Ro6mo ago

Senior Software Engineer, Backend

New YorkFull-timesenior

EngineeringBackend EngineeringSoftware 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

EngineeringBackend EngineeringSoftware 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 team at Ro. In this role, you will design, build, and maintain scalable, reliable, and secure backend services.

You will design and implement new applications and enhance existing platform capabilities while contributing to the evolution of Ro’s technical architecture. You will also help define the technical roadmap, owning initiatives from ideation through design, implementation, and maintenance.

Senior Software Engineers at Ro are in positions of high-impact with broad accountability and influence across engineering teams and business stakeholders. If you are someone who thrives in this sort of environment, has a strong product mindset, and is passionate about building systems at scale, we’d love to hear from you.

Design and build scalable, reliable, and resilient distributed services using Python and FastAPI

Operate as an owner within your team's domain and proactively assess and improve system performance and reliability

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

Collaborate closely with product managers, designers, and engineers from adjacent teams to ensure alignment and technical integrity across boundaries

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

Proven track record of scaling complex, data-intensive backend systems through rapid growth (ideally in a mid-to-late stage startup environment), ensuring high performance and availability

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 and 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

Listing Details

Posted: September 16, 2025
First seen: March 24, 2026
Last seen: April 9, 2026

Posting Health

Days active: 16
Repost count: 0
Trust Level: 47%
Scored at: April 9, 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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