Todd Combs spends most of his days reading in a quiet office in Omaha, where he’s an investment manager at Berkshire Hathaway Inc. But one day last year he found himself on a flight to Seattle with an unusual mission: Pitch Jeff Bezos on a bold idea for wringing costs out of the U.S. health-care system.

Two of the biggest corporate chieftains in America—his boss, Warren Buffett, and Jamie Dimon, who runs the largest bank in the country—had already signed on. But they wanted the Amazon.com Inc. chief executive officer on board as well.

Combs, 47, a former hedge fund manager who has no experience in the health-care industry and likes to keep a low profile, was both an odd and an obvious choice as the CEOs’ emissary. He had won Buffett’s confidence at Berkshire, where he sparked the company’s largest acquisition, and he’d impressed Dimon so much when the banker visited Omaha that he was invited to join the board of JPMorgan Chase & Co. in 2016.

The outreach to Bezos worked. In late January the three billionaires announced they were teaming up to form a company, free from “profit-making incentives,” that would seek to lower the cost of covering their hundreds of thousands of employees. Details were scarce, but health-care stocks promptly plunged. Some of the smartest minds in business were about to try fixing a notoriously wasteful industry—one that costs America some $3.3 trillion annually.

For Bezos, Dimon, and Buffett, it was another splashy headline in careers that have pushed boundaries. Behind the scenes, though, Combs largely spearheaded the effort, according to a person familiar with the matter. For months, Combs shuttled among the CEOs to get them to commit to doing something about a problem they’d discussed informally for years, the person says.

This was probably just how Combs wanted it: involved in the action but out of the spotlight. The Florida State University graduate was a virtual unknown in investing circles when Buffett hired him in 2010 to manage a portion of Berkshire’s vast stock portfolio. At the time, one of the few photos that news outlets could find of him was a boyish high school yearbook shot. Since then the world hasn’t gotten to know Combs much better. (He declined to be interviewed for this story.)

This much is clear: Over the past seven years, Combs has become an influential figure at Buffett’s conglomerate. In addition to investing a slug of Berkshire’s money, he was behind the $37 billion purchase of Precision Castparts Corp., a supplier to the global aerospace industry, and worked on well-publicized trades that saved hundreds of millions of dollars in taxes.

Combs is already in line to manage a huge swath of Berkshire’s investments when Buffett, 87, leaves the scene. But his ever-growing portfolio has led some shareholders and analysts to speculate that he could one day become CEO as well. “Everybody else is a slave to attention, and Todd seems indifferent to it,” says Steve Wallman, a longtime Berkshire investor and money manager in Wisconsin, who’s met Combs. “This is just the kind of behavior you want to see in someone who’s lined up to succeed Warren.”

Combs is also a talented networker who has used his smarts and drive to win the confidence of powerful men, according to interviews with a dozen people who know him. Most asked that their name not be used, even when they had positive things to say, for fear of jeopardizing their relationship with someone who values his privacy. Many of these people say they were surprised to learn about his involvement in the health-care initiative, given his lack of background in the industry.

What Combs does know is financial services. A native of Sarasota, Fla., he graduated from college in 1993 and took a job with the state’s banking regulator. From there he went on to Progressive Corp., working in a group that studied risk and determined what to charge for auto policies.

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