pharmaceutical sales representative

regional sales manager

clinical nurse educator

clinical educator

field sales representative

Inizio Engage

1.  Your job is only secure as their next pharmaceutical and/or biomedical contract.
2.  Company is not transparent to all nurses on the status of their employment, i.e. some nurses are told way ahead of other nurses about any changes to their work status and allowed to apply for new positions within the company or seek other employment, while the rest are left in the dark until the last minute.  At that time, all available positions are already gone.
3.  Definitely a good ol' girl or good ol' boy system as far a promotions within the company. Look at the corporate photo - no diversity.  Most premium nursing positions are filled before or even without posting.
4.  Inexperienced, immature and unprofessional managers; frequently discuss/gossip about nurses they manage with other peer nurses.  Frequent manager repositioning or turnover.
5.  Lack of respect for nurses; everyone wants to be the "boss" from the office managers to the non-clinical departments heads.  Most assignments include threats instead of just asking first and evaluating compliance.  Micro-managing.
6.  Not above asking nurses to compromise nursing standards for their benefit, i.e. trying to make nurses sales reps; violating nursing process.
7.  The company expects nurses to make a 100% to the company but the commitment is not reciprocated.  As I was told, "Your job IS your #1 priority; Your family and everything else comes after it."

What I learned: Don't put all you eggs in one basket; remain cautious about relying on this company for equitable treatment and job security.

My co-workers:  Not all, but most are very self-centered.  Constantly, self-promoting and, many times, discrediting other nurses to try to gain an employment advantage. Can be very cut-throat.

Hardest part of the job:  Huge territories; extensive driving; lots of "computer busy-work," all while trying to complete this in a very restrictive hourly allowance.  As I was told, " You can work as many hours over your limit as you want.  You just won't get paid for it."

Most enjoyable part of the job:  Working from home.

I was employed by Ashfield on 2 separate contracts that followed one after the other. It's important to note that Ashfield is not the contracting company...they merely perform important tasks, including recruiting, training, and serve as the HR and benefits function while employed. Both of the contracts I was on ended abruptly, and many people who were colleagues critized Ashfield for how, when and why the situations took place. It's important to note that the decisions were't Ashfield's, it was the contracting companies', and Ashfield was simply following their "marching orders." There is no guarantee to length of any contract, and that is a risk one takes in hiring on for such an opportunity.

All this being said, the benefits are outstanding. Most reps start with 3 weeks vacation in the form of accrued PTO...not bad. The medical and dental benefits are great...Aetna PPO is fantastic. From a management perspective, most reps will report to a district manager, etc. that were brought on for the contract. The higher ups at Ashfield play a role in seeing that the performance metrics of the contract are being met..They want happy customers. This can be difficult depending on what company the contract is with. The first company I was contracted with didn't really have a clue what they were doing, and our direct report manager (National Sales Mgr.) was terrible. The higher ups at Ashfield took it upon themselves to talk to the customer, and that manager was terminated, and replaced with someone far more congenial, and with a much better communication style. The end result was happier reps...the real limitation was with the viability of the product we were selling. This is not the fault of Ashfield...again, they are merely a company that is outsourced for those that don't have a sales force, and the internal structure to support one. 

Overall, this is a good place to hang your hat for a short term, while you might be looking for the "dream job." All the specifics of each job are really a function of who the contracting company is...hope this helps.

They pay you the least amount of money as possible.  When you interview with them, they will also not negotiate salary.  I worked there for 3 years and never received a pay raise, despite all my hardwork.  Also no tuition reimbursement.

Extremely high turnover rates especially at 6 months and 18 months.    Those numbers came from the CEO during a townhall.  The CEO himself also ended up quitting; he was some young British heartthrob.  All the women loved him.  Even the wife of the company owner because rumor has it they had an affair allegedly.  They both left the company 6 months apart of each other.  We would have other CEO's, manager and supervisors go right thru the revolving door as well.  Another manager who came in asked us all to give the company a good year of employment; he left after like 6 months i believe.  Also, they have gone through so many employees in that area that they have a hard time finding new meat for the grinder.

The office is extremely dirty and people would frequently have respiratory and allergy symptoms in the office.  The bathrooms were disgusting as they were always dirty and people would wipe boogers on the walls.  The chairs and equipment were also falling apart.

Employment isn't secure either.  Big companies would up and pull out of contracts and you'd worry if another project would pick you up or not.

Oh, you're also constantly monitored and critiqued when speaking with customers.  Depending on what project you're in, you'll be pulled into a private room and chastised or if you're in the open office space, stand in front of the managers desk in front of everyone as they tell you what you did wrong.

If you work here, keep applying for a new job until you find something better.  It's a dead end job.  If you get a promotion, it's most likely a lateral move.  Also, regarding a project ending, even managers/supervisors werent immune to having to find another job within the company.  At least we were told that if we didnt find a spot within the company, the company wouldnt fight us getting unemployment......

 you essentially do not need any nursing skill or degree to do this job because everything you are allowed and required to say to patients is provided to you via script- and if you do not follow said script, you will be coached. There is no use of clinical judgement or nursing knowledge. 

Typical day: calling patients who were "enrolled" into the program (most of the time unknowingly) and ask them questions.  Deal with meeting metrics of your own, navigate inbound calls being returned, manage the almost daily program updates that come from multiple different management roles. 

Management- hit or miss, some are great, some lack transparency and have no idea what they are doing. Constant focus is on the wants/needs of "the client" and not actual patient feedback we get daily 

Workplace culture: zero job security. At the drop of a hat your project could lose its contact and you're out of luck. Benefits are hit or miss as, you can pay for the highest quality ppo plan and the employer still won't cover all medications.

Hardest part of the job: dealing with angry patients over the phone daily for the required language we must use, for the excessive amount of calls we're required to make to them, for not being an actual resource to them. Every second of your day is catalogued and calculated. Spent more than 3 minutes using the bathroom ? (yes you have to log in and out for that)Prepare to be coached about it 

Most enjoyable part of the job: speaking with patients that are actually friendly and don't care that you need to read from your script first. Being remote is nice and is pretty much the main selling point of the job but it's not enough to outweigh the daily frustration 


I took a position with Ashfield hoping for advancement. It is very “clique-ish”… Opportunities for advancement were extremely limited and pretty much non-existent. Despite getting an OUTSTANDING performance evaluation, I got a 0.56 cent raise for the YEAR! Getting the right and necessary equipment was a NIGHTMARE! I had to buy my own just to keep up with the onboarding process! Everything is “remote”… getting through to IT is nearly impossible and the wait time for resolution was unacceptable. Even contacting HR was so difficult- no phone number, just an email address. The onboarding process was SO disorganized and disjointed and there was no clear direction or outlines. For such a large organization, I am surprised they are unable/unwilling to make access to necessary department SO difficult! They also kept changing hours/ shifts and days of work. I was hired for day shift, one weekend a month and then after I was trained, the hours were constantly changing- they required more evening and weekend days per month. It felt like a “bait & switch)…  It was nearly impossible to plan things, go on vacations, take care of personal business because my schedule was not consistent. It never got better. Would NEVER consider working there again-even under a different contract with a different bio pharmaceutical company… They seem to “accept” the deficiencies and didn’t seem interested in improving things…

Honestly, I did not know what I was getting myself into. I worked full time with varying shifts and I HATED IT. Horrible experience and I would not recommend it unless you like being treated like you’re nothing. The supervisors/managers make you do everything for them while they benefit off of your hard work. Th working environment is disgusting. They DO NOT PROVIDE OPPORTUNITIES FOR GROWTH HERE. A manager needs to sign off if an employee wants to apply for another project. They hire managers that have no credible experience and ask them to lead. They should have some accountability considering this is a pharmaceutical industry. There is a reason why people do not stay long at Ashfield. My project was the absolute worst. New hires never lasted the 3 months it took to “train” someone. They overwork you until there’s nothing left. When asked for a raise based on statuses from the annual review, our business director said “they’d think about it”. And dismissed it. There is also som scrutiny towards women. Women on the project I worked for demanded a raise and fairness in the project. And we’re basically told to calm down. Don’t get me wrong some projects are better than others, but honestly the entire environment needs a change. And if you’re willing to experience this type negativity thrown your way, than have it. But please note, you’ve been warned.

This work from home job takes inbound calls and depending on your team -you could also make outbound calls as well. The role feels very robotic and is mentally draining at times. It doesn’t feel patient centered and you have to constantly repeat things over the phone to not get dinged as calls are monitored. Calls are monitored and rated according to if you get all phrases in and ask all the questions even if it doesn’t make sense for the patients situation. They’re also rated according to if you inquire further about possible adverse events or product complaints and various other things such as tone.

On the other hand there is constant change but coworkers and supervisors are very supportive and kind (at least for my assigned drug). I love how friendly everyone is and also how flexible the scheduling is. Every other weekend is required though. They give the option of 4 10 hour shifts or 5 8 hour shifts spread between Sun-Sat 8AM-11pm EST. You can also get downtime in between calls that can be nice where you can catch up on reading etc. But you are tied to your desk as you are still in a queue during inbound. 

Lots of change but no pay raise discussed. 

Pay is low to average currently at $34/hour. 6 weeks of paid training to start out. It can be a nice job for getting your foot in the door but if you truly enjoy educating patients I couldn’t see this as a job you’d want as it’s more scripted and reading from PI. 

The outbound calling portion is even more mentally draining and feels like soliciting and the patients don’t know it was opted in for when they sign up for copay- so it’s basically cold calling. 

Ashfield continues to fluctuate and change in leadership. Unfortunately, the best leadership team that turned the company around 2 years ago has been replaced completely due to the goal of continued cuts (due to pharm companies leaving Ashfield services to go to more reputable and competent CRO's). 

They are not, I feel, in compliance in terms of medical directors in drug safety. They hire foreign med grads with NO Clinical Experience AT ALL! I have witnessed firsthand the incompetence of said physicians. Why would Ashfield do this? Since upper management wants to save money and does not truly understand FDA regulations and guidance. They bring in uneducated foreign grads from horrible schools and pay them peanuts while dangling the J1 sponsorship so they are stuck. This is not in compliance with the FDA which clearly denotes that medical reviewers in safety must be "qualified" physicians (the definition of a qualified physician per the FDA is well delineated and Ashfield does not comply to save $$$). If their remaining pharm customers knew of this fact I am sure they would immediately leave.

 So sad they do not understand the root cause as to why customers (pharm companies) continue to flee Ashfield's services. It is only a matter of time before all this catches up, again, with Ashfield. As such, I would not recommend this company as their upper management goals are not aligned with what is correct both ethically and legally which also means they are putting patient safety at direct risk to save a buck...truly sad.

I am being completely honest for anyone thinking about working here; the culture at Inizio feels toxic and poorly structured.

Management expectations were often unclear. You would be told to do something one way, but then get in trouble later for doing it differently even though that “correct” method was never explained. It felt like you were set up to fail rather than actually trained to succeed.

Micromanaging was a serious problem. Instead of trusting employees to do their jobs, there was constant oversight that made it hard to work independently. It created unnecessary stress and made the environment feel controlling rather than supportive.

The training was falsely represented in practice. The program was supposed to last around four weeks, but in reality it felt rushed into about two weeks before certification. After certification, there was almost no real transition support. You are basically thrown into live work and expected to figure things out while handling real responsibilities.

The biggest issue was the lack of genuine employee care. Feedback was inconsistent, communication was poor, and mistakes were sometimes punished even when the process had never been properly taught.

Overall, the company has serious problems with training structure, communication clarity, and management style. I would not recommend this job if you are looking for a supportive learning environment or gradual onboarding.

Now called Ashfield Engage. There's should be a team that support and guides employees. Sorry managers are not providing the necessary guidance to help stay with the company. You can easily find yourself correcting other peoples work even with work being checked. They are okay with you finding the errors and then fixing them but don't expect to be placed in a leadership position. There's also many rules in place that you can get written up. However rule breakers, sometimes end up in leadership positions rather than hard working and committed employees. There's a lack of communication for certain situations, which can be filled with some lies. It feels no one can be trusted. Also before logging in expect to be extra early with no pay and then must likely stay over your time which is paid. It's easy to stay 2hrs over your time. Not easy to take time off and get denied. No work life balance. Always an issue when you have HCP appts and having coverage. Schedules can be a mess. A lot of people tend to call out.There is a high turnover rate. The thought of constantly thinking you may loose your job is not a good feeling. You will be monitored constantly for calls, reports, and time taking to write up reports.

Top Job Titles	Average Salary
Pharmaceutical sales representative 159 salaries reported	$77,616 per year
Regional sales manager 157 salaries reported	$195,939 per year
Clinical nurse educator 12 salaries reported	$125,167 per year
Clinical educator 44 salaries reported	$125,273 per year
Field sales representative 6 salaries reported	$123,750 per year

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