How do you get hired at a local health system without a referral? For the past 5 years I’ve been periodically applying but was never invited for an interview.

Is it that competitive?
Are consultants frowned upon?
Is a different (from 1 page) resume format preferred?

Who has had success with this and can share their experience?

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I transitioned from a health system to consulting and we typically hired internally through promotions as much as possible. This sped up the recruitment process and reduced training time for candidates who were familiar with systems and could navigate internal politics of a matrixed organization. It would be very difficult without a referral. Try to make connections through Linkedin or professional organizations to get an interview

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Either your look super competitive, or know people who are eager to pull you in.

Are your salary expectations in line with industry? If you are asking for a consulting salary, you are going to get passed over.

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