Level: Mid-Level Individual Contributor | Department: Technology
Location: Remote | Timezone: Overlap required with Israel and US Eastern time
About the Role
Alteva RCM is standing up a dedicated quality function for a high-impact operational technology team. This role is one of two founding QA hires, working alongside a Senior QA Engineer to build test coverage, automation, and process from the ground up.
This is a hybrid manual and automation QA role. You will be expected to manually validate features before release, execute regression testing, document results clearly, and help automate repeatable test cases as the QA function matures. A key goal of this role is to reduce the amount of testing currently being handled by managers and operations leads.
You'll be hands-on across a mix of Salesforce-native tools, AI-assisted workflows, and backend services, all actively in build. The work is a mix of manual testing, test case writing, automation development, and workflow documentation. You will help build a mature process from scratch
What You'll Do
- Write and execute test cases for features across the internal product portfolio
- Execute smoke, happy path, and regression testing based on release priorities and guidance from the Senior QA Engineer
- Support and maintain automated test runs, including nightly checks where appropriate
- Perform manual and automated testing in Salesforce sandbox environments and support production validation workflows
- Contribute automation scripts and help maintain the automation framework established by the Senior QA Engineer
- Support release readiness by executing regression plans and clearly documenting test results, defects, and remaining risks
- Document business workflows and test coverage in clear, accessible formats
- Work with operations team leads to understand how the business actually uses the tools you're testing
- Clearly document test results, open defects, and release risks so product, development, and operations can make informed decisions
- Investigate bugs and defects: reproduce, document, and track through to closure
- Flag patterns when the same type of issue keeps appearing
- Support regression testing cycles ahead of releases
What We're Looking For
- 2-4 years in QA with experience in both manual and automated testing
- Exposure to API testing, including REST and/or SOAP, is a plus
- Basic SQL skills for data validation
- Familiarity with version control such as Git
- Salesforce experience required, with comfort in sandbox-based testing and production validation support
- Hands-on experience writing automation scripts, with language and framework flexibility because the function is being built from scratch
- Solid test case writing skills: clear, thorough, and reproducible
- Comfortable working in .NET-adjacent environments
- Good communicator, with the ability to work directly with developers, operations, and product
- Detail-oriented and consistent: you catch things others miss and document them well
- Background in healthcare RCM, medical billing, or complex operational workflows is a strong plus
- Comfortable operating in ambiguity and change. This is a build environment where processes, systems, and structure are still being created
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.
Why This Role
This is a ground-floor opportunity on a team that's growing fast. You'll have direct exposure to the full product lifecycle, work alongside experienced QA and product leadership, and build skills in AI tool testing, an area most QA engineers have not worked with yet. Alteva supports healthcare operations at scale. Quality work here has real business impact, not just internal metrics.
Tools & Environment
- Salesforce, our core case management system
- .NET-based services
- Azure, in use for AI tooling
- Jira for task tracking
- Microsoft Teams
