poor benefits (many benefits were cut for former Medco employees), including vacation time, pay for time off if out for medical leave, 100% vs 60-70%, retirement cash balance, bonuses unless you are in the upper echelons. The employees who do every day work are poorly rewarded. These employees make mgmt look good, but not rewarded. Constant turnover of poorly trained, skilled csrs or "PCA's), who answer the phones every day. Many sound like they flunked out of 8th grand English "no got".... Poor communication from mgmt, constant chg in SOP's, no time to read emails (not allowed if you are talking to callers), micro-management of employees, metrics-metrics, no seniority anymore (have to get up at 12Mid St Louis time 365 days in advance to request to get a day off. They advertise they have paid holidays, but the employee can not get an extra day off during the wk if your normal day off is the paid Holiday.(no extra day); Higher paid employees pay more for health insurance to subsidize lower paid employees. (same insurance, why pay more ???) Monitors for those on the phone, with rules changing every 1-3 mos. Employees are scored down for petty things, esp if they do not like your voice quality. "did you say please 3x?", did say their name 3x during the call? They pay people for this, reward them. If you disagree, complain--goes against. Phone quality is poor, (you have to talk to callers w/hearing challenges..what about that?), problems w/software, computers...No you do not want to work here. You will go home crying. They have also cut pay for many positions 10-25%, it shows in the quality of many employees. Many good ones are quietly leaving