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.

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 production 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.

Senior Software Engineer, Backend - Care Platform Operations

Job Description

What You’ll Do:

What You’ll Bring to the Team:

Bonus Skills:

We’ve Got You Covered:

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