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 Staff Software Engineer to join the team at Ro. In this role, you will operate as a technical leader, mentor, and architect — helping shape the future of our platform and driving the delivery of systems that directly impact patients and providers.
You will partner closely with other engineers, product managers, designers, and cross-functional leads to define and deliver technical roadmaps that balance immediate product needs with long-term technical stability, scalability, and maintainability. As a Staff Engineer, you will not only design and build robust distributed systems but also mentor engineers, influence engineering culture, and play a key role in technical decision-making.
If you thrive in complex problem spaces, enjoy shaping technical direction at scale, and are motivated by the opportunity to improve healthcare through technology, we’d love to hear from you.
What You’ll Do
Design and build scalable, reliable, and resilient distributed services using Python and FastAPIOperate as an owner and technical leader within your team's domain and proactively assess and improve system performance and reliabilityDrive engineering excellence through best practices in testing, monitoring, observability, and performance optimizationDefine and own technical roadmaps, breaking down ambiguous and complex problem spaces into clear project plans and deliverablesMentor and collaborate with engineers across levels, raising the technical bar and fostering growth across the teamLead cross-functional technical efforts — working closely with product managers, designers, and engineers from adjacent teams to ensure alignment and technical integrity across boundariesParticipate in on-call rotations to ensure reliability of production systemsWhat You’ll Bring to the Team
7 - 10+ years of software engineering experience, including experience in roles involving technical leadershipExperience architecting, designing and building scalable web applications and distributed systemsProficiency 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 DatadogProven 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 availabilityDeep understanding of distributed systems-data consistency, communication patterns, and service boundaries-backed by hands-on experience building and maintaining data-intensive production systemsStrong sense of ownership, with the ability to understand and break down complex problem spaces into technical roadmapsDemonstrated ability to mentor engineers, foster collaboration, and set technical directionBonus Skills
Experience in telehealth or other highly regulated industriesExperience with decoupling monolithic applications into distributed asynchronous servicesWe’ve Got You Covered
Full medical, dental, and vision insurance + OneMedical membershipHealthcare and Dependent Care FSA401(k) with company matchFlexible PTOWellbeing + Learning & Growth reimbursementsPaid parental leave + Fertility benefitsPet insuranceStudent loan refinancingVirtual resources for mindfulness, counseling, and fitness