Quality Assurance Engineer

Axle Health•Santa Monica, CA

5h•Onsite

About The Position

Axle Health is seeking an experienced and detail-oriented QA Engineer to join our growing team in Santa Monica. In this role, you'll be instrumental in ensuring the quality and reliability of our AI-powered healthcare logistics platform that's transforming how home healthcare providers deliver care. You'll work directly with our CTO, engineers, product managers, and customer teams to ensure we’re delivering quality web, mobile and API products our customers depend on daily to coordinate thousands of in-home patient visits. This is a technical QA role going beyond user testing or testing visual design elements, and digging deeper into every layer of our applications’ behavior. The ideal candidate thrives in a fast-paced, mission-driven environment where testing isn't just about finding bugs, it's about enabling our customers to deliver exceptional care in patients' homes. You’ve worked within complex systems with rules heavy software in compliance driven industries (healthcare, finance, workforce management, etc.). You'll balance the need for speed in a high-growth startup with the rigor required in healthcare technology, and you'll play a key role in scaling our QA processes as we expand our platform's capabilities and customer base. This role reports directly to our CTO.

Requirements

5+ years of hands on software QA experience testing web applications, mobile applications, and APIs, with demonstrated ability to create and execute comprehensive test strategies
Strong understanding of QA methodologies, testing types (functional, regression, integration, smoke, exploratory), and the software development lifecycle, particularly in Agile/Scrum environments
Experience in an early stage startup environment where you’ve built QA practices from 0 to 1, evolving the QA strategy and framework over time to meet the changing needs of the organization
Proven ability to write clear, detailed test cases and reproduce complex bugs with precision, including steps to reproduce, expected vs. actual results, and environmental details
Proficiency with issue tracking and test management tools (we use Linear) and comfort working in fast-paced, collaborative development environments
Excellent analytical and problem-solving skills with keen attention to detail and the ability to think critically about user workflows, edge cases, and system behavior
Strong communication skills and ability to work cross-functionally with engineering, product, design, and operations teams to ensure alignment and quality outcomes

Nice To Haves

Experience with API and SDK testing, load testing across distributed systems
Anyone writing testing against AI (non-deterministic systems), optimization logic
Hands-on experience with test automation frameworks and tools such as Selenium, Cypress, Appium, Playwright, Postman, or similar technologies for web, mobile, and API testing
Previous experience testing healthcare software, particularly EMR/EHR systems, scheduling platforms, or other clinical workflow tools
Understanding of healthcare data standards (HL7, FHIR) and data privacy principles (HIPAA)
Background in SaaS, logistics, or workforce management software with experience testing complex algorithms, real-time systems, or location-based services
Familiarity with CI/CD practices and integration of automated tests into deployment pipelines using tools like GitHub Actions, CircleCI, or similar
Experience testing React/React Native applications, GraphQL APIs, or PostgreSQL databases to understand the technical stack and identify potential issues
Working knowledge of AWS services, mobile device testing across various OS versions and screen sizes, and performance/load testing methodologies

Responsibilities

Define and drive QA strategy across our entire product offering including web and mobile applications, and interoperability (APIs and integrations with EMR and EHR systems)
Design, develop, and execute comprehensive test plans and test cases for web applications, mobile apps (iOS and Android), APIs, and complex logistics algorithms that optimize scheduling and routing
Build and maintain automated test suites using modern frameworks to increase test coverage, reduce manual testing burden, and enable faster release cycles as we scale while applying manual testing practices as needed
Collaborate closely with product managers, designers, and engineers throughout the development lifecycle (from requirements gathering through release) to identify edge cases, clarify specifications, and advocate for quality
Perform regression testing before each release to ensure new features don't break existing functionality
Document bugs with exceptional clarity and detail, track issues through resolution, and verify fixes across all affected areas of the platform
Participate in sprint planning, daily stand ups, working sessions, and retrospectives to provide QA perspective and foster a quality-first culture
Test real-time features like live clinician location tracking, route optimization, automated patient SMS reminders, and ETAs to ensure reliability under production conditions
Monitor production issues, assist with root cause analysis, and help prevent future occurrences through improved test coverage and process enhancements
Conduct thorough security and compliance testing to validate HIPAA requirements, including PHI data protection, access controls, audit logging, and encryption standards