Senior Backend 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, including one in every county in the United States, and in 98% of primary care deserts. Ro has been recognized as a Fortune Best Workplace in New York and Health Care for four consecutive years (2021-2024). In 2023, Ro was also named Best Workplace for Parents for the third year in a row. In 2022, Ro was listed as a CNBC Disruptor 50. We are looking for a Senior Software Engineer to join the Care Platform Operations team at Ro. In this role, you will design, build, and maintain scalable, reliable, and secure backend services that directly support how Ro provides care to our patients. You will be responsible for systems that enable efficient and high-quality patient <> provider communication, appointment scheduling and task management workflows. These workflows empower our clinical and non-clinical team members to respond effectively to patient needs and allow Ro to scale our patient-centric healthcare model to millions of individuals seeking treatment. You will design and implement new applications and enhance existing platform capabilities while contributing to the evolution of Ro’s technical architecture. As a senior member of the team, you will help define and lead the technical roadmap, owning initiatives from ideation through design, implementation, and maintenance. You will collaborate closely with product, design, and data teams, and have opportunities to partner with security, care operations, clinical, and legal experts to ensure solutions meet the highest standards of quality and compliance. What You’ll Do: Design and build scalable, reliable, and resilient distributed services using Python and FastAPI, supporting critical clinical and operational workflows Operate as an owner within the 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 Work closely with product, design, data and other stakeholders to help us build the best possible experiences for our providers, pharmacists, and patients Participate in on-call rotations to ensure reliability of commerce systems What You’ll Bring to the Team: 7+ 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 10x growth at a late-stage startup, 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 / 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 $179,000 to $212,000, 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. 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