Building a Mission-Driven Company in America's Broken Healthcare System
What does it take to build a successful company in the United States when you didn't grow up there and when the market you're entering is one of the most complex, expensive, and fragmented systems in the world?
Join us for an intimate conversation with Carlos Reines, Co-founder of RubiconMD, as he shares his journey from Madrid to Harvard to New York City and what it truly meant to build a category-defining healthcare company from scratch in America.
Carlos co-founded RubiconMD in 2013, a platform that connects primary care physicians with specialists for remote electronic consultations across 100+ specialties, helping millions of patients access care they couldn't otherwise reach. After scaling the company and proving the model, RubiconMD was acquired by Oak Street Health / CVS.
In this conversation with Remotely Works founders Jose de Cabo and Pau Sabria, Carlos will explore:
The immigrant founder's edge — what outsiders see that insiders miss, and why building in America as a foreigner can be a hidden advantage.
Cracking U.S. healthcare — why the most expensive health system in the world is also one of the greatest entrepreneurial opportunities, and how to navigate its complexity as an outsider.
Building across borders — how RubiconMD built its engineering team in Madrid while growing its business in New York, and what that taught Carlos about global talent and distributed teams.
Adapting to American B2B culture — the real learning curve of selling enterprise in the U.S.: how to think, communicate, and build relationships like a local when you're not.
Why Europe has the talent but America has the market — and what that means for founders deciding where to build.
Whether you're a founder navigating the U.S. market from abroad, a builder in healthcare, or someone who believes the best opportunities hide inside broken systems, this conversation will challenge how you think about where and why to build.