Principal Software Engineer

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’re looking for a Principal Software Engineer to serve as a senior technical leader across Ro’s engineering organization. In this role, you’ll help shape the long-term direction of our platform, guide the evolution of critical systems, and drive architectural decisions that enable Ro to scale safely, sustainably, and quickly. 

You’ll partner across engineering, product, design, and cross-functional leadership to define technical strategy, anticipate risks, mentor senior engineers, and guide teams toward resilient, maintainable, high-quality solutions. This role is ideal for someone energized by system-wide impact, complex technical challenges, and helping raise the engineering bar across Ro.

• Define and drive the architectural vision for key systems and platforms, ensuring scalability, reliability, resilience, and long-term maintainability.
• Evaluate and recommend foundational technologies, patterns, and practices that position Ro for future growth.
• Translate complex, ambiguous problem spaces into clear technical roadmaps, identifying tradeoffs and guiding teams toward strategic solutions.
• Lead organization-wide initiatives that improve system health, observability, performance, security, and operational excellence.
• Partner with product, design, data, and other teams to align technical strategy with business priorities.
• Break down large, multi-team initiatives into actionable plans and drive them from concept to delivery.
• Mentor and support Staff, Senior, and early-career engineers in both technical and strategic growth.
• Foster a culture of high-quality engineering, thoughtful design, rigorous review, and continuous learning.
• Provide technical leadership in design reviews, architecture discussions, and cross-team forums.
• Act as a trusted technical advisor to engineering leadership and cross-functional partners.

• 12 years of experience building scalable, maintainable software systems
• A proven track record of technical leadership across multiple teams or domains, including designing and evolving complex distributed systems.
• Deep expertise in backend engineering (preferably with a strong proficiency in Python) and experience with distributed systems and relational databases.
• Experience in metrics instrumentation and data-driven performance tuning, leveraging load testing infrastructure and tools like Datadog.
• Strong architectural skills with the ability to reason about long-term tradeoffs, system interactions, operational risks, and platform evolution.
• Demonstrated ability to influence technical strategy, drive alignment across multiple teams, and guide organizations through ambiguity.
• Exceptional communication skills with the ability to articulate technical concepts to both technical and non-technical audiences.
• A passion for and strong track record of developing other engineers and raising the technical bar through mentorship, coaching, and leadership.

• Experience in telehealth or other highly-regulated industries.

• 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 base salary for this position ranges from $251,200 to $340,000, 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 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 talent@ro.co.

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Salary : $251,200 - $340,000