Senior QA Engineer - Build Automation from Scratch

PerfectServe; United States; Remote; USD 100,000 - 130,000; Full time

Benefits offered by this job

Remote-first

Health, Dental, Vision, Life Insurance

401(k) with match

Paid time off

Career growth opportunities

Job summary

PerfectServe is seeking a Senior QA Engineer to build a new test automation capability from scratch in a healthcare SaaS environment. As the sole QA initially, you will own quality end-to-end, collaborate with developers, and shape the automation strategy.

You will implement Python-based UI/API automation with Playwright, Selenium, or Cypress, integrate tests into CI/CD, and ensure HIPAA coverage. This remote-first role offers ownership and growth.

Qualifications

• 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 collaborating closely with developers and speaking up on quality.

Responsibilities

• Execute manual test cases
• Apply API testing tools
• Integrate tests in CI/CD
• Build test frameworks
• Conduct performance testing
• Implement security testing
• Understand system under test
• Author test strategy documentation
• Execute assigned test plans
• Write own test plans
• Manage test coverage
• Coordinate release readiness
• Own QA for full features
• Follow test standards
• Ensure HIPAA test coverage
• Define quality metrics
• Improve QA processes
• Validate app/prod parity
• Partner with dev engineers
• Collaborate with product team
• Partner across squads
• Communicate test results
• Understand release goals
• Contribute to QA planning
• Shape test automation strategy

Skills

Python-based test automation

UI/end-to-end automation

Playwright

Selenium

Cypress

API testing

CI/CD integration

Test framework design

HIPAA testing

Locust

Twilio/VoIP testing

Strong communication

Tools

Playwright

Selenium

Cypress

Locust

Jira

Zephyr

AWS

Kubernetes

Job description

Senior QA Engineer - Build Automation from Scratch — Remote

Greenfield Opportunity with High Ownership: This is a rare chance to build a test automation practice from scratch at a profitable, 400-person health IT company. You won't be inheriting someone else's legacy framework — you'll design it. This kind of "founding QA" role is a strong career accelerator and resume differentiator.

Compensation vs. Market: The $100k–$130k range is at or slightly below mid-market for a Senior QA Engineer in the US (Glassdoor/Levels.fyi benchmarks typically show $120k–$160k+ for senior automation engineers in SaaS). However, combined with remote flexibility, full-vest 401(k) match, and healthcare SaaS domain premiums, the total package is competitive — especially outside major tech hubs.

High-Demand Skills You'll Build:

• Python-based test automation (Playwright, Selenium, Cypress) — in-demand across all SaaS sectors
• HIPAA/HITRUST compliance testing — a niche premium skill in healthcare IT
• CI/CD integration and performance testing (Locust) — transferable to any cloud-native company
• Twilio/VoIP test automation — a specialized skill with limited supply

Culture Signals: The description emphasizes transparency, mission-driven work, and mentorship — typical of a scale-up phase company. With $100M+ revenue and consistent KLAS/Gartner recognition, PerfectServe is past early-stage risk but still agile enough for individual contributors to have outsized impact.

Green Flag: Being the sole QA engineer means visibility and influence; watch for: potential burnout risk if headcount growth doesn't follow and workload scales aggressively.

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 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, they help customers advance patient care and improve clinician well-being.

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

• 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.
• PerfectServe received two Best in KLAS awards in 2026 — one for physician scheduling and another for ambulatory clinical communications — bringing the total to 11 Best in KLAS awards over the past 9 years.

Role Overview

PerfectServe is seeking a Senior QA Engineer to ensure the quality, reliability, and safety of its 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 directly affect patient care, this role is held to a high standard. Success means combining technical depth with collaboration, communication, and sound judgment.

Core Responsibilities

Technical

• Execute manual test cases
• Apply API testing tools
• Integrate tests in CI/CD
• Build test frameworks
• Conduct performance testing
• Implement security testing
• Understand system under test
• Author test strategy documentation

Delivery & Execution

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

Quality & Standards

• Follow test standards
• Ensure HIPAA test coverage
• Define quality metrics
• Improve QA processes
• Validate app/prod parity
• Partner with dev engineers
• Collaborate with product team
• Partner across squads

Communication

• Communicate test results
• 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 collaborating closely with developers 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, 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 experience, skills, and team impact. We regularly review compensation to ensure fairness and consistency.

• Remote-first work environment
• Health, Dental, Vision, Life, and Disability Insurance — available from day one
• 401(k) with match and immediately vested
• 17 company holidays, 2 floating holidays, plus competitive paid time off
• Internal advancement opportunities

PerfectServe offers unified healthcare communication solutions to help physicians, nurses, and care team members provide exceptional patient care. Its 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.

Is this Senior QA Engineer role fully remote? Yes, PerfectServe operates a remote-first work environment. The role is US-based and does not appear to require office attendance. What is the salary range for this position? PerfectServe offers $100,000–$130,000 USD per year, with compensation determined by experience, skills, and team impact. Will I be working alone as the QA engineer, or as part of a larger team? Over time this hire is expected to become the sole QA engineer on the team, owning quality independently. However, you will work closely with developers and product team members across squads. Does this role require healthcare or HIPAA compliance experience? HIPAA/HITRUST-regulated environment experience is listed as preferred, not required. However, the role does require ensuring HIPAA test coverage as part of core responsibilities. What test automation tools and languages are required for this role? The role requires Python for test automation and hands-on experience with UI/end-to-end frameworks such as Playwright, Selenium, or Cypress. Experience with Jira, Zephyr, AWS, Locust, and Twilio are nice-to-haves.

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