Senior QA Engineering

About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. 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.

This person should be trusted by both operations and development to say when something is ready to ship and when it is not.

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

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

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
• 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
• NET environments is a strong plus
• 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

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.

Salesforce, our core case management system

.NET-based services

Azure, in use for AI tooling

Microsoft Teams

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. 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.