Note: The job is a remote job and is open to candidates in USA. Alteva RCM helps healthcare providers thrive through revenue cycle management, strategic insight, and innovative solutions. The Senior QA Engineer will establish the company's quality function across Salesforce tools, AI-assisted workflows, and backend services by developing test strategies, automation frameworks, regression coverage, release gates, and QA sign-off processes.
Responsibilities
- 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
Skills
- 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
- 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
- Self-directed and comfortable operating without a mature QA playbook
- 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
- Experience testing AI or ML outputs is a strong plus, especially validating non-deterministic systems
- Familiarity with .NET environments is a strong plus
- Background in healthcare RCM, medical billing, or complex operational workflows is a strong plus and will accelerate ramp-up
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Employee assistance plan
- Paid family leave
- Short-term disability insurance
- Life insurance
- 401(k) plan with employer match
- Flexible spending accounts
- Employee discount program
- Employee referral program
Company Overview