Ro6mo ago

Senior Backend Engineer, Product

United States·New YorkFull-timesenior

EngineeringOtherBackend EngineeringSenior Backend Engineer

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Quick Summary

Overview

Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible.

Technical Tools

EngineeringOtherBackend EngineeringSenior Backend Engineer

Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 99% of primary care deserts.

Ro is consistently recognized as a top workplace in Health Care, in New York, and for Women and Parents—earning more than 20 honors from Fortune, Great Place to Work, and PEOPLE since 2021. In 2025 alone, we ranked top 5 among medium workplaces in Health Care and New York, and top 50 nationwide.

The Role

We are looking for a Senior Software Engineer to join the Patient Experience team at Ro. This is a backend, product-focused role. You will partner closely with Product, Design, Data, and other teams to define, build, and iterate on features that directly impact patient onboarding, care delivery, and insurance workflows.

You’ll own backend systems that power critical patient and provider experiences — not just from a technical perspective, but from a product and business outcomes lens. You’ll refine ambiguous problems through solution design, implementation, experimentation, and iteration while ensuring the backend is performant and monitoring for real-world feature engagement and adoption.

While this role is highly focused on backend engineering, we value engineers who understand how their systems drive user-facing experiences and who enjoy collaborating cross-functionally to deliver meaningful product outcomes.

Design and build scalable, reliable, and resilient distributed services using Python with FastAPI or Django, supporting critical clinical and operational workflows

Partner closely with product teams to shape feature requirements, define success metrics, and translate business goals into scalable backend solutions.

Operate as a domain owner — accountable not only for system reliability and performance, but for how your systems drive measurable product and operational outcomes

Own features end-to-end from technical discovery through launch and iteration, using data and feedback to continuously improve outcomes

Drive engineering excellence through best practices in testing, monitoring, observability, and performance optimization

Actively contribute to building the team’s architectural vision and technical roadmap

Collaborate on code reviews and technical design documents to ensure the consistent application of best practices across relevant domains

Participate in on-call rotations to ensure reliability of production systems

5+ years of software engineering experience

Experience architecting, designing and building scalable web applications and distributed systems

Proficiency with Python, relational databases, and frameworks like FastAPI or Django, with hands-on experience in metrics instrumentation and data-driven performance tuning leveraging Ro’s load testing infrastructure and tools like Datadog

Experience partnering closely with Product to scope and deliver user-facing features that drive measurable business impact

Proven track record of scaling complex, data-intensive backend systems through rapid growth on a high-traffic engineering organization, ensuring high performance and availability

Strong intuition for product tradeoffs — balancing speed, scalability, and long-term architecture

Deep understanding of distributed systems-data consistency, communication patterns, and service boundaries, backed by hands-on experience building and maintaining data-intensive production systems

Strong sense of ownership with the ability + desire to own technical roadmaps and refine ambiguous problems

Demonstrated ability to collaborate with other engineers and cross-functional partners to create the best possible products

Experience in telehealth or other highly regulated industries

Experience with decoupling monolithic applications into distributed asynchronous services

Full medical, dental, and vision insurance + OneMedical membership

Healthcare and Dependent Care FSA

401(k) with company match

Flexible PTO

Wellbeing + Learning & Growth reimbursements

Paid parental leave + Fertility benefits

Pet insurance

Student loan refinancing

Virtual resources for mindfulness, counseling, and fitness

We welcome qualified candidates of all races, creeds, genders, and sexuality to apply.

Location & Eligibility

Where is the job

New York, United States

Hybrid — some on-site time required

Who can apply

Listed under

United States

Listing Details

Posted: October 23, 2025
First seen: March 25, 2026
Last seen: April 28, 2026

Posting Health

Days active: 33
Repost count: 0
Trust Level: 33%
Scored at: April 28, 2026

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At Ro, we want to bring transparency to healthcare at every step of the patient journey, from the cost of their treatment to where their medication is sourced. Ro provides information to help patients make informed, important decisions about their healthcare and their lives, and to put patients back in control of their health.

Employees

750

Founded

2017

Domain

Jobs

External application · ~5 min on Ro's site

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