Growth by Design with Diraj Goel

Matt McCoy

A podcast for founders who are hungry to build companies that last. Host Diraj Goel brings the energy, the experience, and the hard-earned lessons from two decades of helping startups break through plateaus and reach real scale. Each conversation dives into how great founders find early traction, unlock profitable growth, and build momentum without depending on oversized budgets or endless fundraising cycles. You’ll hear honest stories about what works, what fails, and what separates high-velocity teams from everyone else. Guests open up about the strategies that moved the needle, the decisions that shaped their businesses, and the moments that pushed them to level up. If you want clear insights, practical playbooks, and conversations that actually fire you up to execute, this is the show you’ll look forward to every week.

Episodes

  1. Nir Kaminer - Founder & Director, Medical Reviews International (MedRev)

    Mar 10

    Nir Kaminer - Founder & Director, Medical Reviews International (MedRev)

    In this episode of Growth by Design, host Diraj Goel sits down with Nir Kaminer, Founder and Director of Medical Reviews International (MedRev), one of Europe's leading providers of clinical reviews and second medical opinion services. Nir shares his unconventional journey from a successful career in international consulting at Accenture and T-Systems to launching his own company in 2017 - at age 40 - with no prior healthcare experience or entrepreneurial background. Discover how MedRev delivers "real human intelligence" through a global network of clinical specialists to help insurers, providers, and claims teams make faster, more informed decisions - reducing overutilization, fraud, waste, abuse, and unnecessary procedures while improving patient outcomes and cutting costs significantly. Nir opens up about the marathon (not sprint) of building in a highly regulated, slow-adopting healthcare industry, navigating GDPR challenges, technology rebuilds, the pandemic slowdown, and why emphasizing human judgment over AI has become MedRev's key differentiator in a world obsessed with algorithms. Packed with insights on family-supported risk-taking, turning setbacks into steady 25-35% annual growth, the irreplaceable human touch in healthcare decisions, and lessons from corporate-to-founder transitions. A must-listen for entrepreneurs in regulated spaces, healthcare innovators, and anyone rethinking AI's role in high-stakes industries.

    23 min

About

A podcast for founders who are hungry to build companies that last. Host Diraj Goel brings the energy, the experience, and the hard-earned lessons from two decades of helping startups break through plateaus and reach real scale. Each conversation dives into how great founders find early traction, unlock profitable growth, and build momentum without depending on oversized budgets or endless fundraising cycles. You’ll hear honest stories about what works, what fails, and what separates high-velocity teams from everyone else. Guests open up about the strategies that moved the needle, the decisions that shaped their businesses, and the moments that pushed them to level up. If you want clear insights, practical playbooks, and conversations that actually fire you up to execute, this is the show you’ll look forward to every week.