Quality Assurance Engineer

About Us

Axle Health builds scheduling and workforce management software to empower in-home healthcare providers to deliver exceptional, personalized care right where patients feel most comfortable—at home.

Some of the biggest providers in the country use our software (like Cityblock Health and GrandCare) to improve the utilization of their field teams by 17%+, and automate the operational burden of scheduling and dispatching.

Our platform includes proprietary logistics algorithms to optimize scheduling, a mobile app for field staff, an operations dashboard for office teams, engagement and booking tools for patients, and a wide range of integrations and external APIs for modular access.

We’re a team of top-tier engineers and operators, backed by $14m from top investors such as Y Combinator, Pear VC, and F-Prime, applying our intellect and logistics experience to upend how home healthcare is delivered.

About You

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.

What you'll do

• 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 standups, 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

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 have

• 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

What We Offer

In addition to offering a competitive salary and equity, we want to ensure every team member has the tools they need to work to the best of their ability. To that end…

We are committed to your Ownership:

• We cultivate an environment where team members feel ownership over the work they do. Everyone in an organization has big ideas and we want to hear them and implement them.

• All of our employees have equity compensation. We want you to benefit from all the hard work you do in helping patients and catalyzing this shift in healthcare.

We are committed to your Wellness:

• Comprehensive Medical, Dental, Vision

• 401k plan

• Flexible PTO, sick days, and working hours

• Santa Monica HQ with 180 degree beach views and daily catered lunches

We are committed to your Growth:

• Fast paced work environment geared towards professional growth

• Get the chance to move roles within the organization to learn new skills and continue to make an impact

We are committed to building Community:

• Monthly team events, dinners, & happy hours

• Special team outings - some past events have included: yacht cruises, visits to Universal Studios, Magic Castle, and Vegas