This approach is commonly used in lattice field theory [lft], where the Hamiltonian H is that of a discretized spacetime (or the problem is formulated in terms of the action S to begin with).
Real-time problems in quantum mechanics involve exp[i t H] which brings a horrible complication called the sign problem [sign]. The one-sentence summary is that exp[-β H] is positive-definite but exp[i t H] is not and it's not clear how to incorporate a complex Boltzmann weight as a probability for MCMC.
mh: https://en.wikipedia.org/wiki/Metropolis%E2%80%93Hastings_al...
The wavefunction in QM doesn't evolve randomly, so I would say it is not technically a Markov process. On the other hand you can create a theory of observables derived from QM that is "random" (depending on your interpretation of quantum mechanics).