In this episode of Smooth Scaling, Marie sits down with Brenda Dooley, Founder and CEO of AXIS The Reimbursement Experts, to explore the scaling journey behind one of Ireland and the UK’s leading reimbursement strategy firms.

Brenda shares how she built a highly specialised business from a clear market gap, the shift from boutique consultancy to an international scaling company, and the people, systems and strategic thinking required to support that growth. We also discuss innovation in healthcare, the future of reimbursement, AI, and why mission-led businesses can scale with both purpose and ambition.