Express Scripts reviews

Even though the merger was many years ago, integration is still in an unresolved state. I suspect this will not get resolved for another 7-10 years. Cultural clashes aside, the problems at hand are difficult to solve due to complexity of healthcare and PBM business in general. And every day, things get more complex as the industry invents more products to shift around cost burden, resulting in further patchwork solutions. Unfortunately, there is no one in the company that has understanding of the entire breadth and depth of the problems at hand. Many smart people have already left the company due to stress, poor pay, unjust demotions / promotions, performance management, loss of confidence in leadership. Staggering number of talented people simply walked away on their own in recent year. The unresolved integration issue puts tremendous amount of burden on almost all employees including service reps, account management, sales rep, project managers, developers, product owners, alike.

I worked for Medco for 11 years then ESI for 3. ESI has an awful environment, no communications between csr's, supervisors, floor manager and managers. Fast pace that does not let up. ESI ask you to do more and more each day but never trains you and expects perfection when we live in an imperfect world. No forgiveness for small errors just punishment. Work your butt off, get a 'stretch' on evaluation but no raise given. Work hours are inconsistent, you could work 9-5 then work 11-8, then work 5-2. Doesn't matter how many years you have in. ESI is all about the money, while Medco was about the patients and employees.