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Direct Sourcing & Payrolling/EOR Agencies

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DocVA

DocVA is a healthcare-specialized virtual staffing partner that helps medical practices across North America reduce payroll costs and elevate patient experience by embedding dedicated, HIPAA-certified virtual medical assistants into daily workflows. Led by Founder and CEO Nathan Barz, a Wharton graduate and former Barclays Investment Bank advisor, the company has placed over 1,000 virtual assistants into hundreds of practices, earning a 4.7 rating from 150+ reviews. DocVA sources highly trained professionalsprimarily registered nurses in the Philippines, where English is widely taughtwho support front- and back-office functions such as live scribing, appointment scheduling, call handling, EMR/EHR updates, prior authorization, benefits verification, medical billing and collections, claims follow-up, records management, and coordination with referring providers. Practices can also leverage bilingual English-Spanish talent, remote patient monitoring support, medical call center solutions, and virtual sitter coverage. Compliance and accountability are core: every assistant is HIPAA certified, trained in cybersecurity best practices, background-checked, and equipped with monitored, time-tracked devices. Clients work with the same assistant every day for continuity, and DocVA aligns schedules to office hours or provides overnight coverage so tasks are ready by morning. Engagements are simple and flexiblepriced from $10 per hour with no payroll taxes, no long-term contracts, and hassle-free cancellationwhile DocVAs Professional Employment Organization option streamlines employer-of-record and payrolling needs. The team tailors each placement to specialty workflows and software environments, integrating with any EHR/EMR and adapting to dermatology, ENT, psychiatry, cardiology, anesthesia, ABA, and more. A structured processdiscovery call, role scoping, curated candidate shortlists, hands-on onboarding, and ongoing performance monitoringdrives faster throughput, shorter wait times, improved documentation accuracy, stronger revenue cycle outcomes, and consistent, people-first patient service. By combining cost efficiency, healthcare-native talent, and rigorous compliance, DocVA enables practices to scale confidently without compromising care.

Contract StaffingPayrolling/EORTemporary StaffingHospital & Health Care (Nursing)PhysiciansPharmaceuticalsHealthcare AdministrationMental Health CareVeterinary

HQFort Lauderdale, United States

Recruitment Watch

Recruitment Watch is a boutique staffing partner that positions itself as a global hub for employers, focused on delivering practical staffing solutions, recruitment services, and payrolling support grounded in industry driven best practices. The firm emphasizes operational excellence by aligning process, technology, and human expertise to help organizations fill critical roles efficiently while reducing risk and administrative burden. Its offering spans permanent recruitment for long term hires, temporary staffing to address surge demand or project spikes, and compliant payrolling and employer of record arrangements that streamline onboarding, time capture, and accurate pay cycles. Recruitment Watch prioritizes clarity and transparency across the hiring lifecycle, from role scoping and market mapping to sourcing, structured assessment, and offer management, with attention to candidate experience and hiring manager enablement. By combining targeted outreach, screening discipline, and documented workflows, the team aims to shorten time to hire and improve quality of shortlist without sacrificing compliance. The payrolling service is designed to help employers quickly mobilize talent by handling worker onboarding, assignment documentation, timesheet administration, and payroll accuracy, while aligning to local labor expectations in each engagement. As a nimble consultancy, Recruitment Watch adapts to client needs across business sizes and sectors, providing right sized solutions that can start small and scale with demand. Data hygiene, communication cadence, and measurable service levels underpin its delivery model, giving stakeholders clear insight into progress and outcomes. Above all, Recruitment Watch is driven by the belief that reliable staffing and payrolling foundations free leaders to focus on growth and performance. By maintaining a continuous feedback loop with clients and candidates and benchmarking against evolving market practices, the firm sustains a competitive edge in operational delivery and builds partnerships based on trust, responsiveness, and consistent results.

Permanent RecruitmentTemporary StaffingPayrolling/EORAll industriesManagement ConsultingLegalHuman ResourcesTechnical WritingProject Management

HQMelbourne, Australia

AlstraMax

AlstraMax (Alstra Technologies) is a Latin Americafocused talent partner that helps companies source, hire, and manage senior technology professionals through an end-to-end, compliant model. Specializing in experienced engineers and data scientists, the firm operates a proprietary platform that unites rigorous vetting for both technical and soft skills with always-available account management to deliver fast, reliable staffing outcomes. Clients can choose direct hire for permanent roles or opt for flexible contract engagements, and when preferred Alstra can hire talent on the clients behalf using local tax IDs to simplify cross-border employment, payroll, and compliance. Unlike freelancer marketplaces, Alstra curates a pre-vetted talent pool and emphasizes reliability and experience rather than ad hoc gigs; and unlike traditional consulting firms, it focuses on staff augmentation and recruiting rather than project delivery. The companys approach blends technology and human touch: proprietary matching algorithms consider hundreds of variables to shortlist top candidates for each requirement, while dedicated advisors manage interviews, offers, onboarding, milestones, and extensions through a centralized dashboard. To address the global tech talent shortage, Alstra invests in upskilling and certification via its Latam Tech Centers, strengthening supply in high-demand domains such as software development, cloud, cybersecurity, data science and analytics, UX/UI, and SAP. With time-zone alignment, cultural affinity with North American teams, and favorable cost structures, Alstra enables organizations to accelerate roadmaps and scale engineering capacity without compromising quality or compliance. From single expert placements to assembling entire nearshore squads, Alstra delivers flexible contracts, benefit configuration, and transparent governance so clients can ramp quickly, reduce operational burden, and keep their focus on building products and running the business.

Permanent RecruitmentContract StaffingPayrolling/EORSoftware DevelopmentCybersecurityData ScienceCloud ComputingTelecomTechnology & Digital

HQFort Lauderdale, United States

IsoTalent

IsoTalent is a global recruiting and employment firm that helps organizations hire smarter, faster, and more cost-effectively through a modular, pay-as-you-go model. Based in South Jordan, Utah, the company combines experienced recruiters with technology-enabled workflows to streamline sourcing, screening, and hiring for roles across functions such as administration and HR, finance and accounting, technology, and healthcare. IsoTalents three core solutions align to each stage of the talent funnel: IsoEngage delivers targeted talent matching, active sourcing, soft-contacted leads, and resume-to-role alignment summaries straight to client inboxes; IsoQualify builds on that with pre-screened candidates, Wedge video interviews, bi-weekly calibration and feedback, and optional compensation benchmarking; and IsoHire provides end-to-end recruiting with a dedicated recruiter and account manager, full workflow execution, weekly reporting, and offer and close support. Complementing its recruiting services, IsoTalent also offers Employer of Record (EOR) capabilities to enable compliant global hiring and a Career Bridge outplacement program that provides personalized coaching, resume and interview preparation, job search resources, and employer support during workforce transitions. Clients cite accelerated delivery and material savings compared to traditional agencies: IsoTalent reports 2x higher fill success, 23x faster placements, typical time-to-fill of 2335 days, and 4070% lower recruiting costs. Case studies, such as Better Butters Accounts Receivable hire completed in under 14 business days at a $6.5k fee, highlight the models efficiency and quality. Trusted by brands including Nu Skin, Qualtrics, Domo, Instructure, Amadeus, ChickfilA, Golden State Dermatology, The Joint Chiropractic, Jet Dental, and Spring Dental, IsoTalent partners with startups, scale-ups, and enterprises to calibrate requirements, maintain transparent progress reporting, and secure high-quality hires with global reach and flexible engagement options.

Permanent RecruitmentRPOPayrolling/EORSoftware DevelopmentCybersecurityData ScienceHealthcare AdministrationMental Health CareVeterinary

HQSouth Jordan, United States

ECN Staffing, Inc.

ECN Staffing, Inc. is a well-established staffing agency serving the Tri-State area of Pennsylvania, New York, and New Jersey, known as one of the largest workforce employers in the region. Headquartered in Hazleton, PA, the firm supports both employers and job seekers with flexible, high-quality staffing solutions that span full-time and part-time roles across light industrial, logistics, healthcare, food services, packaging, consumer goods, and select professional and IT functions. For employers, ECN Staffing delivers time savings, workforce flexibility, and competitive rates, supplying skilled, fully screened candidates and offering payroll services, including financing, to simplify workforce management. Their matching process is grounded in practical evaluation criteriaeducational background, prior experience, skills, and work ethicso each assignment aligns with operational needs and safety requirements. For job seekers, there are no fees to find a job through ECN Staffing, and benefits include competitive wages and access to a free MEC health plan after 90 days of full-time work, with clear communication throughout the process. Candidates can apply online or in person at the Hazleton office, proceed through interview and notification steps, complete a drug-panel screen upon hire, and attend employer orientation prior to assignment. The agency further supports applicants with resume and interview guidance to improve job-readiness and career growth prospects. ECN Staffings industry coverage includes agricultural facilities, food services, manufacturing, distribution centers, IT, healthcare, professional services, logistics/warehousing, and packaging, enabling the team to partner with companies of various sizes on short-term, long-term, and temp-to-hire needs. Through consistent screening, reliable assignment management, and responsive communication, ECN Staffing aims to connect employers with dependable talent while advancing meaningful, sustainable employment opportunities throughout the communities it serves.

Temporary StaffingContract StaffingPayrolling/EORAutomotiveAerospaceDefenseWarehousingDistributionPublic Transit

HQHazleton, United States

Sirius Talent Group

Sirius Talent Group, Inc. is a minority- and veteran-owned workforce solutions company headquartered in Mobile, Alabama, dedicated to helping commercial, industrial, and government-funded organizations build, scale, and optimize their teams. Through its award-winning Sirius Talent Ecosystem, the firm delivers a comprehensive blend of services that span contingent and temporary staffing, direct hire and executive search, recruitment process outsourcing, managed service programs, statement-of-work delivery, payrolling and Employer of Record (EOR), outplacement, and advisory support. Operating through a family of specialized affiliates, including Sirius Staffing, Sirius Industrial, and niche brands such as JDR and Premier Pharma, Sirius mobilizes professional and technical talent nationwide to ensure every job is filled, every regulation is fulfilled, and every career is fulfilling. The company supports a broad range of sectors including Energy & Utilities, Finance & IT, Pharma & Chemical, and Transportation & Logistics, and recruits across key skill families such as Engineering & IT, Finance & Accounting, Professional & Administrative, and Skilled and Unskilled Labor. Clients rely on Sirius for agile engagement modelswhether a short-term contractor, a project team for SOW delivery, or an executive leaderbacked by rigorous sourcing, screening, vetting, and cultural alignment. Its RPO solutions augment in-house HR functions, while MSP capabilities centralize supplier management and program governance. EOR and payrolling services accelerate onboarding and ensure compliant payroll, benefits, workers compensation, safety, and regulatory adherence, reducing administrative load for client finance and HR teams. Sirius also provides compassionate outplacement and transition support, and targeted advisory services to transform HR and procurement operations. With a commitment to transparent communication and proactive service, Sirius champions inclusive hiring initiatives focused on military and first responders, seniors and students, and marginalized and re-entry populations, aligning talent strategies with business outcomes and delivering total talent management at scale.

Permanent RecruitmentTemporary StaffingPayrolling/EORSoftware DevelopmentCybersecurityData ScienceHealthcare AdministrationMental Health CareVeterinary

HQMobile, United States

Zynergia

Zynergia is a human resources outsourcing and PEO/HRO partner that helps employers streamline payroll, benefits administration, risk and compliance, and everyday HR operations so they can scale with confidence. The firm delivers flexible service modelsfrom full-service co-employment to tailored HRO supportcovering payroll processing and taxes, state unemployment insurance, benefits management, workers compensation, and comprehensive human capital management. Zynergias Risk Management & Human Capital Management expertise spans enterprise risk management, safety programs, workers compensation strategies, and organizational development, helping clients reduce exposure while improving workforce productivity. Through Zynergia Insurance Agency, the company extends access to alternative market workers compensation solutions and captive insurance options to optimize cost and coverage. A dedicated Back Office for Staffing Companies offering enables staffing firms to achieve scale, lower costs, improve cash availability, and enter new states by offloading payroll, compliance, benefits, and multi-state administration to a specialist team. Clients and employees benefit from a modern self-service experience via the iSolved portal for onboarding, time, payroll, and benefits access, while administrators gain consolidated visibility and accurate reporting. Zynergias industry experience includes healthcare and healthcare staffing, professional services, hospitality, and automotive, with programs designed to meet the strict compliance needs and high-volume workforce dynamics common in these sectors. Whether creating policies and documentation, advising on employee relations, managing benefits enrollment and carrier relationships, or deploying targeted risk controls, Zynergia focuses on responsive delivery and measurable outcomes. The companys approach combines practical HR execution with strategic guidance, enabling leadership teams to focus on growth while maintaining strong compliance across jurisdictions. By unifying payroll, benefits, risk, and HR technology in one partner, Zynergia provides a scalable foundation for employers seeking predictable costs, better employee experiences, and faster, compliant expansion.

Payrolling/EORSOW/ProjectsTotal Talent MgmtHospital & Health Care (Nursing)PhysiciansPharmaceuticalsEvent PlanningManagement ConsultingLegal

HQCrown Point, United States

Mindlance Health

Mindlance Health is a Joint Commissioncertified healthcare staffing partner specializing in travel nursing across all 50 states. Founded in 2021, the firm connects exceptional nurses with leading hospitals and health systems through flexible 8, 13, and 26-week assignments, rapid response deployments, and rigorously credentialed placements. Backed by the scale and stability of the Mindlance familyone of the largest staffing firms in the United States with more than $400 million in revenueMindlance Health pairs enterprise-grade resources with the personalized attention of a boutique agency. With 2,500+ active positions, a 98% satisfaction rate, 10,000+ nurses placed, and 500+ healthcare partners, the company delivers nationwide reach and consistent quality. Nurses choose Mindlance Health for top-tier compensation with weekly pay and comprehensive benefits, housing assistance, 24/7 support, and transparent communication that continues from onboarding through every extension. Facilities engage Mindlance Health to reduce hiring costs and administrative burden while gaining access to pre-screened, fully vetted clinical professionals across critical care, OR, ER, pediatrics, and other specialties. Dedicated account management, comprehensive credentialing, and quality assurance processes ensure compliance and patient safety while enabling quick, reliable coverage for census spikes, seasonal needs, and hard-to-fill shifts. The organizations philosophy centers on compassionate care, strong partnerships, excellence in service, and professional growthprinciples reflected in its educational Travel Nursing Guide and insights-driven blog that help clinicians plan assignments and advance their careers. From urgent rapid-response requests to scheduled contract coverage, Mindlance Health offers flexible terms, transparent pricing for employers, and individualized career guidance for nurses, making it a trusted, long-term partner for workforce agility and patient-centered care. Headquartered in Union, New Jersey, the team supports opportunities and client needs nationwide, bringing mindfulness, balance, and responsiveness to every placement.

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

HQUnion, United States

Custom Personnel

Founded in 1993 in Redding, California, Custom Personnel is a locally focused staffing partner serving employers and job seekers across Shasta and Tehama counties. With more than 25 years of experience, the firm specializes in non-traditional placements and delivers flexible hiring solutions that include a 90-day temp-to-permanent program, contract-to-hire and project staffing, direct placements, and comprehensive payroll outsourcing that allows clients to place existing employees on Custom Personnel’s payroll. The team supports both industrial and clerical office environments, paying close attention to safety, fit, and willingness to learn, and schedules frequent interview and screening sessions to keep talent pipelines active. Employers benefit from the ability to preview candidates on assignment before making long-term commitments, weekly payroll and convenient billing during trial periods, and responsive service led by company president Debra Randell that adapts to special invoicing or operational requests. Candidates gain access to a broad range of opportunities across customer service and call centers, sales, accounting and bookkeeping, clerical and administrative support, office reception, maintenance technicians, manufacturing, warehouse and distribution, medical billing and office roles, graphic design, computer technicians, and desktop publishing, with free résumé support available to improve job readiness. As industrial specialists, Custom Personnel emphasizes a “safety first” culture and careful selection for roles in construction, manufacturing, and warehousing while also supplying experienced administrative assistants, executive assistants, personal assistants, receptionists, accountants, controllers, A/P-A/R staff, and other white-collar professionals for temporary, part-time, full-time, seasonal, and outsourced needs. Rooted in community, the firm has been recognized by local chambers and community organizations and maintains an accessible, high-touch approach that matches the right people to the right jobs and the right jobs to the right people. Whether the need is staffing support or payroll services, Custom Personnel provides practical, time-saving solutions that help organizations get work done.

Temporary StaffingPermanent RecruitmentPayrolling/EORAutomotiveAerospaceDefenseMental Health CareVeterinarySupply Chain Management

HQRedding, United States

Mindlance

Mindlance is a diversified staffing and workforce solutions partner that helps organizations build, scale, and optimize talent across technology, digital and creative, scientific and clinical, professional, industrial, and telecom domains. Through its Staffing Services practice, the firm provides specialized Technology Staffing, Digital & Creative, Scientific & Clinical, Professional, and Industry-Specialized recruitment, and maintains deep program expertise partnering within MSP/VMS ecosystems. Complementing core staffing, Mindlance delivers an extensive suite of Workforce Solutions that address modern talent supply and capability gaps, including Quintrix upskilling pathways for emerging tech talent, Reboot Talent returnships for professionals re-entering the workforce, Diversphere programs to engage diverse talent pools, Pay+ payroll and independent contractor compliance, Pay+ direct sourcing for branded talent community strategies, Master Vendor and Vendor-on-Premise solutions, and end-to-end Recruitment Process Outsourcing. The company also offers integrated IT Solutionsspanning Application Services, Experience Design, Data and Product Engineering, Cloud Engineering, Cybersecurity, Artificial Intelligence and Machine Learning, and Intelligent Process Automationto accelerate client transformation agendas. Mindlance supports a broad cross-section of industries, with a strong track record in Healthcare and Life Sciences (partnering with leading brands such as Johnson & Johnson, AstraZeneca, Baxter, BD, Labcorp, and Lilly), Technology and Telecom, Manufacturing and Industrial, as well as Retail, Financial Services, and Energy/Resources. Clients engage Mindlance for its ability to combine domain-savvy recruiters, compliant delivery models, and flexible engagement constructs that align with enterprise program governance while improving speed, quality, and inclusivity of hiring. With a national job board, recognized programs, and locations supporting client footprints, Mindlance focuses on balance, purpose, and growthfor clients and candidates alikebringing scalable talent solutions, compliant operations, and future-ready skills development together to deliver measurable outcomes in cost, time-to-fill, and workforce capability.

Contract StaffingRPOPayrolling/EORSoftware DevelopmentCybersecurityData ScienceMental Health CareVeterinaryAutomotive

HQUnion, United States

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