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Direct Sourcing & Payrolling/EOR Agencies

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Syncx

Syncx is a healthcare workforce technology and services company focused on transforming how health systems and physician groups manage locum tenens and permanent provider hiring. Positioned as innovators and staffing disruptors, Syncx brings a unified, AI-powered hub that consolidates fragmented vendor contracts, manual processes, and disparate tools into an integrated operating system for talent acquisition and contingent workforce management. The Syncx suite includes Syncx MSP, which centralizes and governs the end-to-end locums program across credentialing coordination, contract compliance, vendor engagement, performance visibility, and cost control; Syncx Float Pool, which enables organizations to build and activate an internal, directly sourced pool of providers to reduce agency dependency, take ownership of spend, and boost retention; and Syncx Perm ATS, a healthcare-tailored applicant tracking system that helps in-house recruiting teams improve fill rates and time-to-fill for permanent physician roles through intuitive workflows and real-time data. Designed for health systems, in-house recruiters, and staffing agency partners to operate in lockstep, the platform prioritizes simplicity and speed while delivering deeper analytics on usage, coverage, and cost, including predictive modeling to support smarter, faster decisions. By aligning technology with experienced program leadership and strong agency relationships, Syncx helps clients drive higher-quality placements, streamline communication, reduce redundancy, and create a sustainable, democratized marketplace for provider talent. The result is a modern staffing model that blends managed services with direct sourcing and purpose-built ATS capabilities, giving leaders visibility and control over locums procurement while strengthening the pipeline for permanent clinicians. Through resources, thought leadership, and collaborative partnerships, Syncx supports workforce transformation with a pragmatic approach: modernize the tech stack, standardize the process, and empower teams with actionable insightso hospitals and healthcare organizations can secure the right physicians at the right time and cost, and ultimately improve patient access and care continuity.

MSPPayrolling/EORPermanent RecruitmentHospital & Health Care (Nursing)PhysiciansPharmaceuticalsHealthcare AdministrationMental Health CareVeterinary

HQAtlanta, United States

CXC

CXC is a global provider of contingent workforce solutions that helps enterprises source, engage, manage, and pay contractors compliantly across 100+ countries. For more than 30 years, the company has applied a Human+ model that blends smart automation with local, on-the-ground expertise to deliver predictable, scalable, and compliant outcomes without operational chaos. CXCs capabilities span on-demand talent sourcing, direct sourcing programs that leverage a clients employer brand, and RPO for end-to-end recruitment support. For compliant engagement in any market, CXC delivers Employer of Record (EoR) and Agent of Record (AoR) services, allowing organizations to hire quickly without establishing legal entities, while CXC Comply ensures correct worker classification and audit-ready documentation to reduce misclassification risk. To run programs at scale, CXC offers a vendor-neutral MSP, contractor management outsourcing, and global payroll from a single provider, ensuring accurate, on-time payments with local tax handling and consistent worker experiences. These solutions integrate with existing HR and finance ecosystems to create consolidated visibility, tighter cost control, and robust governance, so leaders can standardize processes, speed onboarding, and maintain compliance in fast-changing regulatory environments. CXC serves a wide spectrum of sectors including technology, financial services, life sciences, manufacturing and consumer goods, media, education, aviation and defense, energy and resources, retail, and travelsupported by case studies with organizations such as GitLab, News Corp, TAL, IMG, and Deakin University. With 30+ offices across five continents, CXC combines global reach and local knowledge to scale programs from dozens to thousands of contractors. Clients choose CXC for its vendor neutrality, transparent partnership approach, and measurable resultsfrom standardized agency margins and improved supplier performance to reduced risk and consistent payroll accuracy. Whether entering a new market, consolidating suppliers, or elevating an established program, CXC operates as a long-term partner focused on reliable operations, better contractor experiences, and outcomes that stand up to scrutiny.

RPOMSPPayrolling/EORSoftware DevelopmentCybersecurityData ScienceFinTechManagement ConsultingLegal

HQSingapore, Singapore

Quest Locum Tenens

Quest Locum Tenens is a national locum tenens staffing agency headquartered in Atlanta, Georgia, established in 2010 and trusted by healthcare organizations for nearly 15 years to solve hardtofill clinical coverage needs. The firm specializes in the temporary staffing of physicians, nurse practitioners, physician assistants, and certified registered nurse anesthetists, aligning bestfit talent with roles across primary care, emergency medicine, hospitalist services, anesthesia, surgical subspecialties, pediatrics, womens health, psychiatry, radiology, and a broad spectrum of internal medicine and other specialties. Quest partners with hospitals, health systems, physician groups, urgent care clinics, and surgery centers to achieve workforce balance through locum tenens contracts and temptoperm pathways, combining proactive sourcing in niche markets with a consultative approach that emphasizes listening, curiosity, transparency, and longterm partnership. Purposedriven and peoplefocused, the company is dedicated to expanding access to quality care in communities in need, prioritizing purpose over profit and championing fair, transparent, unbiased compensation, with a stated commitment to closing pay gaps and supporting provider worklife balance. Providers and clients benefit from attentive execution that extends through credentialing and onboardingreinforced by testimonials citing Quests persistence in recruiting, completing forms, credentialing, and preparing clinicians to arrive ready for patient care. As active participants in industry bodies including the National Association of Locum Tenens Organizations (NALTO) and the National Association of Physician Recruiters (NAPR), Quest adheres to recognized standards while leveraging deep market insight to deliver reliable coverage, even for the most challenging specialties. With national reach and specialty breadth, Quest Locum Tenens turns locums into a value driver for healthcare organizations and a flexible, careeradvancing choice for clinicians, uniting missionaligned providers with the right opportunities and ensuring every placement supports clinical excellence, operational continuity, and community health.

Temporary StaffingContract StaffingPayrolling/EORHospital & Health Care (Nursing)PhysiciansPharmaceuticalsHealthcare AdministrationMental Health CareVeterinary

HQAtlanta, United States

Alera Group HR Consulting & Workforce Solutions

Alera Group HR Consulting & Workforce Solutions is the human capital advisory arm of Alera Group, bringing together specialists across employee benefits, HR, risk, and wealth to help employers optimize their total rewards and workforce strategies. Built on a culture of collaboration and connectivity, the firm blends national expertise with local service to deliver practical, data-driven programs that improve cost, compliance, and employee experience. Core offerings span HR Consulting Solutions, Benefits Administration, PEO Solutions, and Communications & Engagement, complemented by deep capabilities in Compliance, Absence Management, Wellbeing, Pharmacy Management, and Population Health & Data Analytics. Clients leverage Advanced Health Plan Strategies, Alternative Funding and Captive Solutions to gain cost control, while International Benefits and Benefits Benchmarking extend reach and decision support for global and multi-state workforces. Through Actuarial & Finance and Total Program Management, Alera Group helps organizations design and govern sustainable benefit programs, align plan performance to business objectives, and drive measurable outcomes. Technology-enabled services, including Lumity and integrated analytics, provide visibility into utilization, trends, and opportunities to enhance recruitment, retention, and overall employee value propositions. Integrated practices in Property & Casualty (risk management, consulting, and claims advocacy), Retirement Plan Services (plan design and fiduciary support), and Wealth Services (financial wellness, protection, and transfer strategies) round out a comprehensive platform that supports employers and their people at every stage. Thought leadershipmarket outlooks, regulatory alerts, benchmarking studies, and webinarskeeps clients ahead of emerging trends and evolving regulations. Whether navigating growth, M&A, multi-location complexity, or new workforce models, Alera Group provides scalable, outcomes-focused solutions that align HR, finance, and risk, helping organizations protect what matters, enhance benefits ROI, and build stronger financial futures for their employees.

Payrolling/EORSOW/ProjectsTotal Talent MgmtBankingInsuranceInvestment ManagementHuman ResourcesTechnical WritingProject Management

HQDeerfield, United States

IT Mantra, LLC

IT Mantra, LLC (ITM) is a Certified Woman and Minority Owned (WBE/MBE) staffing firm founded in 2003 and based in Massachusetts, with U.S. operations in Wellesley and a delivery presence in Ahmedabad, India. The company delivers a comprehensive mix of IT and Life Sciences staffing and workforce solutions, offering contract, contract-to-hire, and permanent placements alongside Employer of Record and payroll services that enable clients to scale quickly while maintaining compliance and cost control. ITM serves hospitals and health systems as well as pharmaceutical and biotechnology organizations, and supports technology-led enterprises more broadly, supplying contingent or full-time talent across the full technology lifecycle and key clinical, regulatory, and quality domains. On the technology side, ITM regularly staffs roles in software and web/application development (Java, UI, .NET), business intelligence, data warehousing and ETL, data analytics, cloud computing on AWS and Azure, Agile delivery, and program/project management and business analysis. Within healthcare and life sciences, its network spans research (associate scientists, biostatisticians), clinical operations and development, medical writing, technical operations and quality (quality control analysts, supply chain coordinators), regulatory affairs (including scientific editors), and healthcare IT specialists skilled in Epic, Cerner, eClinicalWorks, McKesson, NextGen, Siemens, and bio-engineering, as well as data management, quality assurance, and pharmacovigilance. IT Mantras U.S.-managed delivery model emphasizes security, business continuity, and responsiveness with 24x7x365 support, leveraging a blend of dedicated and shared resources to drive measurable improvements in cycle time, quality, and cost-effectiveness. The firm aligns closely to each clients processes and culture, often replicating the client environment for seamless integration, and collaborates transparently with MSP/VMS programs when required. A strong commitment to diversity and inclusion underpins its talent strategy, including a mission to promote women in the IT workforce and support a globally diverse contingent workforce. Guided by an ethical, client-first management philosophy and continuous training and certification for its consultants, IT Mantra focuses on delivering quality, cost effectiveness, and customer satisfaction that translate into productivity gains and shareholder value.

Contract StaffingPermanent RecruitmentPayrolling/EORHospital & Health Care (Nursing)PhysiciansPharmaceuticalsCybersecurityData ScienceIT Infrastructure

HQWellesley, United States

The Hiring Group

The Hiring Group is an IT, engineering, and professional staffing firm that believes contractor care drives client results, and it has built a retention-led model to prove it. Centered on the simple idea that great benefits create great contractors, the company offers 401(k) with company match, starting PTO, and tiered medical plan optionsGold, Silver, and Bronzepaired with 24/7 contractor support and dedicated relationship managers. This people-first approach translates into a 94% retention ratewell above typical industry averagesand a consistently strong delivery experience for employers who need hard-to-find skills on demanding timelines. THG provides flexible engagement models across contract staffing, contract-to-hire, and direct placement, helping organizations control workforce costs, validate cultural fit, and access both active and passive talent. Its payroll services further de-risk hiring by simplifying W-2 administration and benefits management for clients who want to onboard known talent quickly while outsourcing employment compliance. The firm recruits across core technology and engineering domainsincluding IT infrastructure, applications, and advanced analyticsas well as professional disciplines such as marketing, finance, human resources, accounting, management, and administrative roles. Whether building a high-performing project team, backfilling critical technical roles, or making a pivotal permanent hire, clients benefit from experienced recruiters who understand the unique cultures and operating rhythms of IT and engineering environments and who are equally adept at sourcing business-side professionals. Contract-to-hire options allow employers to mitigate hiring risk and confirm team fit before converting, while direct placement services broaden reach to passive candidates who align with technical, behavioral, and cultural requirements. Recognized on the Inc. 5000 for three consecutive years, The Hiring Group pairs proven processes with a service-minded ethosprioritizing responsiveness, honest communication, and long-term relationships. The result is a dependable staffing partner that keeps projects moving, teams engaged, and outcomes on track by aligning incentives so that contractors thrive and employers see measurable performance gains.

Contract StaffingPermanent RecruitmentPayrolling/EORSoftware DevelopmentCybersecurityData ScienceChemical ManufacturingElectrical EngineeringIndustrial Automation

HQGreenville, United States

HireGenics

HireGenics is a market-leading provider of contingent workforce solutions with more than 25 years of experience, trusted by numerous Fortune 500 companies to elevate extended workforce programs. Its comprehensive offering spans Managed Service Provider (MSP) solutions that optimize access to quality talent across channels while managing cost and performance; Employer of Record (payrolling) for client pre-identified talent delivered with a human-centered, compliance-first approach; Agent of Record services that validate independent contractors to mitigate misclassification risk and indemnify clients; Direct Sourcing programs that build branded talent communities and enable redeployment; and advisory solutions that blend strategy, governance, analytics, and optimization to accelerate program maturity. A signature differentiator is HireGenics always-on analyticsfeaturing natural language queryingthat program teams translate into actionable intelligence, enabling clients to anticipate needs, benchmark rates, increase visibility into labor costs, reduce risk, and contain spend. The company empowers a nationwide ecosystem of 1,600 suppliers through mentoring, next-generation Supplier Scorecards, PartnerPulse performance intelligence, and a proprietary Success Matrix, driving higher talent quality, faster delivery, and lower total cost. Delivery excellence is institutionalized through a Center of Excellence that codifies best practices and continuous innovation, while a deep commitment to diversity expands access to inclusive talent at all levels. Industry recognition includes being highlighted in the 2024 MSP Solutions Advisor Report from Ardent Partners, winning the 2025 TIARA TalentEdge AI Award for Best Use of Technology for PartnerPulse, and being named a Major Contender in Everest Groups 2025 Contingent Workforce Management PEAK Matrix Assessment. With NPS scores reported as 76 points above an industry average of negative 29, HireGenics partners closely with stakeholders from strategic planning through execution, guiding channel decisioning across staff augmentation, statement of work, and full-time hiring to deliver compliant, data-driven, and scalable total talent solutions.

MSPPayrolling/EORSOW/ProjectsAutomotiveAerospaceDefenseMedical DevicesHealthcare AdministrationMental Health Care

HQAtlanta, United States

Imatong Employment Solutions Ltd

Imatong Employment Solutions (IES) is a boutique South Sudanese human resources company, registered and operating in South Sudan since 2015 (Ministry of Justice registration number 25,272), dedicated to transforming the HR landscape in Sudan and South Sudan. From its base in Juba, IES delivers comprehensive, cost-effective, and reliable people solutions for businesses, diplomatic missions, UN agencies, international and national NGOs, and government institutions. The firms service portfolio spans full-cycle recruitment and selection, tailored headhunting for hard-to-fill and leadership roles, and HR outsourcing that includes payroll and contract management/EOR, complemented by organizational assessments, remuneration surveys, salary scale reviews and job evaluation, training, and bespoke HR consulting alongside jobseeker support. Backed by thousands of qualified South Sudanese and international professionals in its database and deep local and international experience, IES combines rigorous processes with contextual insight to source, assess, and onboard talent efficiently and transparently. The company underpins every search with a one-month placement guarantee, strong confidentiality and data security practices, and an emphasis on value for money suitable for both corporate and non-profit budgets. With 199+ completed projects and 99+ clients, IES has built a reputation for professionalism, flexibility, and timely delivery, reflected in testimonials from organizations across development, diplomatic, and private sectors. Whether recruiting dozens of field staff across multiple states or appointing specialized coordinators, logisticians, and senior managers, IES partners closely with hiring teams, communicates clearly at every step, and adapts to changing requirements to achieve high-quality outcomes. Guided by the promise Simple. Efficient. Reliable., the companys mission is to make HR easier and more effective in South Sudan by providing the right people, processes, and support so employers can focus on their goals and jobseekers can advance their careers.

Permanent RecruitmentExec Search & Interim MgmtPayrolling/EORFundraisingSocial ServicesEnvironmental ConservationLegalAccounting (Audit, Tax)Human Resources

HQJuba, South Sudan

1 POINT HR SOLUTIONS PRIVATE LIMITED

One Point HR Solutions is a professional staffing organization headquartered in the Cincinnati Tri-State area with offices nationwide, focused on being responsive, resourceful, and reliable for employers that need scalable workforce solutions. Backed by an executive team with over 50 years of combined experience, the company delivers end-to-end staffing and people operations support that helps clients keep mission-critical functions running smoothly and safely. Its core capabilities span high-volume and niche placements across warehouse, airport, logistics, manufacturing, medical, hospitality, and emergency response environments, with tailored programs that supply dependable talent where and when it is needed most. Beyond recruiting and assignment management, One Point HR Solutions provides HR management, logistics management, payroll and health care benefits administration, call center client services, and workers compensation insurance coordination, enabling businesses to simplify onboarding, ensure compliance, and improve workforce continuity. The firms staffing portfolio covers temporary, temp-to-hire, and contract engagements, with a strong emphasis on safety training, attendance reliability, and productivity in blue-collar and frontline roles, while also supporting white-collar operational and administrative positions that keep facilities and service lines running efficiently. Its Horizons IT Solutions brand broadens access to specialized talent and technology-enabled processes, enhancing sourcing reach and speed. For job seekers, One Point HR Solutions offers straightforward job search access and clear pathways into steady work across shifts, sites, and skill levels, while employers gain a single point of contact for requisitions, scheduling, and performance follow-up. By aligning recruiting with on-the-ground workforce demands, the company helps clients reduce downtime, stabilize labor costs, and respond quickly to seasonal peaks, urgent projects, and unexpected surges.

Temporary StaffingContract StaffingPayrolling/EORSupply Chain ManagementFreight ForwardingAirlines & AviationChemical ManufacturingElectrical EngineeringIndustrial Automation

HQChennai, India

Human Resource Staffing, LLC

Human Resource Staffing, LLC (HR Staffing) is a Missouri-based staffing agency that brings talented people and great companies together across the St. Louis metro and Springfield regions. For more than 25 years, the firm has specialized in matching dependable clerical, IT, light industrial, manufacturing, warehouse, and logistics professionals with employers that value reliability, safety, and productivity. From a headquarters in St. Peters and offices in St. Louis, Springfield, and Arnold, HR Staffing supports organizations with flexible workforce solutions that include temporary staffing, temp-to-hire, and direct hire recruitment, complemented by executive search offerings and employer-of-record/payrolling services when clients need to onboard talent quickly and compliantly. Employers benefit from a responsive local team that understands the demands of production schedules and office operations alike, and that screens candidates for skills, work ethic, and cultural fit across roles such as administrative and executive assistants, data entry specialists, receptionists, machine operators, welders, maintenance technicians, assemblers, quality and safety inspectors, pickers/packers, shipping and receiving specialists, CDL and Class E drivers, certified forklift operators, business and data analysts, database administrators, help desk and desktop support, and network administrators. Job seekers rely on HR Staffing for access to steady opportunities, competitive pay, and guidance at every stepfrom application and interview preparation to assignment onboarding and advancementwhether they seek short-term flexibility or a path to full-time employment. Known for integrity, follow-through, and service that exceeds commitments, HR Staffing focuses on placing the right people at the right time so clients can maintain momentum and candidates can grow their careers. With deep roots in the communities it serves and proven expertise across office, industrial, and technology environments, the company provides the capacity, speed, and care that regional employers and talent expect from a true staffing partner.

Temporary StaffingPermanent RecruitmentPayrolling/EORAutomotiveAerospaceDefenseWarehousingDistributionPublic Transit

HQSt. Peters, United States

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