Senior QA Engineer

Quick Facts

• Work Policy: Remote-first (US)
• Job Type: Full Time
• Salary Range: $100,000 – $130,000 per year
• Experience Level: Senior, 5+ years of professional QA experience
• Core Tech Stack: Python, Playwright, Selenium, or Cypress; API testing; CI/CD

About PerfectServe

PerfectServe is a health IT company, founded in 1997, that provides clinical communication and physician scheduling tools. It has more than 400 employees, over 30,000 customers (practices, hospitals, and health systems), and more than $100 million in annual revenue. Its mission is to get care to patients faster by optimizing provider schedules and routing messages, pages, calls, and alerts. It was named a leader in Execution and Vision in Gartner’s 2026 Magic Quadrant for Clinical Communication and Collaboration and won two 2026 Best in KLAS awards. The company emphasizes innovation, including AI in its products and working with customers on new workflows.

About the Role

This is a senior individual-contributor role responsible for product quality, reliability, and safety through manual and automated testing. You’ll own complex work end to end, raise the quality bar, and mentor others. The QA team is fully manual today, so this hire builds test automation from scratch and will eventually be the sole QA engineer, owning quality while working closely with developers. The standard is high because the reliability and security of healthcare software affect patient care.

What You’ll Do

Technical

• Execute manual test cases and document defects
• Write automation scripts and apply API testing tools
• Integrate tests into CI/CD pipelines
• Build test frameworks
• Conduct performance and security testing

Architecture and Design

• Understand the system under test
• Take part in design reviews
• Design test architectures and author test strategy documents

Delivery and Execution

• Execute assigned test plans and write your own
• Manage test coverage and QA environment integrity
• Coordinate release readiness
• Own QA for full features

Quality and Standards

• Follow test standards and ensure HIPAA test coverage
• Define quality metrics and improve QA processes
• Validate that application and production environments match

Collaboration and Communication

• Take part in team ceremonies
• Partner with developers, the product team, and other squads
• Report defect status, communicate test results, and write test documentation
• Present quality metrics

Leadership, Mentorship, and Strategy

• Learn and apply QA best practices
• Support junior QA engineers and mentor them on automation
• Understand release goals and contribute to QA planning
• Help shape the test automation strategy

What You’ll Need

• 5+ years of professional QA experience, including end-to-end ownership of complex work
• 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 UI and end-to-end automation with Playwright, Selenium, or Cypress
• Understanding of QA methodologies and quality metrics
• Strong written and verbal communication, including presenting status and risk to stakeholders
• Self-starter who can own QA independently while collaborating closely with developers and speaking up on quality

Preferred Qualifications

• Testing experience in HIPAA- or HITRUST-regulated healthcare environments
• Performance and security testing experience

Nice to Have

• 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)

Why This Role

You’ll grow your impact and skills by taking on progressively harder problems alongside strong colleagues, with contributions that extend beyond your own team. PerfectServe describes a mission-driven team in an environment that values growth, transparency, and innovation, and says it reviews compensation regularly for fairness and consistency.

Benefits

• Remote-first work environment
• Health, dental, vision, life, and disability insurance options available on day one
• 401(k) with a match that vests immediately
• 17 company holidays, 2 floating holidays, and a competitive PTO policy
• Internal advancement opportunities

Application Process

The standard application asks for a resume and LinkedIn profile, with an optional cover letter and website. Questions cover visa sponsorship needs, US residence, comfort with the salary range, why you want to work at PerfectServe, and a favorite food and how you prefer it prepared. An SMS recruiting consent question must be answered, but answering no does not disqualify you. Voluntary self-identification forms do not affect hiring. The company uses Greenhouse’s AI-powered Talent Matching tool to compare applications against requirements, and candidates can opt out through a linked form.