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About EviCore

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Who We Are

Specifically designed to address the complexities of our health care system today and tomorrow, EviCore by Evernorth employs 5,000 individuals nationwide, including 500+ board-certified physicians and 1,200+ clinicians for clinical expertise in 60+ medical specialties. We also leverage expertise from multiple sources including network providers, leading academic institutions, national medical societies, and our health plan partners. Our evidence-based approach delivers patient-focused guidelines based on each clinical presentation to ensure consistent, yet personalized patient and provider experiences.

Who We Empower

We empower the improvement of care for all those we serve through our deep service capabilities—from utilization management, decision support, and case management, to member engagement, network management, and payment integrity.

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patients

Patients

We help to ensure safe, effective and quality evidence-based care, while also helping to strengthen the patient/provider relationship through decision-making transparency and education.

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Providers

We promote evidence-based decisions and quality reporting while reducing administrative burden and cost. We also provide ongoing education for new products and standards in the marketplace.

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Health Plans

We deliver proven medical benefits management solutions that improve care for members, while reducing waste and abuse. Our proprietary analytics highlight areas of low-value spend and pinpoint opportunities to improve care and increase savings.

Executive Team

EviCore by Evernorth is guided by a diverse leadership team united by a single vision: Better health outcomes. To realize this vision, we’re committed to transforming our industry through health care innovation and continued expansion of our portfolio of integrated medical benefits management solutions, services, and products.

David Smith

David Smith

President, EviCore by Evernorth

David Smith

David Smith

President, EviCore by Evernorth

Since joining EviCore in 1999, Mr. Smith has served in multiple roles, starting as vice president of operations for MedSolutions (later acquired by CareCore National), now known as EviCore by Evernorth. He also led the development and management of the national imaging center network and successful major initiatives in account management and business development. Currently, Mr. Smith serves as president of EviCore, where he is responsible for the profit and loss, as well as overall growth of, all business units. 
 
Prior to this, Mr. Smith spent more than three years with Cigna/Healthsource in South Carolina as vice president of provider network management. He was responsible for national contracting for ancillary services as well as management of local market medical cost-management activities. Prior to joining Healthsource, Mr. Smith served in various executive leadership roles both in and outside of health care and began his career as a CPA in the Internal Audit department at Ernst & Whinney, now known as Ernst & Young.
 
Mr. Smith graduated from Harding University with a BBA in accounting.

Pam Doughty portrait

Pam Doughty, CHC

Senior Director and Chief Compliance Officer

Pam Doughty portrait

Pam Doughty, CHC

Senior Director and Chief Compliance Officer

Ms. Doughty handles the management and oversight of compliance risk at EviCore. She oversees the EviCore Compliance Program, which includes teams responsible for ensuring that EviCore is equipped to comply with state, federal, and accreditation rules and regulations.

Since joining the organization in 2008, Ms. Doughty has served in client management and various leadership positions within compliance. These roles focused on regulatory oversight, utilization and quality management, and enterprise compliance risk.

Ms. Doughty holds a B.S. in Organizational Management from John Brown University where she graduated Magna Cum Laude. She's certified in Healthcare Compliance (CHC) and has held certifications as a Registered Medical Assistant (RMA) and Certified Medical Manager (CMM).

Gratias

Eric J. Gratias, MD, FAAP

Chief Medical Officer, EviCore by Evernorth

Gratias

Eric J. Gratias, MD, FAAP

Chief Medical Officer, EviCore by Evernorth

Dr. Gratias joined EviCore in 2013 and has served as its chief medical officer since 2019. He is responsible for the overall clinical performance and quality of the company’s management solutions; development and execution of clinical strategy; and ongoing evolution of the optimal approach to utilization management. He oversees the company’s formulation and maintenance of clinical guidelines, payer and provider relations, utilization and quality management services, clinical compliance and accreditation, and health services research. Dr. Gratias also serves as the executive clinical liaison to EviCore by Evernorth clients, state and federal regulatory entities, and the broader physician community. 

Dr. Gratias is a fellowship-trained, continuously board-certified pediatric hematologist/oncologist. Prior to joining EviCore, Dr. Gratias was associate professor of pediatrics and vice chair for research at the University of Tennessee College of Medicine - Chattanooga. He also served as a full-time practicing pediatric hematologist/oncologist at Children’s Hospital at Erlanger for nine years and continues to serve as a member of the Renal Tumors Committee of the Children’s Oncology Group.

Dr. Gratias received his medical degree from Wake Forest School of Medicine in Winston-Salem, North Carolina. He completed his residency in general pediatrics and fellowship in pediatric hematology/oncology at the University of Alabama at Birmingham. He is an author of over 30 peer-reviewed publications and nearly 40 regional or national meeting abstracts, as well as an accomplished public speaker on a variety of health care topics.  

SriramNarayanHeadshot2022

Sriram Narayan

Chief Information Officer

SriramNarayanHeadshot2022

Sriram Narayan

Chief Information Officer

Mr. Narayan is responsible for EviCore’s strategy, planning, and execution of all vital areas of technology supporting the business, including product-related software development, data and analytics engineering, program management, and infrastructure for call center operations.

Prior to assuming the CIO position, he held multiple leadership roles shaping the technology roadmap at EviCore (involving data engineering, business intelligence, and analytics engineering), most recently as the Head of Enterprise Data.

During his 20 years of executive/management experience, he has served as Vice President of Technology of Cigna Government Business and fulfilled senior leadership roles with Blue Cross Blue Shield of Western New YorkFederal Express, and Transamerica, as well as management consulting roles with Big 4 organizations.

Mr. Narayan received his B.S. in Computer Science & Engineering from University of Madras, India and M.S in Computer Science at Bradley University.

Rodney

Rodney Schmucker

Managing Director, EviCore Operations

Rodney

Rodney Schmucker

Managing Director, EviCore Operations

As Managing Director of EviCore Operations, Mr. Schmucker manages the development and execution of the operations strategy for EviCore’s Benefits Management+ Solutions. This includes overseeing the operations for the EviCore solutions’ analytics and technology effectiveness capabilities, experience and integration teams, operations training and auditing teams, client implementations, and the production workforce of physician, nurse, non-clinical contact center, and claims. Mr. Schmucker is equally responsible for advancing the business by leading strategic initiatives and supporting the growth efforts of sales and account management organizations.

Mr. Schmucker joined EviCore in 2010 after a distinguished career with the United States Army as an Active Duty Major. His military career included 12 years of experience with several awards, including a Bronze Star: managing operations deployments at home and abroad in Kosovo; commanding units in the Iraq War; and leading humanitarian efforts in New Orleans following the aftermath of Hurricane Katrina.

Upon joining EviCore, he led operations for the Musculoskeletal solutions and Lab programs. Subsequently as Vice President of Operations he assumed responsibility for new solution development, implementations, and client management.

In his most recent role as Senior Vice President Operations, he oversaw all client-centric operations, including service, client, and program operations, and implementations. He also led the operations centers of excellence teams, consumer engagement initiatives, and the non-clinical contact center operations.

Mr. Schmucker is a graduate of the United States Military Academy at West Point with a Bachelor of Science degree in Business Management and a minor in Systems Engineering. He also earned his Master's Degree from Columbia University in Organizational & Leader Development.

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