Lead, Salesforce Quality Assurance Engineer

What We Strive For At Strive Health, we're driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. Benefits & Perks Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits. Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources. Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves. Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. What You'll Do The Salesforce Lead Quality Assurance Engineer plays a critical role in ensuring the reliability, performance, and integrity of Strive Health's Salesforce ecosystem. This role owns the end-to-end QA strategy for Salesforce, ensuring reliability, performance, data integrity, and user trust. This role will partner closely with Salesforce and Engineering resources, Digital Product Managers, and Clinical Operations to proactively identify risk, establish quality standards, and ensure solutions meet business requirements while scaling safely in a regulated healthcare environment. You will define and execute testing strategies that support Strive's Kidney Hero workflows, patient engagement models, and care coordination processes helping us to deliver with confidence. The Day to Day Testing Strategy & Execution Define and execute comprehensive test strategies, plans, and cases for Salesforce features, enhancements, and bug fixes. Perform functional, regression, integration, and end-to-end testing across Salesforce and integrated systems ensuring workflows function accurately across edge cases, negative scenarios, and failures. Validate complex workflows built using Flows, Apex, LWCs, OmniStudio, and third-party integrations. Platform Quality & Reliability Partner with architects, developers, and admins to identify risks early, troubleshoot issues, validate fixes, and prevent regressions and defects from reaching production. Validate data integrity, permissions, sharing rules, and security models to ensure compliance with healthcare and privacy requirements. Test system behavior under real-world scenarios, including high-volume and multi-step workflows. Cross Functional Collaboration Collaborate closely with Product, Clinical Operations, and Engineering to understand requirements and translate them into detailed and reusable test cases. Participate in sprint planning, backlog refinement, release readiness activities and support User Acceptance Testing (UAT) with business stakeholders. Serve as a quality advocate across teams, ensuring that usability, accuracy, and reliability are considered in all builds. Defect Management & Continuous Improvement Document, prioritize, and track defects using Jira or similar tools. Contribute documentation to current and future state using Confluence. Identify recurring quality issues, perform root cause analysis, and recommend systemic improvements. Define and drive test automation strategy and tooling as QA matures. Own defining and improving QA standards, documentation, and repeatable test processes. Minimum Qualifications High school diploma or GED equivalent. 9+ years combined related education, experience, or certifications. 3+ years of hands-on Salesforce experience (QA, Admin, Developer, or similar roles). 3+ years experience leading QA efforts across complex Salesforce implementations or multiple workstreams. 3+ years understanding of Salesforce architecture, data models, and declarative automation. 3+ years experience testing Flows, Apex-driven logic, integrations, and complex workflows. Ability to travel and be onsite to meet business needs. Occasional business travel may be required for opportunities to connect with stakeholders, facilitate team and business priorities/opportunities, and attend Strive sponsored team events. Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency