Senior QA Engineer

Alteva RCM; United States; Remote; USD 90,000 - 155,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Employee Assistance Program

Paid family leave

Short-term disability

Life insurance

401(k) with employer match

Flexible spending accounts

Employee discount program

Employee referral program

Job summary

Alteva RCM is building a dedicated quality function for a high-impact operational technology team. This foundational QA role will shape how quality work is defined and implemented across Salesforce-native tools, AI-assisted workflows, and backend services in build.

Initially, you’ll perform manual testing and release-readiness checks while building an automation framework from scratch. You will help establish test coverage, regression frameworks, and clear release signals, earning trust from

Qualifications

• 5+ years in QA engineering (manual and automated)
• Experience with API testing (REST/SOAP) in integrated environments
• Proficiency in SQL for data validation across integrations
• Salesforce experience with sandbox testing and production validation
• Strong track record building automation frameworks from scratch
• Experience testing AI/ML outputs is a plus, especially non-deterministic systems
• Familiarity with .NET environments is a plus
• Ability to write clear test docs for non-technical stakeholders
• Strong communication with ops teams, developers, and product
• Healthcare RCM or complex operational workflows is a plus

Responsibilities

• Own test strategy and test case development across the product portfolio
• Design and maintain testing layers: smoke, happy path, regression, release-readiness
• Set up and maintain automated test runs, including nightly checks
• Build and maintain automation frameworks from scratch
• Perform manual and automated testing across Salesforce sandbox environments, production validation workflows, .NET services, and AI tool outputs
• Own QA sign-off recommendations for releases with clear risk communication
• Build a QA process shifting release testing to a structured workflow
• Document end-to-end business workflows and map test coverage
• Define release gates in partnership with developers and Tech Lead
• Mentor QA Engineer and contribute to proactive quality culture
• Investigate production issues and drive prevention actions

Skills

QA engineering

Manual testing

Automation testing

API testing

SQL

Salesforce

Communication

Documentation

AI/ML testing

Healthcare RCM

Tools

Git

Salesforce Sandbox

.NET

Job description

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

About the Role

Alteva RCM is building a dedicated quality function for a high-impact operational technology team. This is a foundational QA position, and the person in this role will help define how quality works here, not inherit a process someone else built.

You'll be embedded across a mix of Salesforce-native tools, AI-assisted workflows, and backend services, all actively in build. The work spans Salesforce sandbox environments, production validation workflows, .NET-based services, and AI-generated outputs where accuracy and consistency are important.

This is a hybrid manual and automation QA role. In the beginning, a meaningful part of the work will be hands-on manual testing, workflow validation, and release readiness checks while the automation framework is being built. Over time, the expectation is to convert repeatable testing into automated coverage so managers and operations leads are not carrying the burden of release testing.

The expectation is not just to find bugs. It is to build the systems that prevent them: test coverage, regression frameworks, automation runs, release gates, and clear release-readiness signals. This person should be trusted by both operations and development to say when something is ready to ship and when it is not.

What You'll Do

• Own test strategy and test case development across the internal product portfolio
• Design and maintain testing layers: smoke, happy path, regression, and release-readiness testing, mapped to release stages
• Set up and maintain automated test runs, including nightly checks where appropriate, to catch issues before business users do
• Build and maintain automation frameworks from scratch, with no existing framework to inherit
• Perform manual and automated testing across Salesforce sandbox environments, production validation workflows, .NET-based services, and AI tool outputs
• Own QA sign-off recommendations for releases, including clear communication of release risk when coverage is incomplete
• Build a QA process that shifts release testing out of managers' hands and into a structured QA workflow with clear test cases, ownership, and sign-off
• Document end-to-end business workflows and map test coverage to them
• Define and enforce release gates in partnership with developers and the Technology Lead
• Work directly with operations team leads to understand how workflows break in practice, not just in theory
• Investigate production issues: identify root cause, document findings, and own the follow-through to prevent recurrence
• Mentor and provide technical direction to the QA Engineer on the team
• Contribute to building a proactive quality culture where issues are caught before business users see them

What We're Looking For

• 5+ years in QA engineering with demonstrated experience in both manual and automated testing
• Experience with API testing, including REST and/or SOAP, in environments with multiple system integrations
• Proficiency in SQL for validating data accuracy across system integrations
• Comfortable with version control such as Git, including working alongside developers and managing test code
• Salesforce experience required, with comfort in sandbox-based testing and production validation support
• Strong background in building automation frameworks from scratch, not just maintaining existing ones
• Experience testing AI or ML outputs is a strong plus, especially validating non-deterministic systems
• Familiarity with .NET environments is a strong plus
• Ability to write clear, thorough test documentation that non-technical stakeholders can understand
• Strong communication skills, with the ability to work directly with operations leads, developers, and product
• Background in healthcare RCM, medical billing, or complex operational workflows is a strong plus and will accelerate ramp-up
• Self-directed and comfortable operating without a mature QA playbook

Why This Role

You're not walking into a mature QA org. You're helping build one. That means more ownership, more visibility, and more direct impact than most QA roles offer. Alteva supports healthcare revenue cycle operations at scale. When something breaks, it can affect operational outcomes and business performance. Your work matters immediately.

You’ll work closely with Product Leadership and a small, focused technical team. This is a lean, high-ownership environment where decisions are made close to the work.

• Salesforce, our core case management system
• .NET-based services
• Jira for task tracking
• Microsoft Teams

Location & Availability

This is a remote role requiring time zone overlap with two teams: our operations team in Israel and our development team in US Eastern time. You'll need a few hours of daily overlap with each. Eastern Europe time zones work well for this, though other locations will be considered if the overlap requirement is met.

Pay Range

$90,000 - $155,000 USD

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.