Why outstaff? Direct hires lock you into long recruitment cycles, payroll burden and compliance risk. With Smartbrain.io you plug in a fully-vetted C# imaging engineer within 48 h, keep full technical control and pay only for the hours you use. No relocation costs, no retention headaches—just measurable velocity. Our talent pool already understands DICOM, PACS and HL7, so onboarding takes hours, not weeks. Scale teams up or down month-to-month while we shoulder HR, legal and Japanese data-privacy compliance. Result: faster releases, lower TCO, zero administrative noise.