GRAIL reviews

2.9

42% would recommend to a friend

(217 total reviews)

Bob Ragusa

39% approve of CEO

32% positive business outlook

GRAIL has an employee rating of 2.9 out of 5 stars, based on 217 company reviews on Glassdoor which indicates that most employees have an average working experience there. The GRAIL employee rating is in line with the average (within 1 standard deviation) for employers within the Pharmaceutical & Biotechnology industry (3.5 stars).

Reviews by job title

217 reviews
2.0
Jan 28, 2026

Poor structure and toxic management

Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

You have the opportunity to work with some really bright and engaged individuals who care about the future of cancer screening- if they haven't left or been RIF'd yet.

Cons

Due to past the last 2 major RIFs which resulted in ~30%+ of the staff being let go and more who left on their own following the restructuring it left many teams with limited resources to support projects and still have goals that remained the same prior to the RIFs to try and figure out ways to complete the work with even less help. Even before the 2 major RIFs the daily saying with teams was "we're building the plan as we're flying it." So following the RIF managers and team leads were tasked with completing goals with less support/resources or with entire departments removed and neighboring groups forced to come in and support- this takes time to integrate new staff into existing roles, but middle/Sr. leadership was/is poised to maintain the lofty goals of the executive leadership to appease shareholders. There were multiple instances where because an entire department was gone due to RIF and subsequent quitting made it so a large gap in the clinical process was overlooked and leadership would not fill that role directly due to budget restrictions so others has to pitch in and put on "new hats" to get tasks across the finish line only for leadership to remark that "your team missed the target," which once again, did not change between pre and post RIF. This mentality persists to this day; however, this clear mismanagement of the resources they had and still have continue to burn their strong/bring employees out. If you're looking to grow, look elsewhere unless you're looking to test your skills in a high stress low supportive environment. Feedback to middle management (AD/Dir) about the issues gets your niceties about the effort you're putting in, but there's nothing they can do. Additionally those left in the middle management roles, as mentioned in the subject, are primary causes of toxicity- you can't trust any of them to truly have your back.

avatar
GRAIL Response
3mo
Thank you for taking the time to share your experience at GRAIL. We appreciate your dedication to GRAIL and its mission to detect cancer early, when it can be cured. We strive to improve transparency across all levels to ensure more business decisions are understood company-wide. We have shared your feedback with the appropriate leadership teams to review and will continue to work to improve our culture.
1.0
Jul 17, 2025
Recommend
CEO approval
Business Outlook

Pros

Great mission Smart people Great medical dental vision Great pay Car / gas reimbursement Company provided cell High base - low commission

Cons

Rules are applied inconsistently unless you're a manager or have close ties with leadership. Sales representatives are stretched thin, often covering multiple merged or realigned territories due to layoffs. They're overworked, underappreciated, and face limited opportunities for genuine career growth. Advancement is rarely based on performance, instead driven by internal politics and favoritism—typically favoring those who align closely with leadership. Promotions are few and far between, and merit plays little to no role in the process. Commission earnings are insufficient to sustain a reasonable cost of living, particularly on the East Coast post-COVID. Other departments—such as Events and Firefighter Channels—frequently shift blame for their failures onto Sales, with no accountability. This lack of ownership reflects a broader leadership culture where mistakes are deflected and consequences are virtually nonexistent. Sales reps are often subject to intimidation and scapegoating. Meanwhile, "leadership development programs" are largely performative, offering little more than hollow promises of future advancement in far-off years like 2026 or 2028. These initiatives seem more like public relations exercises than meaningful efforts to develop talent, further diminishing trust and morale across the sales team.

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GRAIL Response
10mo
We have taken notes on your suggestions and are working to improve our employees’ experience. We will share this with the appropriate leaders.
3.0
Jun 8, 2025
Recommend
CEO approval
Business Outlook

Pros

Great Pay little training on job details

Cons

Bad culture very toxic when it comes to training and promotion.

avatar
GRAIL Response
1y
Thank you for taking the time to share your experience. I will make sure that appropriate teams review as we are always working to improve our culture and we value feedback.
Viewing 85 - 87 of 217 Reviews

Glassdoor has 239 GRAIL reviews submitted anonymously by GRAIL employees. Read employee reviews and ratings on Glassdoor to decide if GRAIL is right for you.