Senior Backend Engineer, Product

· Remote

Location

Remote

Type

Full Time

Job Description

Ro (Ro.co)Jobs
Senior Backend Engineer Product

Senior Backend Engineer Product

Reposted 2 Days Ago
Easy Apply
New York NY USA
Hybrid
182K-220K Annually
Senior level
Healthtech • Pharmaceutical • Telehealth
Ro's mission is to help patients achieve their health goals by delivering the easiest most effective care possible.
The Role
The Senior Software Engineer will design build and maintain distributed backend services to enhance patient care workflows at Ro. Responsibilities include improving system performance and collaboration across various teams to ensure quality and compliance.
Summary Generated by Built In

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.


The Role
 
We are looking for a Senior Software Engineer to join the Patient Experience team at Ro. This is a backend product-focused role. 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 with FastAPI or Django supporting critical clinical and operational workflows
  • Partner closely with product teams to shape feature requirements define success metrics and translate business goals into scalable backend solutions.
  • Operate as a domain owner — accountable not only for system reliability and performance but for how your systems drive measurable product and operational outcomes
  • Own features end-to-end from technical discovery through launch and iteration using data and feedback to continuously improve outcomes
  • 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
  • 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
  • Experience partnering closely with Product to scope and deliver user-facing features that drive measurable business impact
  • Proven track record of scaling complex data-intensive backend systems through rapid growth on a high-traffic engineering organization ensuring high performance and availability
  • Strong intuition for product tradeoffs — balancing speed scalability and long-term architecture
  • 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 $182300 to $220000 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 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.

Skills Required

  • 5+ years of software engineering experience
  • Experience architecting and building scalable web applications
  • Proficiency with Python FastAPI or Django
  • Experience in building and maintaining data-intensive production systems

What the Team is Saying

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The Company
HQ: New York NY
824 Employees
Year Founded: 2017

What We Do

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 98% of primary care deserts.

Why Work With Us

Ro is powering quality care at scale. The Ro Operating System (ro.OS) vertically integrates the core parts of healthcare bringing together nationwide telehealth lab and pharmacy services on one platform. The result? ro.OS makes it easier for patients to access and providers to deliver high-quality care – millions of times over.

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About our Teams

Ro (Ro.co) Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Ro’ers in the tri-state area join their colleagues in the NY Hub twice a week for in-person collaboration.

Typical time on-site: 2 days a week
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Date Posted

05/20/2026

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