Principal Quality Engineer
Remote
Full Time
#Healthcare Technology
#Quality Engineering
#Test Automation
#Strategy
#Testing
#Risk Management
#Integrations
#FHIR
#HL7
#Kanban
Heartbeat Health is a tech-enabled clinical services organization dedicated to transforming cardiac care. Our platform serves as the backbone for clinical workflows, managing everything from diagnostic screenings and heart failure programs to chronic care management. Because we integrate directly with EMR systems and cardiac monitoring devices while delivering critical clinical documentation, the reliability of our software is paramount. We operate in a space where quality directly impacts patient outcomes, regulatory compliance, and partner trust.
Key outcomes
- Develop and execute a comprehensive quality strategy that measures and improves performance across our clinical platform, including partner-specific configurations and workflow orchestration.
- Architect validation systems that prioritize speed and reliability, focusing on test data strategies, environment management, and CI/CD integration to empower our engineering team.
- Systematize validation processes earlier in the development lifecycle to ensure high release predictability and confidence.
- Partner directly with product and engineering teams during refinement and scoping to influence development practices and define clear acceptance criteria.
- Conduct targeted exploratory testing on complex, high-risk features and clinical pathways where human judgment is essential.
Requirements
- Proven experience in establishing or significantly evolving a quality engineering function, including defining principles and selecting appropriate tooling.
- Strong technical proficiency in test automation, CI/CD pipelines, and building robust testing infrastructure.
- A systems-thinking approach to risk management, failure modes, and integration boundaries.
- The ability to work as a peer alongside engineers and product managers rather than operating in a downstream capacity.
- Excellent judgment in balancing automated testing with exploratory methods.
- Comfort with ambiguity and the ability to define structure in a role without a pre-existing playbook.
- Professional fluency in English.
Preferred qualifications
- Background in healthcare, fintech, or other highly regulated industries where documentation rigor and auditability are critical.
- Familiarity with clinical data standards and healthcare integrations, specifically FHIR and HL7.
- Experience managing quality for highly configurable platforms where behavior varies significantly by client or data conditions.
- Practical experience validating AI or machine learning workflows, including the distinction between testing deterministic and probabilistic systems.
Compensation
We offer a remote-first work environment that prioritizes flexibility and autonomy. Our team members enjoy the benefit of flexible working hours to support a healthy work-life balance.
How to apply
If you are passionate about building scalable quality systems within a mission-driven healthcare environment, we invite you to submit your application. We look forward to learning more about your experience and how you can contribute to the future of cardiac care at Heartbeat Health.






