Senior Software Engineer

Abby Health; Sydney; On-site; AUD 162,000 - 198,000; Full time

Benefits offered by this job

ESOP eligibility from 6 months

Ownership of major projects

Job summary

Abby Health in Sydney, Australia, is seeking an experienced software engineer to own and ship features across the patient app, clinician portal, internal tooling, mobile apps, and API. You will report to the CTO, work with autonomy, and mentor peers while solving complex problems end-to-end.

The role emphasizes shipping production software, owning outcomes, and balancing technical excellence with patient impact. In-person work in Sydney is expected.

Qualifications

• Solid experience shipping production software.
• Strong full-stack capabilities across frontend, backend, database and infrastructure.
• Own outcomes: set priorities, drive end-to-end delivery, and be accountable.

Responsibilities

• Ship features across the stack and own day-to-day delivery of your slice of work.
• Lead significant projects end-to-end and mentor others.
• Clarify scope and assumptions up front to avoid rework.
• Keep production healthy by debugging and addressing patient-facing issues.

Skills

Full-stack ownership

End-to-end delivery

Problem solving

Mentoring others

Fast-paced startup experience

In-person collaboration

Reliability mindset

Product/business judgment

Tools

React

TypeScript

Node.js

Express

PostgreSQL

AWS

Swift (iOS)

Job description

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