Senior Software Engineer, Backend

Join Tech @ Ro to build the future of healthcare, from the ground up! At Ro, we believe that when people achieve their health goals, they can achieve their life goals. The highest-leverage way to move society forward is to give people their health, and the current healthcare system isn’t built to do that. It was built to bill, not to serve patients. We’re building a new system. One where the patient is in control. One designed from scratch for the digital age. At Ro, technology isn’t just a function… It's core to how we deliver care. We’ve built a vertically integrated healthcare platform that connects telehealth, diagnostics, pharmacy, and logistics into a seamless, end-to-end experience for millions of patients. …and we’re just getting started. As part of Tech @ Ro, you’ll work on systems that operate at scale, with an opportunity to: Solve complex, high-concurrency problems across a full-stack platform Build and ship quickly with tight feedback loops and real-world impact Own systems end-to-end, from architecture to production performance Work alongside experienced operators, technical leaders, and clinicians Help define how modern healthcare should be delivered We’re a performance-driven team with a strong sense of ownership and urgency. We move fast, learn quickly, and hold a high bar for what we build, and do so with a big heart — because patients depend on it. If you’re motivated by impact, scale, and the chance to help lead the patient revolution, come build with us.

We are looking for a Senior Software Engineer to join us at Ro. 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 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

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