Note: The job is a remote job and is open to candidates in USA. Heartbeat Health is a tech-enabled clinical services company focused on cardiac care. They are seeking a Principal Quality Engineer to own quality as a discipline, defining how quality works across their engineering and product organization. This role involves establishing principles and practices that make quality intrinsic to the development, validation, and release of software.
Responsibilities
- 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
Skills
- 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 systems - platforms where behavior varies significantly by client, configuration, or data conditions
- Practical experience validating AI/ML-assisted workflows, including understanding the difference between testing deterministic logic and testing probabilistic systems
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