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.
We are looking for a Senior Software Engineer to join us at Ro. 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 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
