Ro8mo ago

$182,300 – $220,000/yr

Senior Software Engineer, Backend

United States·New YorkFull-timesenior

EngineeringBackend EngineeringSoftware EngineerBackend DeveloperSoftware Engineering

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Quick Summary

Overview

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.

Key Responsibilities

We’re looking for a Senior Software Engineer to join the team at Ro. In this role, you’ll design, build, and maintain scalable, reliable, and secure backend services while contributing to the evolution of Ro’s technical architecture.

Technical Tools

datadogdjangofastapipythoncode-reviewconcurrencydistributed-systemsperformance-optimization

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.

The Role

You’ll help define technical roadmaps and own initiatives from ideation through design, implementation, and maintenance. This role is ideal for someone who brings strong backend engineering judgment, thrives in high-impact environments with broad accountability, and cares about building product-driven systems at scale.

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

The target base salary for this position ranges from $182,300 to $220,000, in addition to a competitive equity and benefits package (as applicable). When determining compensation, we analyze and carefully consider several factors, including location, job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

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.

At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law.

Ro is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and interview process. If you require a reasonable accommodation in the application or interview process, please contact us at talent@ro.co.

See our California Privacy Policy here.

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: September 16, 2025
First seen: March 24, 2026
Last seen: May 25, 2026

Posting Health

Days active: 61
Repost count: 0
Trust Level: 44%
Scored at: May 25, 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

ro.co

Jobs

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Salary

$182,300 – $220,000

per year