We work as an extension to your practice, not as another company

Mos Management Team

In this global economy, outsourcing of functions in an office is becoming more common. Headquartered in Tulsa Oklahoma, Managed Outsource Solutions provides reliable business process outsourcing solutions to global enterprises. The company was started with a mission to help our clients leverage outsourcing services designed to improve productivity and quality as well as cash flow and the bottom line. With more than 15 years of national and international exposure in the industry, we deliver an entire spectrum of business process outsourcing services for a wide range of industries such as Medical, Legal, Media, Information Technology and others.

We work as an extension to your practice, not as another company. Growth over the past few years has helped us to establish our reach across the country and the world. Here are our executive team members and project support personnel who lead our team.




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.

With B.S. degrees in Engineering and Business, and an M.S. degree in Health/Business Administration, his experience in healthcare management and as an entrepreneur provides valuable vision and long-term planning as well as management to the OSI 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 immigrated to the United States from India in the mid 90’s; 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’s 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.






Chief Solutions Manager:
Transcription, DataConversion and Medical Record Review

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 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.

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.



Senior Solutions Manager: Transcription, Medical Record Review, Data Conversion



Senior Solutions Manager:
Practice and Revenue Cycle Management,
Healthcare Division

Natalie joined MOS’s Revenue Cycle Management Division in October 2011. She brings twenty five years of hands on management experience to the company. Starting as an EMT in New York City, she has held positions of progressive responsibility throughout her career – serving a diverse range of practices and specialties. Her experience includes all aspects of revenue cycle management, including multiple leadership roles and management of multiple accounts. She also holds a CPC certification by the American Academy of Professional coders (AAPC). Natalie further enhances MOS’s ability to deliver exceptional service to new and existing clients; having shown a talent to improve the bottom line of virtually all businesses that she has served. She presently manages Medical Billing, Medical Coding, Verification and Authorization services for MOS.

Currently residing in New Jersey, Natalie’s interests include medieval and Renaissance art and history, spending time with her family and entertaining.

Meghann joined MOS’s Revenue Cycle Management Division in February of 2013. She has a formal education in Medical Coding and Billing and over 10 years of hands on experience in the field. She is CPC certified with the American Academy of Professional Coders (AAPC). She has a strong understanding of ICD-10-CM and CPT requirements and procedures, and regularly attends continuing education classes to stay up to date with any changes. Meghann has a great rapport with all of her clients, and has a unique ability to handle each Client’s account with the attention needed for success.. She works tirelessly to ensure she improves the efficiency of each client’s practice, and their cash flow through motivation and leadership of her team. She is presently involved in Medical Billing, Medical Coding, Verification and Authorization services for MOS.

Currently residing in New Jersey., Meghann’s interests include Music, Sports ( she is a big NY Giants fan) and spending time with family.



Senior Solutions Manager:
Practice and Revenue Cycle Management, Healthcare Division