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Bryan Smith has a diverse work experience spanning several companies and roles. Bryan began their career as a Director at Praxis Medical Management & TPA in 1995, followed by a consultant position at Republic Health Services. In 1996, Bryan served as the Interim COO at Physician Partners of Texas before moving on to become the Director of Provider Relations at Concerned Counseling. From 1997 to 2005, they worked as a Consultant at Phase 2 Consulting. Bryan then joined RehabCare Group Inc as a Senior Managing Consultant, where they remained until 2009. Currently, they hold the position of Principal - Population Health Economics at Premier, Inc, which they have been in since 2009.

Bryan Smith attended Park Tudor from 1980 to 1990. Bryan then went on to earn a Bachelor's degree in Psychology from Trinity University from 1990 to 1994. Bryan later pursued a Master's degree in Health Care Administration from Trinity University from 1994 to 1996.