Very low pay compared to industry standards which is surprising because the company must fill the clinical spots with contractors, and the contractors are paid well. No annual bonuses and often no cost of living annual raises unless you beg or threaten to quit. When issues arise, the management team is either absent or micromanaging. The company is always understaffed, so each employee is overworked. There is no human resources team, so there is no ability to talk to anyone when problems arise. Proxima hires inexperienced people with no training plan, and they terminate employees routinely (either for being unable to quickly figure out how to do a job that no one trained them to do or simply because you didn't agree with the management team). They had a round of layoffs in 2023. For a company with such a SMALL clinical team, they didn't need a lot of the non-clinical staff.