Senior Backend Software Engineer (Care Platform Operations)

• We are looking for a Senior Software Engineer to join the Care Platform Operations team at Ro. In this role, you will design, build, and maintain scalable, reliable, and secure backend services that directly support how Ro provides care to our patients. You will be responsible for systems that enable efficient and high-quality patient provider communication, appointment scheduling and task management workflows. These workflows empower our clinical and non-clinical team members to respond effectively to patient needs and allow Ro to scale our patient-centric healthcare model to millions of individuals seeking treatment
• You will design and implement new applications and enhance existing platform capabilities while contributing to the evolution of Ro’s technical architecture. As a senior member of the team, you will help define and lead the technical roadmap, owning initiatives from ideation through design, implementation, and maintenance. You will collaborate closely with product, design, and data teams, and have opportunities to partner with security, care operations, clinical, and legal experts to ensure solutions meet the highest standards of quality and compliance
• Design and build scalable, reliable, and resilient distributed services using Python and FastAPI, supporting critical clinical and operational workflows
• Operate as an owner within the 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
• Work closely with product, design, data and other stakeholders to help us build the best possible experiences for our providers, pharmacists, and patients
• Participate in on‑call rotations to ensure reliability of commerce systems

Benefits

• Medical, dental, and vision membership
• Equity for all team members
• Flexible time off
• Paid parental leave, and flexible work arrangement
• Well‑stocked office with snacks and bi‑weekly free lunches
• Gym, learning, and development stipends

Demonstrated ability to collaborate with other engineers and cross‑functional partners to create the best possible products Experience architecting, designing and building scalable web applications and distributed systems Deep understanding of distributed systems-data consistency, communication patterns, and service boundaries-backed by hands‑on experience building and maintaining data‑intensive production systems 7+ years of software engineering experience Strong sense of ownership with the ability / desire to own technical roadmaps and refine ambiguous problems 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 10x growth at a late‑stage startup, ensuring high performance and availability Experience in telehealth or other highly regulated industries Experience with decoupling monolithic applications into distributed asynchronous services