Senior Software Engineer, Clinical Platform

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.

The healthcare system today is not designed to help patients achieve their goals. It’s designed around institutions such as hospitals and insurance companies. A patient centric healthcare system is one that is designed around the goals a patient wants to achieve. We’re building healthcare that puts patients in control, provides reactive and proactive care, has transparent pricing and process, is extremely effective and ridiculously convenient, and evolves over time based on patients’ goals.

Ro has been recognized as a Fortune Best Workplace in New York and Health Care for four consecutive years (2021-2024). In 2023, Ro was also named Best Workplace for Parents for the third year in a row. In 2022, Ro was listed as a CNBC Disruptor 50.

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We’re looking for a seasoned Senior Backend Engineer who’s not only a strong technical contributor but also has a passion for metrics, observability, monitoring, and mentorship. You’ll play a key role in evolving our architecture, leveling up the team, and driving best practices across the Tech Org. If you thrive in high-ownership environments and love building systems that scale and self-heal—this role is for you.

You’ll be building tools and services that directly empower internal development teams, pharmacists, providers, and lab personnel—the backbone of our platform. The systems you design will ensure they have reliable, observable, and performant infrastructure to deliver critical healthcare services.

• Design, build, and maintain robust, scalable, and efficient backend services and APIs.
• Define service boundaries, migration strategies, and rollout plans in collaboration with engineering and product stakeholders.
• Build and maintain dashboards and alerts to detect and respond to system issues proactively.
• Define and maintain SLIs/SLOs in collaboration with product, infra and other development teams.
• Continuously monitor performance bottlenecks and optimize system latency and throughput.
• Lead or contribute to engineering-wide initiatives to improve system quality, developer, provider, lab, or pharmacist experience.

• Proficient in Python, relational databases, and frameworks like Django or FastAPI, with hands-on experience in metrics instrumentation and data-driven performance tuning using tools like Datadog.
• 8+ years professional backend software development experience
• Deep understanding of distributed systems—data consistency, communication patterns, and service boundaries—backed by hands-on experience building and maintaining high-traffic production systems.
• Demonstrated ownership of complex technical roadmaps, with a proactive approach to refining ambiguous problems and driving solutions in fast-paced, high-stakes environments.
• Strong communication skills across technical and non-technical stakeholders, enabling alignment and momentum even amid uncertainty.
• Committed to technical excellence—mentoring engineers, upholding best practices in backend architecture and observability, and fostering a culture of continuous improvement.

• Experience working with healthcare standards specifically HL7, or related diagnostic/lab reporting systems.
• Prior experience in Site Reliability Engineering or DevOps (more on Dev) roles.

• 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

The target for this position ranges from $179,000 to $212,000, 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 recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites).

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.

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