Clinically AI is a healthcare AI company transforming how clinicians, administrators, compliance teams, and healthcare organizations manage documentation, chart auditing, and operational workflows through artificial intelligence.

We are seeking a Quality & Reliability Engineer to ensure the stability, correctness, and performance of AI-native healthcare workflows and operational systems across the Clinically AI platform.

This is not a traditional QA role focused only on manual testing or end-of-cycle validation. This role sits at the intersection of software reliability, workflow systems testing, AI behavior validation, and operational quality engineering in complex healthcare environments.

You will ensure that clinicians, administrators, compliance teams, and operational users can confidently rely on AI-powered systems in real-world healthcare workflows. This includes validating system correctness, identifying edge cases in workflow behavior, improving release confidence, and ensuring that AI-driven outputs behave reliably within operational constraints.

The ideal candidate thinks deeply about systems, workflows, edge cases, failure modes, and operational behavior, not just test cases. You should be excited by ensuring reliability in AI-native systems where outputs may be probabilistic, workflows are complex, and correctness directly impacts clinical operations.

This role will work closely with product, engineering, implementation, and leadership teams in a highly collaborative and fast-moving startup environment.

KEY ATTRIBUTES TO SUCCEED

• Systems Reliability Thinking You think beyond individual features and care deeply about how systems behave across workflows, services, and real-world usage conditions.

• AI-Native Testing Mindset You understand how AI changes software behavior, especially in non-deterministic systems where outputs require workflow-aware validation.

• Workflow Awareness You understand how clinicians, administrators, and operational teams interact with software in real environments under pressure.

• Strong Analytical Judgment You can isolate failures across frontend, backend, APIs, and distributed systems with clarity and precision.

• Collaboration & Communication You communicate effectively across engineering, product, and implementation teams.

• Startup Adaptability You are comfortable iterating quickly, working through ambiguity, and helping define structure in evolving systems.

REQUIRED

• 3+ years of experience in QA engineering, software testing, or reliability engineering roles in SaaS, web applications, or platform environments

• Experience building automated test suites using Playwright or similar frameworks (Cypress, Selenium, WebdriverIO, etc.)

• Strong understanding of frontend behavior, browser debugging tools, and network inspection

• Experience validating REST APIs, including authentication, permissions, and data integrity

• Proficiency in JavaScript or TypeScript for test automation

• Experience working within CI/CD pipelines (GitHub Actions preferred)

• Strong ability to identify root causes and communicate technical findings clearly

• Experience collaborating closely with engineering and product teams in agile environments

• High ownership mindset and ability to operate in fast-paced, evolving systems

PREFERRED BUT NOT REQUIRED (Nice to Have)

• Experience testing React applications, browser extensions, or real-time web systems

• Exposure to mobile testing environments (iOS/Android)

• Experience with performance or load testing tools (k6, JMeter, Locust)

• Familiarity with cloud infrastructure and distributed systems

• Experience working in regulated environments (HIPAA, SOC2, NIST)

• Experience testing AI/LLM-powered or non-deterministic systems

This is a full-time hybrid role based in San Diego, CA, with onsite work required Monday through Thursday.

We offer competitive compensation, equity participation, healthcare coverage, and flexible time off. The base salary range for this role is $140,000–$170,000 annually, depending on experience, software quality and reliability engineering expertise, test automation capabilities, AI systems validation experience, demonstrated performance, and overall scope alignment. This role does not include a bonus component, and total compensation is structured as a combination of base salary and equity participation to reflect long-term ownership in systems reliability, AI workflow validation, and platform quality assurance.

Equity is a meaningful part of the compensation package and will be determined based on experience and impact, with increased equity consideration for candidates with strong automation engineering backgrounds, experience building or maintaining CI/CD-driven test systems, exposure to AI or LLM-based application testing, or prior work in regulated or high-reliability software environments.

Candidates whose background in test automation, systems reliability, workflow validation, AI-powered applications, or regulated software environments strongly aligns with the needs of the role are encouraged to apply.

The interview process includes interviews focused on systems reliability thinking, testing strategy, AI behavior validation, and collaboration approach. Final candidates may complete an exercise focused on designing a reliability strategy for an AI-assisted healthcare workflow system.

Due to high interest, we will only respond to candidates who meet the basic qualifications.

Clinically AI provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or genetics.