Full-Stack Software Engineer

Medow Health; Sydney; On-site; AUD 120,000 - 160,000; Full time

Job summary

Medow Health is hiring engineers to ship end-to-end features and build integrations with practice management systems, focusing on real-time audio and voice workloads. You will work with LLMs in production, evaluating output and quality, and collaborate with product, clinical, and data science colleagues to translate real problems into shipped software.

The role emphasizes a startup/scale-up mindset, ownership, and comfort with ambiguity, with on-site work in Sydney and occasional home days.

Qualifications

• Startup or scale-up experience with ambiguity and end-to-end ownership.
• Experience building products on top of LLMs is required.
• Track record delivering production-grade web applications across the stack.
• Strong fundamentals in relational databases, API design, and testing.
• Able to translate business and clinical requirements to technical solutions.

Responsibilities

• Ship features end to end.
• Build and maintain integrations with practice management systems.
• Work on real-time audio and voice systems.
• Build with LLMs in production and evaluate output quality.
• Collaborate with product, clinical, and data science teams to ship software.

Skills

Startup experience

LLM-based products

Production-grade web apps

Relational databases

API design

Testing

Cross-functional collaboration

AI tooling

Education

Bachelor's degree in Computer Science or related field

Tools

TypeScript

React

NestJS

PostgreSQL

Job description

Medow Health is focused on transforming healthcare by applying artificial intelligence to the everyday workflows of medical specialists. Founded by healthcare professionals and technologists, the company builds AI-driven tools that reduce administrative burden so clinicians can spend more time on patient care.

Medow’s solutions are tailored to real-world clinical environments and emphasise intelligent, efficient, and precise technology.

The company partners with leading Australian specialist EMRs such as Genie and Gentu, embedding AI into existing workflows to elevate practice performance and user experience.

What you'll do:

• Ship features end to end.
• Build and maintain integrations with practice management systems.
• Work on real-time audio and voice systems.
• Build with LLMs in production and evaluate output quality.
• Work directly with product, clinical, and data science colleagues to turn real problems into shipped software.

Our Stack:

• TypeScript end to end: React on the front end, Node (NestJS) and PostgreSQL on the back end.

Qualifications:

• Startup or scale-up experience is a must. You're comfortable with ambiguity, you own problems end to end, and you'd rather ship and iterate than wait for a perfect spec.
• Experience building products on top of LLMs.
• A track record of delivering production-grade web applications across the stack.
• Good fundamentals: relational databases, API design, and testing.
• You collaborate well with non-engineers and can translate business and clinical requirements into technical solutions.
• You use AI tools in your daily engineering work and have a sense of where they help and where they don't.

Nice to have:

• Healthcare or another regulated industry.

The Details:

• Full-time, on-site in Sydney (1-2 days working from home per week)
• Bachelor's degree in Computer Science or a related field.
• You must have the right to work in Australia.