Terrible integration from 3 companies (California Health &Wellness, Health Net, Centene) into one. When Centene took over, all senior management within the department either was fired or quit. New management came in and changed everything without knowing the ramifications of those changes. The department has been in survival mode since. Continued frequent changes that make it difficult for staff to focus. Numerous IT challenges. Management is punitive rather that team builders. Very unsupportive environment. Frequent turnover. Constant pressure from Corporate that has everyone on edge. Horrible work life balance. Centene is the most money focused Managed Care Company I have ever experienced.