- For Access and HEOR teams, there is only very limited strategic guidance from leadership. They simply communicate sales/NBA targets (often ≥10% more than last year), but provide no perspective on how this could / should be achieved.
- People are supposed to either work on projects (95% utilization target is common) or business development (sales targets are equally steep), meaning anything else (including essential management tasks) is largely neglected
- As typical in consulting, workload can be very high and difficult to combine with family life at times. As a result, staff turnover rates can be high. Quiet layoffs also happen regularly when business is slow.
- Support departments focus on the core business only (i.e. clinical trials) , meaning the access and HEOR teams are largely on their own (or only get very limited and sloppy support at best)
- The company does not make any investments in training or tools to help the Access and HEOR teams learn or become more efficient. You get a laptop, a phone and MS Office, now go get Parexel some millions based on the education and training you already had