Krista Siano, M.S.

Krista Siano brings more than 25 years of experience in pharmacy benefit management and health plan strategy, helping organizations address complex drug cost challenges. At PSG, she provides executive leadership for client-facing strategy, program and project management, and large-scale implementations. Known for building strong relationships, Krista partners closely with clients to lead enterprise transformation initiatives that align strategy and operations, driving measurable and sustainable results.

Areas of Expertise

• Business Transformation and Pharmacy Benefits Consulting: Leads enterprise-wide transformation initiatives and advises health plans and PBMs on strategic solutions that improve affordability, access, and alignment.
• Program and Project Management Leadership: Oversees complex, multi-disciplinary initiatives that drive innovation, operational excellence, and successful outcomes.
• Pharmacy Benefit Management Strategic Solutions and Relationship Development: Develops innovative, scalable solutions while building trusted partnerships that strengthen engagement and drive long-term success.

Professional Background

Krista has held senior leadership roles with some of the nation’s largest PBMs and health plans. She partnered closely with executive leadership and cross‑functional teams to drive innovation, optimize processes, and deliver high‑impact solutions. Guided by a passion for continuous learning and a commitment to improving healthcare, Krista brings strategic vision and operational expertise to help PSG’s clients navigate complex transformation initiatives with confidence.