Senior Software Engineer

About Abby Health

Abby Health is Australia’s busiest online clinic, built for the future of primary care.

Founded in 2023, Abby was established to address one of the most urgent issues in Australian healthcare: access. With one in three Australians now without a regular GP, we're reimagining how people access everyday care - without losing what makes care personal: long-term relationships and detailed patient histories.

We connect patients to licensed GPs and Nurse Practitioners through same-day, 100% online care - delivering high-quality treatment for everyday issues, from headaches to herpes, coughs to cramps, and everything in between. Behind the scenes, we use structured patient histories, smart intake tools, and streamlined workflows to make every consult feel more like self-care.

Our approach is guided by three core values:

Smart - Intelligent systems that surface what matters, when it matters

Beautiful - A thoughtful, intuitive experience for patients and clinicians alike

Caring - Human support, continuity of care, and relationships that last

We believe the future of primary care is affordable, same-day, and online first.

A system where most care is delivered remotely - supported by pre-diagnosis tools, wearables, alerts, and proactive follow-up. In-person visits become the exception, not the default. It’s a smarter, safer, more efficient model one that finally puts patients first.

And it’s already happening.

Since launching, Abby has become one of the most trusted names in digital healthcare in Australia. We’re used by hundreds of thousands of Australians, with a 4.7/5 average rating on Google and Trustpilot.

We’re quality-first and purpose-driven. Whether you’re a patient looking for better answers or a clinician looking for a better way to practise - Abby is here to make care better, for everyone.

Smart. Beautiful. Caring. That’s the future we’re building - for Australian primary care, and the people who rely on it.

The role

You'll build and own work across the whole platform: the patient app, the clinician portal, our internal tooling, the mobile apps and the API behind all of them. You'll report directly to our CTO - a technical co-founder who's still hands-on in the code - and work with a high degree of autonomy.

This is a role for an experienced engineer who can take a complex problem, work out what actually needs to be built, and own it through to production. You'll set your own priorities within your area, lead significant projects end-to-end, and be accountable for how they land. You'll also help the engineers around you - mentoring, reviewing, and turning ambiguous problems into clearly defined work the team can move on.

What you'll do

• Ship features across the stack. frontend, backend, database and own the day-to-day delivery of your slice of the work
• Contribute to large, complex projects alongside the team, taking clear ownership of the pieces that are yours
• Clarify assumptions and scope up front. Asking the right question before you build is worth more here than fixing it after
• Help keep production healthy - debug real patient-facing issues, respond when things break, and care that patients never feel it
• Build a working understanding of how Abby delivers care, so you know why the thing you're building matters to a patient or a clinician

Your first six months

• 1 month - you know our systems and can debug and fix production issues on your own. Onboarding here takes days, not weeks.
• 3 months - you're owning a major project or product area, setting its priorities and shipping independently.
• 6 months - you've delivered significant capability patients and clinicians rely on, and you're a go-to person for technical decisions and for helping others get unstuck.

How we build

• AI-native. AI tools (Claude Code, primarily) write most of our code. Your leverage is judgment, direction and review - knowing what to ask for, and spotting when the answer looks right but isn't. If you're already building this way, you'll feel at home; if the idea doesn't excite you, this isn't the right role.
• Patients first. The tech comes second to the patient experience. We optimise to the level that makes sense for the problem, not for its own sake.
• In person. We're a small team that moves fastest in the same room. This role is Sydney-based and in the office regularly.

Our stack

React + TypeScript on the front end (patient app and clinician portal), Node.js + Express + PostgreSQL on the back end, AWS infrastructure, and a Swift iOS app. Around that: Datadog, Auth0, Stripe, and integrations across the Australian healthcare ecosystem.

What we're looking for

• Solid experience shipping production software. Roughly 5+ years, with real users on the other side of your code and systems you've owned in production.
• Confident across the full stack. Frontend, backend, database, infrastructure - you'll have strengths, but you can take a feature through every layer.
• You own outcomes. You set your own priorities, drive projects end-to-end, and are accountable for how they land.
• Business and product judgment. You weigh cost, effort and patient impact, and explain the trade-offs clearly to non-engineers.
• You lift others. You've mentored engineers, give useful code review, and make ambiguous problems clear for the people around you.
• A reliability mindset. You notice when things break, you fix them properly, and you care that patients never feel it.
• Comfortable with pace and change. Startup experience is a strong plus; staying effective when priorities shift is the real requirement.
• Sydney-based and keen to work alongside the team in person.

What you get

• Up to $180k + super, depending on experience
• ESOP (eligibility from 6 months)
• Real ownership of major projects at a growing healthtech startup, working directly with the founders and CTO
• A clear path to grow - the scope of what you own expands as fast as you can take it on