Pros
Meaningful work where you actively play a role in helping providers collaborate with each other to get their patients better care. As a CSM, you get to support some of the largest pharmaceutical companies, medical device companies, and medical societies in the world, and work on delivering real value to customers. You're also actively learning and developing professionally, both internally and through collaborative work with customers. More access to senior leadership with a wide range of professional backgrounds than you would at a larger company, as well as exposure to other departments. This also makes it much easier for your impact to be visible and recognized by leadership. Remote work and flexible schedules (the team spans multiple time zones). PTO is easy to use, and there is a monthly wellness stipend that supports staying healthy.
Cons
Working at a startup means there's a lot of learning involved. Although process documentation exists, it's still evolving frequently, and you play an active role in developing best practices (this can be a pro for some and a con for others). As a lean startup, there are fewer layers between you and management, which is a pro, but that also means there's less of a defined career ladder and fewer expected promotion paths compared to a larger company.