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. The company was founded in 1997 and has grown steadily since then, with a notable jump after several major acquisitions were announced in 2019. PerfectServe now has 400+ employees, 30,000+ customers — spanning medical practices, hospitals, and health systems — and $100 million+ in annual revenue.

PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and routing communications — including messages, pages, calls, and alerts — to the right place at the right time in any care setting. By facilitating real-time information sharing, building better schedules, and automating important clinical workflows, we believe we can help our customers advance patient care and improve the well-being of their clinicians.

Leading analyst firms like Gartner® and KLAS Research have consistently validated our approach:

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.

At PerfectServe, you'll have a unique opportunity to join a collaborative team with decades of experience that finds new ways to delight our customers every day. This involves consistent efforts to stay on the cutting edge of product development, which includes everything from implementing AI in new and existing solutions to brainstorming with customers about novel workflows. But you don't have to be in product to make in impact — everybody at PerfectServe contributes to important work that moves the business forward.

If you're looking for a well-established, tech-forward company full of smart people doing meaningful work, you've found the right place!

Role Overview

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.

Core Responsibilities

Technical

• 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

Architecture & Design

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

Delivery & Execution

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

Quality & Standards

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

Collaboration

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

Communication

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

Leadership & Mentorship

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

Strategy & Vision

• Understand release goals
• Contribute to QA planning
• 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.
• 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.

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, 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

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.

Why Join PerfectServe?

At PerfectServe, we are transforming healthcare communication and collaboration to help clinicians deliver better care. You’ll work with a dedicated and mission‑driven team in an environment that values growth, transparency, and innovation.

We offer a salary range of $100,000–$130,000 USD per year, with compensation tailored to your background, strengths, and growth potential. This range reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. Compensation is determined by several factors, including experience, skills, and team impact. We regularly review compensation to ensure fairness and consistency. Current employees with questions are encouraged to connect with their manager or People Operations.

Benefits:

• Remote first work environment
• Health, Dental, Vision, Life and Disability Insurance options available day one.
• 401K - with match and immediately vested.
• 17 company holidays, 2 floating holidays plus competitive paid time off policy
• Internal Advancement Opportunities

PerfectServe offers unified healthcare communication solutions to help physicians, nurses, and care team members provide exceptional patient care. PerfectServe’s cloud-based solutions enhance patient safety and reduce provider burnout by automating workflows, speeding time to treatment, optimizing shift schedules, empowering nurse mobility, and engaging patients in their own care.