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TKOSolutions

Founder & principal

I'm Todd Kovalsky, and I recover healthcare transformation programs that are stalling.

I spent twenty years in regulated operations, healthcare product ownership, CMS interoperability, and enterprise transformation delivery. That combination matters because a stalled transformation program rarely belongs to one department or one system, and the people who can see all of it are usually the ones who have worked in most of it.

20+ years across regulated operations, enterprise transformation, product ownership, healthcare interoperability, and healthcare transformation.
Healthcare experience spanning prior authorization, utilization management, payer and provider operations, interoperability, and administrative workflow change.
Product and implementation experience translating operating requirements into usable workflows, controls, and delivery decisions.
RachelOS, an operating system I built and run, shows the same implementation and governance discipline applied end to end.

Why this background matters

The expensive problem sits between specialties.

A transformation program fails when operations, clinical review, revenue cycle, policy, technology, and change adoption each see only part of it. My job is to connect those views into one operating decision leadership can act on.

Operations

Controls, reconciliation, exception handling, handoffs, and accountable execution under consequence.

Healthcare

Prior authorization, utilization management, provider operations, payer workflows, and administrative transformation.

Product and technology

Translating workflow requirements into usable systems, standards, controls, and implementation choices.

Transformation

Making cross-functional dependencies, decision ownership, adoption risk, and executive tradeoffs visible.

Regulation and governance

Embedding access, auditability, authority, and human review into the operating design.

Implementation

Moving from a measured baseline to a bounded pilot, operating playbook, training, and handoff.

How I work

Capacity, conflicts, and confidentiality.

The practical questions buyers ask before engaging an independent principal, answered directly.

I lead the engagement personally

Every TKO engagement is delivered by me. There is no associate team, no offshore analyst pool, and nobody to hand the work to after the kickoff.

Capacity is deliberately limited

I hold a small number of concurrent engagements so each one gets senior attention throughout. Availability is confirmed against current commitments before a proposal is issued, not after.

Conflicts are screened first

Before any work begins I check the account, the vendors involved, and the program against my existing and prior commitments. If there is a conflict, I say so and decline.

Scope and confidentiality are set in writing

Scope, timing, availability, data handling, and confidentiality are agreed in writing before the engagement starts. Where sensitive data is involved, handling is defined before anyone touches it.

TKO is deliberately limited-capacity. I take a small number of fixed-scope engagements I can lead personally, and I confirm availability before contracting. My current enterprise healthcare work keeps the perspective current; it is walled off from TKO engagements by scope and agreement.

The career record below is verifiable on LinkedIn and is presented as experience. No employer or client endorses this practice.

Career record

What each chapter contributes.

  1. 2000s · Regulated operations

    Reuters Loan Pricing Corp · Bisys · Chatham Asset Management

    Early career, credit and fund operations

    Loan pricing data, fund services, and credit operations in regulated financial environments.

    Buyer relevance: Established the operating discipline of reconciliation, exception handling, and evidence under consequence.

  2. 2009–2012 · Financial-services operations

    Apollo Global Management

    Operations Analyst / Operations Manager

    Leveraged-loan settlement, LSTA secondary trades, BondCo V–VII build-out, and REIT operations through the post-2008 restructuring cycle.

    Buyer relevance: Complex work becomes reliable when controls, ownership, and exception paths are explicit. A system of record that merely contains the transaction is not enough.

  3. 2012–2015 · Enterprise transformation

    Sapient, Goldman Sachs AM · JPMorgan AM

    Manager / Business Analyst

    Investment-manager research and due-diligence platform work for Goldman Sachs Asset Management and investment-operations modernization for JPMorgan Asset Management.

    Buyer relevance: Connected expert judgment, operating requirements, product design, and technology delivery across institutional environments.

  4. 2016–2018 · Product and platform leadership

    WBI · FolioDynamix

    Project Manager / Product Owner

    Advisor-platform, CRM, trading, settlement, and wealth-technology roadmap and delivery work, including FolioDynamix through its acquisition by Envestnet.

    Buyer relevance: Built the operator-first product perspective required to turn workflow findings into usable standard work and implementation choices.

  5. 2020–2022 · Healthcare product and regulation

    ELLKAY

    Product Manager, Healthcare Interoperability

    Payer-facing interoperability platform ownership for CMS Cures Act compliance, including FHIR APIs, access control, auditability, and data governance.

    Buyer relevance: Demonstrated how regulatory requirements, technical architecture, controls, and day-to-day operating behavior must be designed together.

  6. 2022–present · Healthcare transformation

    Cognizant

    Senior Manager, Healthcare Transformation, AI & Analytics

    Healthcare transformation work spanning delivery governance, executive reporting, payer operations, cross-functional alignment, workflow transformation, and AI-enabled improvement.

    Buyer relevance: Provides direct context for prior authorization, utilization management, provider operations, multi-workstream dependencies, and responsible automation decisions.

  7. 2018–present · Independent advisory

    TKO Solutions

    Founder & Principal

    Principal-led recovery, advisory, and implementation work, now focused on healthcare transformation program recovery for health plans, healthcare services organizations, managed-care organizations, PE-backed provider platforms, and large provider organizations.

    Buyer relevance: Combines the operating, product, healthcare, technology, governance, and implementation perspectives inside one accountable engagement lead.

Review LinkedIn

What you are buying

Senior attention from first call to readout.

The value is a principal-led engagement with a bounded decision, explicit evidence, and a clear next step.

  • I frame the decision, read the program artifacts, interview stakeholders, trace the workflow, and present the readout.
  • Where continued senior accountability is warranted, I hold it myself as Fractional Transformation Lead.
  • I may recommend internal execution, an existing vendor, a specialist partner, or no further investment. A Review creates no obligation to continue.

Referral language

Who to introduce me to

An executive whose transformation program is behind, over budget, or about to fund automation on top of a workflow nobody has mapped. That is usually a health plan, healthcare services organization, managed-care organization, PE-backed provider platform, or large provider organization. Consultancies and integrators are welcome too, where an account they already hold needs senior healthcare specialist depth.

See the Program Recovery Review

Program Recovery Conversation

Talk to the person who will do the work.

A structured 45-minute working conversation about one program that is behind, over budget, or about to fund automation on top of an unstable workflow.