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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.