Senior QA Engineer - US Remote

1. In 2026, PerfectServe was named highest in execution and furthest in vision in the Gartner Magic Quadrant™ for Clinical Communication and Collaboration — the clear segment leader.
2. PerfectServe also received two Best in KLAS awards in 2026 — one for physician scheduling and another for ambulatory clinical communications. That makes for 11 Best in KLAS awards over the past 9 years.

PerfectServe is seeking a Senior QA Engineer to ensure the quality, reliability, and safety of PerfectServe’s products through rigorous manual and automated testing. As a senior individual contributor, you will own complex work end-to-end, raise the quality bar, and mentor those around you.

The QA team is 100% manual today. This hire will build the test automation capability from the ground up and, over time, will be the sole QA engineer on the team, owning quality independently while working closely with developers.

In a healthcare SaaS environment where reliability and security affect patient care, this role is held to a high standard. Success means consistently demonstrating the responsibilities below, combining technical depth with collaboration, communication, and sound judgment, rather than excelling in any one area alone.

• Execute manual test cases
• Document defects clearly
• Write automation scripts
• Apply API testing tools
• Integrate tests in CI/CD
• Build test frameworks
• Conduct performance testing
• Implement security testing

• Understand system under test
• Participate in design reviews
• Design test architectures
• Author test strategy docs

• Execute assigned test plans
• Write own test plans
• Manage test coverage
• Manage QA environment integrity
• Coordinate release readiness
• Own QA for full feature

• Follow test standards
• Ensure HIPAA test coverage
• Define quality metrics
• Improve QA processes
• Validate app/prod parity

• Participate in ceremonies
• Partner with dev engineers
• Collaborate with product team
• Partner across squads

• Report defect status
• Communicate test results
• Write test documentation
• Present quality metrics

• Learn QA best practices
• Support junior QA engineers
• Mentor automation skills

• Understand release goals
• Contribute to QA planning
• Shape test automation strategy

• 5+ years of professional QA engineering experience, including ownership of complex work end-to-end.
• Hands-on experience executing test cases and documenting defects clearly.
• Experience with test automation, API testing, and CI/CD integration.
• Experience building test frameworks from the ground up.
• Python for test automation.
• Hands-on experience building UI/end-to-end automation with Playwright, Selenium, or Cypress.
• Understanding of QA methodologies and quality metrics.
• Strong written and verbal communication; able to present status and risk to stakeholders.
• Self-starter who can own QA independently, while still collaborating closely with devs and speaking up on quality.

• Experience testing in a HIPAA/HITRUST-regulated healthcare environment.
• Performance and security testing experience.

• Twilio, telephony/VoIP, or call center software experience, especially automating real call flows.
• Jira and Zephyr.
• AWS, plus any Kubernetes or Argo CD exposure.
• Performance testing with any tool (the team uses Locust)

This role offers the chance to grow both your impact and your craft. You will take on progressively harder problems, work alongside strong colleagues, and see your contributions matter beyond your immediate team — because quality engineering done well is a direct contribution to safer, more reliable care.