There have been consistent layoffs since the initial round in October. These layoffs have been smaller to avoid arousing suspicion, but word travels from department to department about the ongoing reductions. This past week, the finance department was affected as well as credentialing. They are beginning to outsource many roles, including credentialing, payroll, billing, and other finance positions. It is not a coincidence that these roles were reduced last week.
The trend of reducing internal roles while outsourcing will likely continue. Not everyone is in a position where they can lose their job and still make ends meet until they find a new one. If you are in one of these roles, or any role really, I would strongly consider exploring other options now.
Stay alert and be prepared.