Senior Backend Engineer; Product

• 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
• 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

• 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

Proven track record of scaling complex, data-intensive backend systems through rapid growth on a high-traffic engineering organization, ensuring high performance and availability5+ years of software engineering experience

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

Experience partnering closely with Product to scope and deliver user-facing features that drive measurable business impact

Strong intuition for product tradeoffs - balancing speed, scalability, and long-term architecture

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 Demonstrated ability to collaborate with other engineers and cross-functional partners to create the best possible products

Experience in telehealth or other highly regulated industries

Experience with decoupling monolithic applications into distributed asynchronous services