Principal Quality Engineer

Principal Quality Engineer

Location: Remote

Heartbeat Health is a tech-enabled clinical services company focused on cardiac care. Our platform orchestrates clinical workflows across partners, programs, and care pathways. It manages the lifecycle of clinical work - diagnostic screenings, heart failure programs, gap closure visits, and chronic care management. It integrates with our EMR, cardiac monitoring systems, and delivers clinical documentation via multiple transmission protocols. Each partner has distinct configurations, rules, and workflows - and the system needs to handle all of them reliably.

Quality here isn’t cosmetic. It affects clinical care pathways, documentation accuracy, partner trust, and regulatory compliance.

We're hiring a Principal Quality Engineer to own quality as a discipline at Heartbeat - not to build a QA team, but to define how quality works across our engineering and product organization. This person will establish principles, practices, and systems that make quality intrinsic to how we develop, validate, and release software.

This is a founding role. Quality today is strong - our engineers and product team own it directly, with solid automated regression coverage already in place. We're making this investment because the platform's complexity and clinical scope warrant a dedicated senior person focused entirely on making quality systematic, scalable, and increasingly efficient. The right person will free up engineering leverage while raising the bar on testability, risk management, and release confidence across a complex, highly configurable clinical platform.

Quality strategy for our clinical platform

Define what quality means at Heartbeat, how we measure it, and how we improve it - across partner‑specific configurations, clinical decision support, workflow orchestration, and integration points. You own the quality outcomes, not just the test artifacts.

Validation architecture

Design the systems that make validation fast, reliable, and low‑friction - test data strategies, environment management, automation frameworks, CI/CD integration. Give engineers back time by making quality infrastructure a force multiplier, not a tax.

Release confidence

Strengthen release predictability by systematizing validation earlier in the development lifecycle. When something ships, the team should know - with evidence - that it works.

Embedded cross‑functional partnership

This is not a handoff role. You'll sit inside the development process - participating in refinement, influencing how work is scoped and acceptance criteria are defined, shaping what "done" means. You're a core member of a small, high‑impact team where everyone has direct access to product, engineering, and clinical leadership.

Exploratory testing where it matters

Perform targeted exploratory testing on high‑risk areas - new features, edge cases, partner‑specific configuration behavior, clinical workflow paths. You know when automation is the right tool and when human judgment is the only tool.

• You've established or significantly evolved a QA function - not just executed within one. You've defined the principles, chosen the tools, and changed how a team thinks about quality.
• You work as a peer alongside engineers and product, not downstream from them. You influence development practices, not just validate outputs.
• You have deep technical fluency in test automation, CI/CD, and testing infrastructure. You can build frameworks, not just use them.
• You think in systems: risk models, failure modes, configuration matrices, integration boundaries - not just test cases and coverage percentages.
• You balance automation with exploratory testing and have strong judgment about when each is appropriate.
• You're comfortable with ambiguity. This role has clear objectives but no playbook. You'll define the structure.

• Experience in healthcare, fintech, or other regulated industries where reliability, auditability, and documentation rigor are non‑negotiable.
• Familiarity with clinical data standards or healthcare integrations (FHIR, HL7, CCDA).
• Experience testing highly configurable…