I agree with your hypothetical, but unfortunately UPMC has a borderline successful monopoly in Pittsburgh. That takes away any healthy options. This advice worked for me and landed me 3x what I was getting paid previously by UPMC for my old analyst job. It’s awesome that they are feeling the pressures of the labor shortage, but it is going to take a whole lot more than that for them to change their ways. At the individual level, today, your best option is to leave and come back