About Us

With previous experience as engineer and hospital CEO, Bob and his wife began entrepreneuring in 1993 with Kruse & Associates; recruiting and placing healthcare professionals. In 2002, as management and ownership of Kruse & Associates was being transferred to long-term employees, Rajeev called and Managed Outsource Solutions was spun off.

Bob Kruse holds B.S. degrees in Engineering and Business, and an M.S. degree in Health/Business Administration. With his entrepreneurship and long term experience in business management, Bob provides valuable vision and long-term planning insight to the MOS team. He efficiently administers and supervises all projects that MOS undertakes.

Bob resides in Broken Arrow, Oklahoma with his wife; and is often either preparing for or experiencing visits from several children and grandchildren. When not giving tractor rides, he can be found cutting wood or building (another) deck.

Rajeev immigrated to the United States from India in the mid 90s with an education in physical therapy and computer science, and began working as a physical therapist. He later started a business as a healthcare business consultant. Having worked in several rehabilitation clinics, Rajeev has learned the importance of good medical records for effectively handling billing and liability issues. After experiencing a clinic saving money by outsourcing, he called Bob and “the rest is history”.

Rajeev manages the day-to-day operations of our company from NY. With an active interest in information technology and keeping abreast with its latest advancements, Rajeev has guided MOS to extensive use of digital technology and the internet that adds to the efficiency of our legal transcription and other value-added services.

Rajeev resides in Long Island, NY. When not working on MOS projects, Rajeev is doing things with his active son, or spending a little time on the badminton court.

With some background in the healthcare staffing arena, as well as 6 years as Director of Sales and Marketing at a 4 star resort, Julie joined MOS in March of 2008.

Hired for sales and support, Julie has proven capable across multiple product lines and in early 2011 was promoted to supervise all solutions managers. Bringing her exceptional customer relations and technical skills not only to clients, but also to all solutions managers, Julie is proving to be a key element in the continued growth of MOS. She manages our transcription projects with minute attention to detail and her expertise in this regard contributes considerably towards ensuring client satisfaction.

Julie was instrumental in the creation of the medical record review division (and new web site); and has especially grown this division along with data conversion of all kinds.

Julie lives with her husband and three children in Eagle, Idaho, where after a busy day with MOS, she changes hats to “soccer mom.” Incidentally she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.

Jan joined the MOS team in early 2011, strengthening both our Marketing and Support. With a BS in Education; and then adding RN to her credentials; her experience ranges from surgical and home health RN to ownership of a Medical Equipment company. Her expertise in customer service, marketing, and clinical knowledge; along with her positive and bubbly personality, make her a welcome addition to the MOS team. As a senior solutions manager, Jan interacts with our legal clients, taking special care to understand their specific requirements and making sure that those requirements are efficiently met.

Jan is a third generation OU grad and resides in Tulsa, OK. She is actively involved in non-profit agencies. Her sons, dancing, singing, and entertaining fill her with joy.

Cassidy joined MOS in July 2023. She graduated from Idaho State University in August 2021 with a Bachelors in Health Science and Associate of Applied Science as a Physical Therapy Assistant. Utilizing her experience with direct patient care, Cassidy strives to connect and effectively communicate with her clients.

Cassidy currently resides in Pocatello, ID with her husband, son, and kitten Sylvie.