Ro4mo ago

Principal Software Engineer

New YorkFull-timelead

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

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 Principal Software Engineer to join the team at Ro. In this role, you’ll operate as a senior technical leader across our engineering organization — helping shape the long-term technical direction of our platform, stewarding the health and evolution of critical systems, and driving architectural decisions that enable Ro to scale sustainably, safely, and quickly.

Principal Engineers at Ro operate with deep technical expertise, broad organizational awareness, and a proactive, future-facing mindset. You will partner with teammates across engineering, product, design, and cross-functional leaders to define and deliver technical strategies that support both near-term product goals and long-term business outcomes. You will identify opportunities, anticipate risks, and guide teams toward resilient, maintainable, high-quality solutions.

If you’re energized by system-wide impact, solving ambiguous and complex technical challenges, and elevating the engineering organization through mentorship, thought partnership, and architectural leadership, we’d love to talk.

Define and drive the architectural vision for key systems and platforms, ensuring scalability, reliability, resilience, and long-term maintainability.

Evaluate and recommend foundational technologies, patterns, and practices that position Ro for future growth.

Translate complex, ambiguous problem spaces into clear technical roadmaps, identifying tradeoffs and guiding teams toward strategic solutions.

Lead organization-wide initiatives that improve system health, observability, performance, security, and operational excellence.

Partner with product, design, data, and other teams to align technical strategy with business priorities.

Break down large, multi-team initiatives into actionable plans and drive them from concept to delivery.

Mentor and support Staff, Senior, and early-career engineers in both technical and strategic growth.

Foster a culture of high-quality engineering, thoughtful design, rigorous review, and continuous learning.

Provide technical leadership in design reviews, architecture discussions, and cross-team forums.

Act as a trusted technical advisor to engineering leadership and cross-functional partners.

12+ years of experience building scalable, maintainable software systems

A proven track record of technical leadership across multiple teams or domains, including designing and evolving complex distributed systems.

Deep expertise in backend engineering (preferably with a strong proficiency in Python) and experience with distributed systems and relational databases.

Experience in metrics instrumentation and data-driven performance tuning, leveraging load testing infrastructure and tools like Datadog.

Strong architectural skills with the ability to reason about long-term tradeoffs, system interactions, operational risks, and platform evolution.

Demonstrated ability to influence technical strategy, drive alignment across multiple teams, and guide organizations through ambiguity.

Exceptional communication skills with the ability to articulate technical concepts to both technical and non-technical audiences.

A passion for and strong track record of developing other engineers and raising the technical bar through mentorship, coaching, and leadership.

Experience in telehealth or other highly-regulated industries.

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: December 5, 2025
First seen: March 25, 2026
Last seen: April 10, 2026

Posting Health

Days active: 15
Repost count: 0
Trust Level: 47%
Scored at: April 10, 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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