Just a PSA to all you burnouts (I am one of you) that you can just tell your boss "no." And you can do it a whole bunch before Optum fires you. Working for a company with an accountability problem means your boss is a coward who really doesn't want to confront you on your sh-t. It's also super likely that he or she is a parasite who is entirely dependent on your work for their survival. Most of them need you more than you need them. And, most are holding off on firing people so they have candidates to sacrifice for the next month's RIF. You want some of that sweet severance? Tell your boss "No" for a few months. I promise you'll be less burnt out and you'll be at the top of that RIF list.
I love you all. Break the chains