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Scaling CRA talent for North American Psychiatry & Neurology trials

​A global full-service CRO, headquartered outside the United States, partnered with us to rapidly scale its Clinical Research Associate (CRA) workforce across North America. The goal was to support an expanding portfolio of Psychiatry and Neuroscience clinical trials, despite the client’s lack of internal U.S. hiring infrastructure.

Key Stats

  • 25+ CRAs sourced and onboarded across the U.S. and Canada

  • 100% compliant U.S.based employment model

  • Reduced deployment time for faster study start-up

  • Predictable hourly rates aligned with study budgets

The Context

As demand increased for Psychiatry and Neurology trials in North America, the client needed a dependable and compliant workforce solution. However, being headquartered outside the U.S., they lacked the infrastructure to support local recruitment, onboarding, payroll, and employee benefits. They were seeking a partner that could deliver high-quality talent quickly and efficiently in a competitive hiring environment.

The Challenge

The client faced multiple barriers to scaling their U.S. based CRA workforce. Without a local HR or benefits framework, they were unable to attract and retain qualified professionals. Budget tracking and cost control were difficult due to a lack of visibility into workforce spending. Additionally, they needed to ramp up hiring quickly across several geographic regions while ensuring full compliance with local employment regulations.

The Solution

We delivered a comprehensive, end-to-end staffing solution tailored to the client’s operational and regulatory needs. Drawing on our clinical operations network, we sourced CRAs with direct experience in Psychiatry and Neurology trials and managed the full interview process to ensure both technical capability and cultural fit.

To address infrastructure gaps, we deployed our W2 contract staffing model, onboarding CRAs under our U.S. based employment structure with access to a competitive benefits package. This allowed the client to scale without building internal HR or payroll systems. Additionally, our transparent, fully burdened hourly billing model gave them predictable costs and complete budget visibility.

The Results

The client successfully built a regionally distributed CRA team across the U.S. and Canada without needing to establish a local employment framework. With faster onboarding and full compliance, they were able to accelerate study timelines and maintain a clear view of staffing spend. Our partnership allowed them to stay focused on clinical delivery while we managed the complexity of talent acquisition and workforce logistics.