Senior QA Engineer - US Remote

What is PerfectServe?

PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. Founded in 1997, the company has grown steadily, serving 30,000+ customers across medical practices, hospitals, and health systems with $100M+ in annual revenue.

Our mission is to accelerate speed to care by optimizing provider schedules and routing communications to the right place at the right time in any care setting. Recognized by Gartner® and KLAS Research as an industry leader, PerfectServe relies on a collaborative, tech-forward team dedicated to driving innovation and improving the well-being of clinicians and patients.

Role Overview

PerfectServe is seeking a Senior QA Engineer to ensure the quality, reliability, and safety of our 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 currently 100% manual. 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.

Core Responsibilities

Technical

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

Architecture & Design

• Understand the system under test and participate in design reviews
• Design test architectures and author test strategy documentation

Delivery & Execution

• Execute assigned test plans and write custom test plans
• Manage test coverage, QA environment integrity, and release readiness
• Own QA for full features end-to-end

Quality, Standards & Collaboration

• Ensure HIPAA test coverage and define quality metrics
• Validate app/prod parity and improve QA processes
• Participate in agile ceremonies and partner closely with dev and product teams

Communication & Leadership

• Report defect status and communicate test results to stakeholders
• Support and mentor junior QA engineers in automation skills
• Contribute to QA planning and shape test automation strategy

Qualifications

Required

• 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
• Proficiency in Python for test automation
• Hands-on experience building UI/end-to-end automation with Playwright, Selenium, or Cypress
• Strong understanding of QA methodologies and quality metrics
• Strong written and verbal communication skills
• Self-starter capable of owning QA independently

Preferred

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

Nice to Have

• Twilio, telephony/VoIP, or call center software experience
• Jira and Zephyr
• AWS, Kubernetes, or Argo CD exposure
• Performance testing with tools like Locust

Benefits

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