This role involves owning release confidence end-to-end by defining readiness criteria, driving go/no-go decisions, and embedding quality into the development lifecycle. The QA Lead will also design and evolve the quality architecture, including regression strategy, test traceability, and the automation roadmap.
Statewise is looking for a hands-on QA Lead who wants real ownership and real impact. This is not a coordination or ticket-tracking role. This is a systems-level quality ownership role for a complex, state-configurable Medicaid EHR platform serving pediatric nursing and IDD home care providers.
We are at an inflection point. Our engineering team has matured structurally, and now we are elevating quality to the same level of ownership and accountability.
This role will own release confidence across our web platform and mobile apps. You will define how quality is designed, measured, and enforced.
Who is Statewise
Statewise is building the future of Medicaid home care software. We are the only EMR and EVV platform built specifically for Medicaid home care providers across Pediatric Nursing, Therapy, Personal Care, and Intellectual and Developmental Disabilities (IDD) services. Our software is designed to handle complex, state-by-state rules and real clinical workflows without the bloat of traditional systems. Everything we build is rooted in simplifying complexity so providers can focus on delivering high-quality care.
What You’ll Do
- Own release confidence end-to-end:
- Define release readiness criteria and drive go/no-go decisions
- Eliminate black-box testing and implement transparent regression tracking
- Embed QA into sprint refinement and feature design
- Design and evolve our quality architecture:
- Define regression strategy by domain (billing, scheduling, authorization, claims, data import)
- Create test traceability from story to execution
- Build test data strategies for complex workflow validation
- Design and prioritize automation roadmap
- Work hands-on across the stack:
- Manual and exploratory testing across web and mobile
- API-level validation
- Validate complex business rules and billing logic
- Build and maintain automation suites (ACCELQ or similar)
- Partner with engineering to improve unit and integration test coverage
- Lead and elevate quality culture:
- Mentor and direct QA execution (US, nearshore, offshore)
- Drive shift-left thinking across engineering
- Define quality metrics and defect escape analysis
- Communicate risk clearly and decisively
What We’re Looking For
- You take ownership of outcomes, not task completion
- You can articulate release risk clearly and confidently
- You think in systems, not test scripts
- You are comfortable challenging engineering and product when risk exists
- You reduce ambiguity and bring structure to complex processes
- You are hands-on and comfortable testing across UI, API, and data layers
- You have experience owning release processes in production systems
Experience & Background
- 5+ years QA experience with release ownership
- Experience testing web and mobile applications
- Experience building or designing automation frameworks (codeless or coded)
- Strong familiarity with Azure DevOps (boards, test plans, pipelines)
- Understanding of CI/CD workflows
- Experience testing complex business logic or configuration-driven systems
- Healthcare or HIPAA experience preferred
- Experience in EHR, billing, or regulated software strongly preferred
This Role Is Not a Fit If You
- Prefer coordinating releases over owning release risk
- Avoid challenging engineers or product when quality is unclear
- Need highly prescriptive instructions before acting
- Focus primarily on writing test cases rather than understanding systems
- Are uncomfortable being accountable for go/no-go decisions
- See QA as validation after development rather than part of product design
What Success Looks Like
- Within 45 days:
- You can clearly articulate regression scope and current quality gaps
- You introduce structured release readiness reporting
- Within 90 days:
- Regression visibility is transparent
- Release confidence improves measurably
- Defect escape trend is being tracked and analyzed
- Engineering trusts your risk assessments
- Within 6 months:
- Quality is proactive, not reactive
- Automation coverage is expanding strategically
- Offshore QA execution is structured and effective
- Leadership no longer has to interrogate status updates
Benefits & Perks
- Remote-first role (Nashville or Fort Worth proximity is a plus, not a requirement)
- Competitive salary based on experience
- Medical insurance with employer contribution
- HSA with employer contribution
- Dental insurance available (employee-paid)
- 401(k) with employer match
- Flexible PTO with an expectation that people actually take time off
- Paid parental leave