Anyone else finding it extremely hard to secure a hospitalist position?

Context: IMG, 2 years out of residency (at a small community hospital) and currently in a HCOL major metro area- tied to this area due to family needs.

I have been actively looking for hospitalist positions for two years now with little to no luck. Even getting a per diem position has been hard. It seems like competition is extremely stiff and all the hospital groups seem to exclusively care only about applicants’ medical school/ residency backgrounds. Anyone else coming across this issue?