President, CEO and vice chair, Health Care Service Corp.
HCSC, an independent licensee of the Blue Cross and Blue Shield Association, serves more than 18.6 million members in Illinois, Montana, New Mexico, Oklahoma and Texas. Under Smith’s leadership, the company acquired third-party administrator Trustmark Health Benefits in 2022, with a goal of bolstering HCSC’s offerings to self-insured customers. After piloting the use of artificial intelligence to support prior authorizations in specialty pharmacy and behavioral health, HCSC announced in 2023 that it is expanding the technology's use to include inpatient acute care, inpatient rehabilitation, skilled nursing care and many other services. Smith, named as CEO in 2020, has held many executive positions in the company during his 30-year tenure. He is chair of Prime Therapeutics and on the board of directors for the Economic Club of Chicago.