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Jeff Smith has a diverse work experience, starting in 1987 as a Territory Manager for Carter-Wallace, where they were responsible for sales in the healthcare industry. Jeff then worked as a Regional Sales Manager for Cascade Medical from 1989 to 1992. Following this, they joined St. Louis Medical Supply as a Vice President from 1992 to 2005. In 1982, they became the Head Hockey Coach for Kirkwood and Creve Coeur Youth Hockey until 2014. In 2014, they joined St. Louis Priory High School as the Head Hockey Coach. Currently, Jeff Smith is the President and CEO of Nextra Health, a position they have held since December 2018.

Jeff Smith attended Saint Louis University from 1982 to 1983, studying Business.