Skip to main content
TKOSolutions

Founder & principal

Buyer diligence on the operator behind the work.

Todd Kovalsky brings an uncommon combination of regulated operations, healthcare workflow, product ownership, transformation governance, technology, and hands-on implementation. That intersection matters because prior-authorization performance rarely belongs to one department or one system.

20+ years across regulated operations, enterprise transformation, product ownership, healthcare interoperability, and healthcare transformation.
Healthcare experience spanning prior authorization, utilization management, payer/provider operations, interoperability, and administrative workflow change.
Product and implementation experience translating operating requirements into usable workflows, controls, and delivery decisions.
RachelOS provides inspectable internal proof of implementation and governance discipline, with its non-healthcare and non-client limits stated explicitly.

Employment history is verifiable and is presented as experience—not employer endorsement, client endorsement, or evidence of a quantified TKO result.

TKO is a separate, limited-capacity advisory practice. Todd accepts fixed-scope work he can lead personally; availability and fit are confirmed before contracting. Current employment and client work are not TKO engagements or endorsements.

Why this background matters

The expensive workflow problem sits between specialties.

A prior-authorization improvement can fail because operations, clinical review, revenue cycle, policy, technology, and change adoption each see only part of the workflow. Todd's role is to connect those views into one measured operating decision.

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.

Verified career record

Each chapter contributes a buyer-relevant operating capability.

This is a diligence record, not a list of logos presented as endorsements.

  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—not when the system of record merely contains the transaction.

  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 diagnostic and implementation work, now focused on prior-authorization performance for specialty medical groups, MSOs, and provider-side healthcare operators.

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

Review LinkedIn

What the client is buying

Senior accountability from fit call through executive readout.

The commercial value is not access to a résumé. It is a principal-led engagement with a bounded decision, explicit evidence, and a clear next step.

  • Todd leads the Diagnostic personally; it is not delegated to a junior assessment team.
  • He frames the decision, reviews evidence, interviews stakeholders, traces the workflow, and leads the executive readout.
  • If implementation is warranted, he remains accountable for the 90-Day Sprint, pilot measures, and handoff.
  • TKO may recommend internal execution, an existing vendor, a specialist partner, no further implementation, or the Sprint.

Referral language

Who to introduce to Todd

Introduce Todd to a specialty medical group, MSO, or provider-side healthcare operator when prior-authorization delays, rework, avoidable denials, inconsistent payer handling, or reliance on a few experienced staff is forcing a technology, staffing, or operating decision.

See the Prior Authorization Diagnostic

Diagnostic fit call

Discuss the operating problem with the principal who will lead the work.

The first step is a qualified 30-minute conversation about the workflow, trigger, evidence, decision owner, and fit for the $25,000 Diagnostic.