Senior Backend Engineer, Product

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. What You’ll Do 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 What You’ll Bring To The Team 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 Bonus Skills Experience in telehealth or other highly regulated industries Experience with decoupling monolithic applications into distributed asynchronous services We’ve Got You Covered 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. The target 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 recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites). 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 [email protected] . See our California Privacy Policy here . We may use automated tools, including artificial intelligence (AI), to assist with parts of our recruiting and hiring process, such as reviewing applications, evaluating resumes, and assessing responses or job-related qualifications. These tools are used to support our recruitment team and do not replace human judgment. Final hiring decisions are made by humans. #J-18808-Ljbffr Ro