Senior Software Engineer, Backend

Ro; New York (NY); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Full medical, dental, and vision insurance

401(k) with company match

Flexible PTO

Paid parental leave

Wellbeing reimbursements

Job summary

Ro in New York is seeking experienced software engineers to build scalable and reliable distributed services using Python and FastAPI. As part of a dynamic team, you'll drive engineering excellence and participate in shaping modern healthcare technology.

The ideal candidate has over 5 years of experience and a strong understanding of web applications and distributed systems. You'll enjoy a culture of ownership and rapid development.

Qualifications

• Experience architecting and building scalable web applications.
• Proven track record of scaling complex, data-intensive backend systems.
• Strong sense of ownership and ability to collaborate.

Responsibilities

• Design and build scalable distributed services using Python and FastAPI.
• Drive engineering excellence through testing and performance optimization.
• Participate in on-call rotations for production system reliability.

Skills

Software engineering experience

Python proficiency

Distributed systems understanding

Collaboration skills

Education

5+ years of software engineering experience

Tools

FastAPI

Django

Datadog

Job description

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. 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.

What You’ll Do

• 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

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
• 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

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

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 [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.