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After leaving school, Moriarty worked in advertising and marketing at a legal publishing company. She then ran her own company for a while before taking work as a freelance advertising copywriter. In 2004, after obtaining a master's degree at Macquarie University in Sydney her first novel Three Wishes, written as part of the degree, was published.
A previous novel, The Husband's Secret, is being adapted into a film. In September 2013, CBS Films acquired the rights to the novel. In May 2017, it was announced that the film will star Blake Lively.
Her novel Big Little Lies has been adapted into a television series by HBO, and stars Reese Witherspoon, Nicole Kidman, Shailene Woodley, Laura Dern, Zoë Kravitz, and Alexander Skarsgård. The series premiered on 19 February 2017, with the first season concluding on 2 April 2017. A second season was announced in December 2017. Season two premiered in June 2019.