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

Since launching, Abby has become one of the most trusted names in digital healthcare in Australia, used by hundreds of thousands of Australians with a 4.7/5 average rating on Google and Trustpilot. Our focus is quality‑first and purpose‑driven.

About The Role

Lead Software Engineer will own the technical architecture across the entire platform, including the patient app, the clinician portal, internal tooling, iOS, Android, and the API. Working directly with the CTO, you will shape the platform’s technical direction as we grow. This is a hands‑on, technically focused lead role; you’ll spend most of your time building and the rest making the technical and product calls that shape what gets built.

Beyond day‑to‑day product work, you’ll lead our most ambitious projects, including bringing more of our core clinical infrastructure in‑house. Much of what we’re planning doesn’t exist yet—design it and then build it.

What You’ll Do





- Own technical architecture and direction across the stack for current projects and day‑to‑day product work.
- Lead major projects end‑to‑end, from architecture through to shipped product.
- Take genuinely ambiguous requirements and turn them into product decisions and shipped software, including user flows.
- Keep production reliable—monitoring, debugging and incident response are part of the job, not a chore.
- Mentor engineers and raise the bar for how the team builds.

How We Build & Our Tech Stack

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

- AI‑native; AI tools (Claude Code, primarily) write most of our code. Your leverage is architecture, product judgment and review.
- Patients first. The tech comes second to the patient experience.
- In person. We’re a small team that moves fastest in the same room. This role is Sydney‑based and in the office regularly.

What We’re Looking For

- Startup experience – this one’s a must. You’ve shipped at an early‑stage company and are comfortable when requirements are ambiguous and priorities change.
- A genuinely hands‑on lead who has owned production systems end‑to‑end and still builds every day.
- Confident across the full stack – frontend, backend, database, infrastructure.
- Product judgment – make the calls a product manager would make elsewhere, and they hold up.
- A reliability mindset—notice when things break, fix them properly, and care that patients never feel it.
- Sydney‑based and keen to work alongside the team in person.

What We Offer

- $180k–$200k base, depending on experience.
- ESOP (allocated from 6 months).
- Genuine impact and ownership at a growing healthtech startup, working directly with the founders.
- Greenfield projects you’ll drive end‑to‑end, from architecture to launch.

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📌 Lead Software Engineer (City of Sydney)
🏢 Abby Health - Quality Care, Online-First
📍 City of Sydney