Searching for trusted HR outsourcing and EOR agencies in the US? DesignRush is the platform Fortune 500 brands rely on, with over 100,000 client-agency matches monthly. Our experts have vetted agencies to ensure you find the best fit for your needs. Compare providers by industry expertise, client type, budget, reviews, team size, and portfolio.
Organic rankings are determined by five factors: top services, reviews, portfolio, awards/press, and team expertise. Sponsored listings pay for a placement that appears above organic positions. Sponsorship does not affect star ratings or review content - read more on our methodology page.
US-Based Outbound SDR Agency. Boutique. Multi-Channel. Real Pipeline.
Leadium is a US-based B2B outbound SDR agency running cold email, cold calling, and LinkedIn programs for companies that need qualified pipeline without building an in-house team. Boutique model. 100% US-based execution. Founder-led delivery on every account...
Top Services:
- Email Marketing
- BPO
- CRM Consulting
- Business Consulting
- Direct Marketing
- Show more
- Location
- Las Vegas, Nevada
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $50/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsLeadium Services
Data sourced from the agency's DesignRush profileSquare Rackspace Microsoft LG DirecTV OSRAM Time Logistics Palo Alto Networks Amada Senior Care brightwheel
Leadium Reviews & Testimonials

AI Marketing Review from Scott Proffitt
Our monthly leads have gone up by 3x with Leadium. This allows us to focus on production efficiencies.

Call Centers Review from Sam Jennings
Finding Leadium changed the way our team operates. They've been able to fill our pipeline with the people we want to talk to so we can focus on beekeeping.

Call Centers Review from Marcos Moura
Leadium is able to speak to our prospects as if they're Amada themselves. They're filling our pipeline in a way we couldn't!
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsExcellence in Recruiting Executives Nationwide Since 1967
Bristol Associates specializes in highly focused, personalized executive search in all verticals for Casino Gaming; CBD; Facility and Concession; Food and Beverage; Healthcare; Hotel and Resort; Nonprofit; Restaurant; and Travel, Tourism, and Attraction...
Top Services:
- HR Outsourcing
- Location
- Hermosa Beach, California
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBristol Associates, Inc. Services
Data sourced from the agency's DesignRush profileHard Rock International Caesars Entertainment Cedar Fair Entertainment Company Golden Malted Jo's Candies Dave & Buster's Jeneil Biotech, Inc. The Colburn School Hawaii Pacific Health Los Angeles Jewish Home
Bristol Associates, Inc. Reviews & Testimonials

HR Outsourcing Review from Andy Green
For over a decade, Bristol Associates has successfully found us key executives ranging from COO to VPs, Directors and Managers. Not only do they understand the recruitment business, but they have made a point of understanding and learning about our company – critical when considering senior level recruitment.
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HR Outsourcing Review from Kevin Lynch
Bristol Associates was recommended to us by a friend and colleague at the casino we oversee. We reached out to a couple other firms, but Bristol was by far the most responsive and professional company we spoke with. From the first contact, they were always available to us whenever needed. They sent us resumes from many qualified candidates and then helped us through each step to evaluate those choices and finally arrive at the best person to fit our needs. They made the process go so much smoother than it could have. We had to rely on their experience and knowledge several times for even small things that we were not equipped for. They were always willing to help. Whether you are experienced at hiring gaming professionals or it’s your first time like it was for us, they are the search firm to work with. I would recommend Bristol Associates and Ben Farber to anyone!
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HR Outsourcing Review from Merrick Dresnin
Bristol Associates has a great national reputation and our personnel has had previous experience working with them in both Casino Gaming and Hospitality capacities. The team displayed professionalism and support for onboarding candidates, providing negotiation assistance, and fulfilling timely placements. We appreciate Bristol being open-minded to operational needs as we’ve worked to reconfigure and rework our company.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsHelping Spokane Business Owners Grow
Spokane Marketing is a unique full stack marketing agency based in Spokane Washington. We are small team of young, sharp minded and tenacious young adults who saw that there was a drastic need to connect Business owners to customers. Most marketing agencies are owned or operated by people who quite frankly...
Top Services:
- Digital Marketing
- SEO
- PPC
- Web Design
- Web Development
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- Location
- Spokane, Washington
- Number of Employees
- Under 49
- Average Hourly Rate
- $40/hr
- Minimal Budget
- $1,000 - $10,000
- Portfolios Count
- 1 Project Listed
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsSpokane Marketing Services
Data sourced from the agency's DesignRush profileSecond Number PNW Makers AIB Solutions K&K Cabinets +more Eds promo LLC inlandpnw Contab Telecom
Your Business, Our Solution
VirPhone provides cloud-based business phone systems, VoIP, and UCaaS solutions designed to help companies communicate more efficiently with scalable features, advanced call handling, device flexibility, and dependable support...
Top Services:
- Managed Services
- Cloud Consulting
- Digital Services
- IoT
- IT Services
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- Location
- Florence, Kentucky
- Number of Employees
- Under 49
- Average Hourly Rate
- $20/hr
- Minimal Budget
- Under $1,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsVirPhone USA Services
Data sourced from the agency's DesignRush profileMr Transmissions Bean Cove The Berger Firm Taco Bell
We Bring Out The Best Out Of You.
ClarkStaff is a global outsourcing company that provides tailored remote staffing solutions to businesses of all sizes. From seat leasing and recruitment process outsourcing (RPO) to project-based and hourly services, ClarkStaff helps companies streamline operations, reduce costs, and access top-tier talent...
Top Services:
- HR Outsourcing
- Location
- St. Petersburg, Florida
- Number of Employees
- 1000 & Up
- Average Hourly Rate
- $7/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsClark Staff Services
Data sourced from the agency's DesignRush profileTrendz Geiger Brightstar Care Group Blumenfeld Development Group Coastal Source D'asign Source Vcloud Everything Global Exactera LLC Higgins Partnerships 1961 PLC
Dedicated virtual assistants, fully vetted and fully managed.
Stellar Staff places dedicated, full-time virtual assistants with US businesses that need real capacity, not another freelancer to manage. Clients interview a shortlist of pre-vetted candidates, pick the one they want, and start in five to six days. We handle sourcing, screening, onboarding, payroll, taxes...
Top Services:
- BPO
- Customer Support
- HR Outsourcing
- Call Centers
- Accounting
- Show more
- Location
- Newport Beach, California
- Number of Employees
- 250 - 499
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsStellar Staff VA Services
Data sourced from the agency's DesignRush profileCurium Pharma Six Degrees Executive Cochrane Kranus Health Red Piranha Sterling Industries Magmic
Stellar Staff VA Reviews & Testimonials
John Lopez's Review Sourced from Google
We had a great experience with Stellar Staff! The entire process was seamless from start to finish. Their team made everything easy, communicated well, and helped us find a VA who was a great fit for our company. We would definitely recommend them!
Hawa Bah's Review Sourced from Google
I’ve had an amazing experience working with Stellar Staff, especially with my VA, Argen. She has been an incredible asset to my business—organized, dependable, and always willing to go above and beyond.What stood out the most was her support while I was on maternity leave. She helped manage client communications, kept projects moving, and made sure everything continued running smoothly. Having someone I could truly rely on during that time gave me so much peace of mind.Argen is proactive, detail-oriented, a fast learner, and genuinely cares about the success of the businesses she supports. I highly recommend Stellar Staff to anyone looking for a reliable virtual assistant agency. I’m so grateful for their support and look forward to continuing to work with them!
Lag Beauty's Review Sourced from Google
We have been working with Stellar Staff for several months now, (Kristina our Rep and Evelyn our VA) couldn’t be better!! We are truly happy of working with them, the process and the progress we’ve seen with them has been so effortless and rewarding. Very professional, attentive and just overall amazing. Looking forward to continue growing and building together. 100/10! ✨🫶🏽 Amazing company.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsWorkforce Optimization For People-centric Businesses
EvolveUp is an Austin-based consulting firm specializing in workforce optimization for people-centric businesses. The company combines strategic consulting with hands-on HR technology implementation to help organizations improve efficiency, reduce costs, and align their workforce with business goals...
Top Services:
- HR Outsourcing
- Customer Support
- Business Consulting
- Location
- Austin, Texas
- Number of Employees
- Under 49
- Average Hourly Rate
- $200/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsEvolveUp Services
Data sourced from the agency's DesignRush profileRealtor ProVisors VMware Wpromote Vrbo Enercon WPO astreya Meta Bigcommerce
EvolveUp Reviews & Testimonials
Crystal Frager's Review Sourced from Google
EvolveUp is a fantastic HR consulting firm in Austin, TX with deep expertise across a wide range of HR, recruiting, workforce and people operations. What really stood out to me was their implementation knowledge across ATS, HRIS, HCM, LMS and resource management platforms. They don’t just provide high level advice. They understand how the systems actually work and how to select and implement them effectively within a business. Their guidance on where and how AI can be applied within different platforms was also incredibly valuable. If you are looking for a partner who understands HR technology, strategy, and execution, EvolveUp is a great choice.
James Koeper's Review Sourced from Google
I think EvolveUp should be your team if you’re in need of workforce optimization services. There are no cookie-cutter strategies here. They actually take the time to learn about your problems/goals and implement a custom strategy for you. Would highly recommend them.
Grant McCasland's Review Sourced from Google
EvolveUp has a great team of consultants that can handle fractional HR work, but where they really shine is their workforce consulting and HCM implementation work. They're professional and detail-oriented, which is what you want in a team handling your people operations. A little more boutique than your standard consulting firm, but more specialized.
Reviews verified by DesignRush and sourced from the agency's profile View All ReviewsEfficient, Customized Services For Healthcare Providers Treating Injured Workers
Medrina Technology Management specializes in workers' compensation billing, collections, lien management, and medical transcription. We streamline revenue cycles, reduce administrative burdens, and ensure compliance, enabling healthcare providers to focus on patient care while we handle billing complexities...
Top Services:
- Transcription Services
- BPO
- Customer Support
- Business Consulting
- Show more
- Location
- Los Angeles, California
- Number of Employees
- 100 - 249
- Average Hourly Rate
- $12/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsMedrina Technology Management Pvt Ltd Services
Data sourced from the agency's DesignRush profileWorkMed California, APC Synapse Orthopedic Group Medvantage Orthopedic LLC Bionix Pharmacy
Driving Growth. Protecting What Matters.
BloomGuarden is a strategic HR and payroll partner helping growing companies build scalable people operations, stay compliant, and navigate workforce challenges with precision, speed, and trusted execution...
Top Services:
- HR Outsourcing
- Location
- Chicago, Illinois
- Number of Employees
- Under 49
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsBloomguarden Services
Data sourced from the agency's DesignRush profileNice Infosys Unisys
Global Remote Staffing & Managed Services Partner
Elite Virtual Employee (EVE Hire LLC) is a Global Remote Staffing Company Offering IT Staffing, Web & app development, digital marketing, payroll and vendor management services...
Top Services:
- HR Outsourcing
- Staff Augmentation
- IT Services
- Cybersecurity
- Managed Services
- Show more
- Location
- Wilmington, Delaware
- Number of Employees
- 50 - 99
- Average Hourly Rate
- $35/hr
- Minimal Budget
- $1,000 - $10,000
Data sourced from the agency's DesignRush profile, its website, and other relevant accountsElite Virtual Employee (EVE Hire LLC) Services
Data sourced from the agency's DesignRush profileThe Vault Corporation Auto Chemistry Puppies Downunder Australia Team before Self
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