Supporting Biotrial to Secure US Clinical Operations Expertise
How we helped Biotrial solve resourcing gaps in the US by building a flexible freelance CRA network — and later supported permanent hires in France.
Building a Reliable U.S.Resource Model for an EU-based CRO
Biotrial, an established CRO headquartered in France, needed to solve a critical resourcing challenge in the US. They were struggling to retain full-time CRAs at their New Jersey site.
These studies require an intense burst of monitoring activity over about three months, followed by periods of downtime. This stop-and-start workload was driving turnover: once studies wrapped up, CRAs often left due to the lack of ongoing work.
Biotrial’s HR team typically manages hiring internally and rarely uses agencies, but their US network was limited. They needed a partner who could quickly build a reliable freelance CRA model to keep studies on track.
The Challenge
Biotrial faced three core hurdles:

Retaining expertise – Full-time CRAs were leaving due to inconsistent workloads.

Limited US network – Their strong freelancer network in France didn’t extend to the U.S.

Operational risk – Without consistent CRA coverage, studies risked delays and disruption.
The stakes were high: they needed a flexible, scalable solution to support upcoming studies and strengthen their position in competitive bid defenses.
Our Approach
We partnered with Biotrial to design and deliver a flexible freelance model that would stabilize their U.S. operations:
Role and Workload Design
Advised on shifting from full-time to freelance CRAs in the U.S. to create a more sustainable workload model.
Targeted Talent Search
Mapped the market and leveraged our U.S. clinical network to find experienced CRAs with healthy volunteer study expertise.
Speed and Flexibility
Prioritized fast turnaround to minimize disruption, while building a small bench of freelancers to ensure coverage.
Strategic Partnership
Provided resourcing support to strengthen their position in bid defenses.

The Results
Our approach delivered fast, measurable impact:
The Impact
This solution gave Biotrial the flexibility they needed to keep US studies running smoothly while avoiding the turnover challenges tied to full-time roles.
What began as a short-term US challenge evolved into a long-term cross-border partnership spanning clinical operations and data roles.

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