Senior Software Engineer (Elixir)

Fresh is transforming the way clinics deliver safe, high-quality and profitable medical aesthetics.

Founded by clinicians, we are a team of doctors, nurses, and technologists building the infrastructure for a future of proactive, practitioner-led healthcare. With an inspiring community of 2000+ nurse entrepreneurs, we’ve grown into one of Australia’s fastest scaling health-tech companies, a growing presence in the United States, and a Deloitte Tech Fast 50 finalist for the past three years.

Our mission has always been bold: empower every clinician to deliver exceptional care with confidence.

As a remote-first company, we are seeking a high-impact Senior Elixir Engineer to be a technical pillar in our mission. We are in a transition, both technical and culturally, from Node into Elixir, and you will be a key influencer in this process. 

You will be a key driver in the development of our core platform, which is built on Elixir and the Ash Framework. Your work will focus on building new capabilities for our healthcare practitioners in Australia and the US, as well as enabling new business brands and revenue models.

In this role, you will be responsible for designing and building the complex, scalable, and resilient systems that power our platform. You will leverage your deep expertise to guide the team's technical direction, mentor other engineers, and champion a culture of engineering excellence.

Initially, this is a hands-on IC role, however, the opportunity to evolve this role into a team leadership position exists if that is something you are looking for.

Your role will be defined by these three core capabilities:

1. Technical Leadership & Mentorship (Knowledge Sharing & Influence)

• Influence the technical direction of your team and take formal ownership over key components within the platform's domain (e.g., Compliance, Education, E-commerce).
• Act as a force multiplier by actively coaching and mentoring peer and more junior engineers on complex topics in Elixir, Ash, and our specific healthcare domain.
• Lead by example through thoughtful code reviews, pair programming sessions, and knowledge sharing. In particular as we up-skill our engineering organisation into Elixir.

2. Technical Solution & System Design (Architecture & Problem Solving)

• Own and drive the end-to-end technical design for complex, multi-faceted features that span our platform and may involve two or more engineers.
• Resolve significant technical ambiguity, breaking down complex business and clinical compliance problems into clear, scalable, and maintainable architectural solutions on the BEAM.
• Provide clear direction and strong opinions for engineering leaders, other engineers and cross-functional partners, articulating trade-offs and advocating for robust long-term solutions.

3. Engineering Craft & Quality (Implementation & Excellence)

• Drive the team's adoption of engineering excellence, including robust testing, observability, and CI/CD standards suitable for a medical-grade platform.
• Proactively own initiatives to eliminate systemic technical debt, refactor critical components, and improve the overall health and performance of our Elixir applications.
• Set the standard for high-quality, idiomatic Elixir code and pragmatic design patterns.

• Professional experience writing, deploying, and maintaining production Elixir applications.
• Strong understanding of the BEAM VM, OTP, and the principles of building concurrent, fault-tolerant systems.
• Proven experience with Elixir web frameworks, like Ash or Phoenix (Ecto, LiveView, Channels).
• Demonstrable experience in system design and architecture, with a portfolio of complex problems you have solved.
• A strong sense of ownership and a passion for code quality, testing, and platform stability.
• Excellent communication and leadership skills, with a proven ability to mentor other engineers and influence technical decisions.
• Proven ability to thrive in a remote-first, asynchronous work environment.

• Direct, hands-on experience with the Ash Framework is highly preferred.
• Experience building multi-tenant or multi-region applications (supporting our AU/US growth).
• Experience working in a regulated industry like MedTech, HealthTech, or FinTech.
• Experience with related technologies in our stack (e.g., PostgreSQL, Docker, React Native, AWS).
• Contributions to open-source Elixir or Ash projects.

• A purpose-led environment
  You’ll be part of a team that genuinely cares about improving access to women’s health and wellbeing support.
• A workplace built on trust and kindness
  We value humility, thoughtfulness, collaboration and clear communication.
• Room to shape and build
  This program is growing quickly, and you’ll have the opportunity to help shape how Fresh Health is taught and adopted across the country.
• Flexible, human-first work
  We trust you to design your week around impact, energy, and wellbeing - not hours.
• A team that works smart and supports one another
  You’ll join a group that balances pace with care, and ambition with humility

We believe that a diverse team is an innovative team. We are focused on creating an inclusive environment where people from all backgrounds, identities, and experiences feel they belong and can thrive. If this feels like a role where you could do meaningful work, we’d love to meet you.

Apply now and tell us why you’re the perfect person to connect with our future members.