Vantaggi
Came here from Covance. Similar structure (good PTO here as well). Technology is much better than Covance, timesheets are easier to do, expense reports are more simple (you get a per diem instead of having to expense every little item you buy). Training and onboarding are great here. I'm only on 1 study which is nice, though its very demanding and kinda hectic. The salary is like any other CRO: If you jump around then you'll increase your salary quickly. If you stay here you'll get 2% raises every year and will never increase your salary.
Svantaggi
Like other big companies, you're ultimately judged on metrics which is BS. So you can find a patient safety issue and resolve it, you can write excellent trip reports, you can be a great support person for your sites, you can know your protocol inside out... but in the end you'll be judged on report turnaround times, how quickly you sent out letters, etc, etc. These metrics really dont tell the boss anything useful about your performance, but they're still used as the ultimate indicator of performance somehow.