Skip to content
NEXTMOVEFDE careers · United States

Senior Software Engineer, Backend - Care Platform Operations

AI summary of the role

Senior backend engineer on the Care Platform Operations team at Ro, building scalable, reliable, and secure services for patient-provider communication, appointment scheduling, task routing, and AI-powered care operations workflows.

No longer in the current catalog. Last included 2026-09-09. Check the employer’s posting for availability.

What you’ll do

  • Design and build scalable, reliable, and resilient distributed services using Python and FastAPI for clinical and operational workflows
  • Own system performance, reliability, and architecture within the team's domain
  • Drive engineering excellence in testing, monitoring, observability, and performance optimization
  • Collaborate on code reviews and technical design documents; contribute to architectural vision

What you’ll bring

  • 7+ years of software engineering experience
  • Experience architecting and building scalable web applications and distributed systems
  • Proficiency with Python, relational databases, and frameworks like FastAPI or Django
  • Track record of scaling data-intensive backend systems through rapid 10x growth at a late-stage startup

Technologies

Python · FastAPI · Django · relational databases · distributed systems · Datadog · load testing · asynchronous services · monitoring · observability

About Ro (Modern Fertility)

Direct-to-patient telehealth + pharmacy + at-home labs/diagnostics; makes money on prescriptions, subscriptions, and at-home test kits (including Modern Fertility hormone testing).

Series D · 700–900 people

Source and classification

Internal deployment & tooling · Evidence for this classification:

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’re looking for a Senior Software Engineer to join the Care Platform Operations team at Ro. In this role, you’ll design, build, and maintain scalable, reliable, and secure backend services that support how Ro delivers care, including systems for patient-provider
More from the job description

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. [... source excerpt omitted ...] 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 production systems What You’ll Bring to the Team: 7+ 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 th [... source excerpt omitted ...] y 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 members

How jobs are selected

Employer postings · Data from · Sources