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I worked at Express Scripts full-time (More than 10 years)
Good medical benefits.
The communication between management is poor and this behavior keeps employees from being able to do their jobs in a productive manner. The company is all about numbers and they don't care about the customer/client/employees.
Advice to Management
Quit putting the business in a position that causes anxiety that makes everyone hold their knowledge because if they share information with each other they won't be needed any longer. Thus layoff. When it comes to medical it is important to remember that QUALITY is more important than Quantity. Quit playing russian roulette with patients medicine.