First of all, no two people could have the same experience at IQVIA, and every group, every BU, every team is so different so any reviews have to have that in mind. One thing that spans across all groups and BUs is the level of ego -- everyone is so focused on their titles, which are often meaningless. This culture drives an undercurrent of stupid politics and cut-throatness that is really debilitating to anyone not willing to do anything to play the game. Any mistake you make is going to be magnified and inspected 100-fold, while any accomplishment you have will have the bare minimum, if that, recognition. Bonuses and raises are a literal joke, and unless you know whose ego to stroke, you can forget promotions (certain jobs have no career track either, so if you are unlucky landing that type of role, good luck trying to build momentum in your career). Many of the SLs and directors have little to no people management skills so forget about career fostering. There's also always a fear of layoffs or major changes in departments that happen every six months to a year so if you are focused on building a career, you have to get used to FREQUENT change with little to no understanding how each change will affect your specific role.