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Global employers still have trouble finding the right people for open positions, even as candidate resumes pile up amid recession. A global talent crunch has eased slightly, but is set to worsen in coming years because of demographic trends, according to an annual survey by global employment services company Manpower Inc. Worldwide, 30 percent of employers reported trouble filling positions because of the lack of suitable talent, down slightly from 31 percent who said so a year ago, according to Manpower, which polled 39,000 employers in 33 countries. While many more people are looking for work, they often lack the skills, or experience, that employers need.

More likely, a lack of competent recruiting talent.

While the recession injured many industries in 2008, health care was one of the few bright spots in the employment picture, growing by 372,000 jobs last year, according to the U.S. Bureau of Labor Statistics' January 2009 Employment Situation Summary. The large aging population has health care employers in need of qualified workers: stat. Therefore, despite the current economic conditions, health care employers will continue to increase staff in 2009, according to CareerBuilder.com's annual health care hiring forecast, conducted online within the U.S. by Harris Interactive. Close to one-in-five (17 percent) of large health care employers (50 or more employees) plan to increase the number of full-time, permanent employees in 2009, while 67 percent foresee either making no change in the number of employees or are unsure. Sixteen percent plan to decrease the number of employees. "The health care industry continues to boast high demand for qualified workers. Employers are reacting to this need by continuing strong recruiting efforts this year," says Jason Ferrara, vice president of corporate marketing for CareerBuilder.com. "Half of health care employers, the highest among industries we surveyed, have open positions for which they can't find qualified candidates. In response, health care employers will have to adjust their recruitment and retention strategies to find and keep top talent."

I. INTRODUCTION The globalization revolution is undeniably well underway. Some of the primary leaders of the revolution are the off-shoring outsourcers of the world in search of readily available talent at prices below what is available in the traditional geographical outsourcing centers. Certainly, U.S. companies seeking information technology resources--as well as those looking for human resources to support the ever-growing customer care requirements of their business--are at the forefront of the movement. Some of those companies are seeking their own solutions, but many have turned to business process outsourcing companies for assistance. Business process outsourcing is, generally speaking, the contracting of a specific business task to a third party service provider. Processes that are best suited to be outsourced are those that a company requires but does not depend upon to maintain its position in the marketplace. There are two primary categories of business process outsourcing. One category is commonly referred to as "back office outsourcing" which includes internal business functions such as billing or purchasing. The other category is commonly referred to as "front office outsourcing" which includes customer-related services such as marketing, customer contact management, and technical support. The globalization of business in general has resulted in the need for companies to be able to provide support to their customers in many different languages. At the same time, developments in technology have provided the ability for business process outsourcers to provide a cost effective global delivery platform. The convergence of the need for a portfolio of services to be sourced globally with the ability of business process outsourcers to do so on a cost effective basis has driven the outsourcers to geographic locations previously ignored by most business sectors. By many estimates, there are currently off-shore outsourcing vendors in more than 175 different