but not being like thrusted into Philadelphia or New York City and it has a lot of its own culture like it has very quirky things like for example they have a pickle Festival every year and like so yeah it's just stuff like that and the stadiums are beautiful like if you're a football baseball fan like they're right on the alany river and like the when it's Sunset and the weather's perfect it's amazing my wife's been uh my wife's been asking me to go to Pittsburgh you guys should go I really would recom especially when the weather gets a little warmer I would go go to a Pirates game a pirates game okay write that down yeah go to a pirates game the tickets aren't usually very expensive at all and you'll be on the W like you'll get the vibe trust me you'll have fun yeah I will I will because you know I was originally from Raleigh North Carolina okay and then similar thing when I was you know turned 18 moved to Charlotte did my first few years of college there and it is a nice small City to to kind of live at and it's also in the west side of the state kind of like how Pittsburgh is west of Philly so right I would love to go and try it out yeah no you guys should definitely go yeah go when it's warmer because right now it's a little cold and it might be but during the Summers I think pittburg summers are amazing excellent excellent well I really appreciate you coming on and talking with everyone sharing incredible insights with us uh especially later after your busy work week so we really all do appreciate it yeah thank you for having me this is great you know often times I don't reflect on really you know like my past experiences thus far in my so this was great to kind of you know just really think about how far I've come and you know how far I'm left to go so it was great youve come a long ways you're uh you're definitely an excellent leader already and I think your trajectory looks great so I appreciate it I really do appreciate that of course</p>
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