Meet Our Management Team
With previous experience as engineer and hospital CEO, Bob and his wife began entrepreneuring in 1993, founding Kruse & Associates to recruit and place 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 “born”.
With B.S. degrees in Engineering and Business, and an M.S. degree in Health/Business Administration, Bob’s experience in healthcare management and as an entrepreneur provides valuable vision and long-term planning as well as management to the MOS team.
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 migrated 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 billing and liability issues and the importance of the good back and front office support to a successful practice. After experiencing a clinic saving money by outsourcing, he called Bob and “the rest is history”.
He manages the day-to-day operations of MOS from NY. With an interest in information technology, Rajeev has guided MOS to extensive use of digital technology and the internet that benefits MOS as well as MOS’ clients.
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.
Julie Clements: Vice President of Operations
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 solution managers is proving to be a key element in the continued growth of MOS. 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 St. Paul, MN; where after a busy day with MOS, she changes hats to “soccer mom and coach.” Incidentally, she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.
Solutions Managers
Cassidy Case: Solutions Manager
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.
Jan Merrifield: Senior Solutions Manager: Transcription, Medical Record Review, Data Conversion
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.
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.