About FSi CX

End-to-end CX partners for healthcare

Our Philosophy & Work Ethos

We are the healthcare CX specialists helping reimagine the experience of tomorrow.

We believe empathy, clarity, and collaboration are the foundations to reimagine better experiences and transformative health outcomes.

We are sought after for having a bespoke, collaborative, and outcome-driven approach. Our human-centered process addresses unmet needs by bringing insight, strategy, design, analytics, and governance together to drive intentional engagement across the customer journey.

We simplify complexity and remove friction across the healthcare journey—turning challenges into clear, actionable pathways that inspire buy-in and deliver measurable impact.

We do this in collaboration with leaders in life sciences who, like us, believe there is a smarter, more human way forward.

Our Core Leadership Group

Senior project leads with more than 20 years of experience in healthcare strategy & CX.

Silvia Xoyon

President & CEO

As head of business development, my mission is to actively listen, to collaborate and then to advocate on our clients’ behalf to ensure we craft intelligent, actionable solutions. I have been known to jump through hoops to deliver true value for our clients, and I have yet to tackle a challenge that I thought was insurmountable. Equal parts consultative creativity and disciplined analysis are what give me my edge, and what enables me to consistently help build clients’ businesses.

For over 15 years, I have provided excellence in insight-driven solutions to blue chip clients in the pharmaceutical, fashion, prestige beauty, and consumer packaged goods industries, both in North America and globally. In business and in life I appreciate humor, spice and polish. I have a passion for fine wines, international cuisine, and exploring the planet like a local.

Karen McCauley

Founder

When I founded Fresh Squeezed Ideas, it was because of a tenacious need to always get to a deeper and more nuanced understanding of humans and what they truly care about.

For the past 14 years, I’ve led a community of multidisciplinary experts in human science, foresight and business design who together provide new and powerful perspectives on our clients’ business challenges. They innovate new methods for how we see and understand people.

It’s at this intersection of diverse talents that we discover the shared care and concern between companies, the brand and the communities they serve, a gift I am always in awe of.

Jay Manara

Chief Strategy Officer

As Chief Strategy Officer, I work at the intersection of creativity, data, and innovation—building teams that challenge convention and solve complex business problems. With 20 years of experience in healthcare and pharma strategy and recognition as an MM+M 40 Under 40 honoree, I’ve led marketing and launch strategies for leading brands across pharma, biotech, and consumer health.

I’m driven by a curiosity about human behavior and a passion for improving patient and customer experiences. I’ve guided 150+ product launches, indication approvals, and label extensions, and managed more than $1B in client investment across paid media and omnichannel programs in North America and Europe. My approach blends strategic thinking, analytics, and commercialization to deliver meaningful business and health outcomes.

Kyle Brown

SVP Foresight Strategy & Design

I am a futurist, designer, and all around CX strategist with over 15 years of experience in the field. As a practitioner at heart and experienced leader, I excel at designing and delivering complex projects from conception to completion. My work specializes in the methods and mindsets associated with strategic foresight, design thinking, and research synthesis.

Over the years, I have advised companies of all shapes and sizes (within and beyond pharma) and offered practical problem-solving support for issues of strategic importance. This includes things like how to improve experiences for customers and employees, how to position a brand and identify market opportunities, how to conceptualize and design products and services (primarily digital/hybrid), and how to plan for the long-term, analyze trends, and manage ongoing change.

Amy Maish

Strategic Alliance Partner, Insights & CX

Transformation happens when strategy and human behavior come into alignment. I embrace ambiguity as the starting point for opportunity—helping leaders navigate complexity and shape strategies that anticipate change, inspire confidence, and deliver lasting impact.

I’ve worked across healthcare, from clinical development to commercialization, innovation to customer experience. My focus is on bridging vision and execution, turning ambitious ideas into strategies that move people, products, and markets forward.

Our People, United by Purpose

Mobilizing the right expertise, exactly when and where it’s needed.

Our team is more than a collection of experts—it’s a force for clarity and progress. Grounded in the belief that healthcare should be a beacon of hope, we bring together expertise to solve challenges that matter most, including:

Strategists
Researchers
Medical Sciences Advisors
Designers
Data Scientists
Program Managers

We work with the discipline of scientists, the curiosity of explorers, and the integrity of trusted advisors. Together, we:

Put patients first in every engagement

Translate complexity into actionable insight

Create solutions that are innovative yet practical

Collaborate openly to achieve lasting impact

What sets us apart is the way we channel our expertise in a nimble and bespoke way. Thoughtful, analytical, and deeply collaborative, we come together to solve complex business challenges.

What our clients say

Working alongside recognized industry leaders to reimagine healthcare experiences.

“They’re phenomenal. They recognized that each stakeholder has different needs and tailored the results and the recommendations to fit each member accordingly.”

Marketing Manager

“They’re not just delivering a report and walking away. They take on your specific business challenges as if they were their own and make sure you actively hone your approach throughout the process”

Director, Insight & Analytics

“They felt like part of the company and their insights gave us new ways to tell our story. They’ve helped us improve marketing skills.”

Senior Global Marketing Manager
Our Memberships & Associations

Industry associations, awards, and recognitions over the years