I applied through an employee referral. The process took 1 week. I interviewed at Vanguard Health Systems (San Antonio, TX) in Jan 2010
Interview
You can apply for a position online and, if they need you, they will call you. It is not a difficult process and quite intuitive. Great company. I was personally interviewed by the hiring manager. He was aware of my work and expertise and delighted to take me around and introduce me to the principals.