As a Software Engineer at Aya Healthcare, you are joining a mission-driven technology organization that powers the infrastructure behind the healthcare staffing industry. Your work directly impacts how healthcare professionals find work and how medical facilities fill critical gaps in care. You will be building and maintaining robust, scalable systems that handle complex data flows, ensuring that clinicians and facilities can connect seamlessly and efficiently.
The technical environment at Aya Healthcare is fast-paced and collaborative. You will not be working in a silo; instead, you will partner closely with product managers, operations teams, and fellow engineers to solve real-world problems. Whether you are optimizing database performance, refining frontend user experiences, or architecting backend services, your contributions are central to the company’s ability to scale its operations and maintain its market-leading position.
Expect to work in a culture that values transparency, communication, and technical depth. While the work is demanding, the team prioritizes a collaborative atmosphere where "digging out an answer" is encouraged over rote memorization. You will be expected to demonstrate a strong grasp of your tech stack while remaining open to learning and adapting to the specific patterns that drive the ecosystem.
Recruiter Screening
reportedThe person on this call usually cannot evaluate your code and does not need to. They write a short paragraph, and that paragraph is what a hiring manager skims when deciding who to put on your loop. So the test is not whether your work was hard, it is whether a non-engineer can repeat it correctly. Name systems by what they did rather than by their internal codename, give each project a shape (what was breaking, what you changed, what happened after), and keep the whole walkthrough near ninety seconds. Depth that cannot survive a paraphrase reads as vagueness.
What to demonstrate
- Whether a non-engineer can restate your projects without distorting them, since their paraphrase is what travels to the hiring manager, not your sentences
- Whether each project has a shape rather than a stack list: the failure or constraint, the change you made, the result and how it was measured
- Whether you can say what was yours inside a team project without either inflating it or disappearing into the plural
How to prepare
- Rewrite each headline project as two sentences with no internal system names and no acronyms outside your company, then say them to someone outside engineering and have them repeat them back. Fix whatever came back wrong
- Attach one measured number to each project: the baseline, the change, and the window it was measured over. Where nothing was ever measured, say that plainly rather than reaching for a plausible percentage
- Time the background walkthrough against a clock. If it runs past two minutes, compress the earliest role to a single clause and spend the recovered time on the most recent one
Technical Discussions
reportedWhat this round decides is narrow: whether you can produce code that runs and is correct on inputs nobody showed you. An elegant solution that does not compile scores below a plain one that does, so write a correct brute force first, say out loud that you know its cost, and improve it with the working version still on screen. What separates strong answers is who finds the broken case. Trace your own code against an empty input, a single element, and duplicate keys before you say you are finished, because being told is far more expensive than noticing.
What to demonstrate
- Whether degenerate inputs get checked without being asked for: an empty collection, one element, every element equal, and the extreme value the input type allows
- Whether the complexity you state matches the code you actually wrote, including a sort or a copy sitting inside a loop
- Whether the finished answer is verified against the worked examples before you call it done, rather than assumed correct because the code reads correctly
How to prepare
- Take five problems you have already solved and, without running anything, write down what each returns for empty input, a single element, and all-duplicates. Then run them and count how many you predicted wrong.
- Drill the brute force as its own skill: on ten problems, write only the obviously-correct slow version and time how long it takes to get it passing. If that is more than a few minutes, that is what to practise, not the optimal version.
- Add a fixed last step before you submit anything, reading only the loop bounds and the initial value of each accumulator, which is where most off-by-one errors live
Final Panel Interview
reportedWhere the day includes a partner from product, design or data, that conversation is weighted like the technical ones and prepared for least. They are deciding one thing: whether having you in the room makes their decisions cheaper. That means options with costs attached, not implementation detail and not "it depends". An estimate someone can plan against — a range, the assumption that would push it to the high end, and what you would drop to hit the low one — is worth more than a confident single number, which everyone present already knows is wrong.
What to demonstrate
- Whether an estimate comes as a range with the assumption most likely to break it, and states what a specific scope cut would actually buy
- Whether a technical constraint is handed over as a choice with consequences on their side, rather than as a verdict they have no standing to argue with
- Whether you establish what decision is on the table before proposing anything
- Whether risk is raised while it can still change the plan, with the trigger that would confirm it, instead of reported afterwards as a slip
How to prepare
- Take a project that shipped late and write the two-sentence warning you could have given three weeks earlier, naming what you would have needed decided at that point
- Rehearse one estimate out loud until it arrives in three parts: the range, the single assumption that would blow it, and the smallest thing you would cut to protect the date
- Rewrite an objection you have actually made — the "we can't do that" version — as two options with their costs, so the choice ends up with the person who owns it
PracHub editorial advice for the preparation topics above.
Upserting on the order or result identifier, so a correction overwrites the original row.
It makes the question 'what did the clinician see at 14:02' unanswerable, which is exactly what an incident review or a legal hold asks. It also leaves downstream consumers that already acted on the preliminary value with no correction event to react to, because the state transition was collapsed into a single mutated row and never emitted.
Writing the access audit record inside the read transaction, or firing it off after the response with no durability.
Inside the transaction, an audit-store outage blocks clinical reads and turns a logging dependency into a care outage. Fire-and-forget afterwards means the audit trail is incomplete during precisely the incidents it exists to reconstruct, and the gaps are invisible until someone asks for the log. The usual resolution is committing the access decision and its audit row together to a local outbox and shipping asynchronously, which keeps the read path available while preserving durability.
Hardcoding to the sample inputs
Solve the stated problem rather than the two examples; special-casing a literal to make a sample pass is obvious immediately and reads as either a misunderstanding or an attempt to fake progress. If you genuinely cannot generalise yet, say which part is a stub and what would replace it.
Optimising an axis nobody named
Ask which resource is actually scarce here: wall-clock latency, throughput, memory footprint, cost per request, or engineering time. Shaving a constant factor off an in-memory step is wasted effort when the same function makes a blocking remote call inside the loop.
Choose a category, try a prompt, then open its approach, worked solution or follow-up when you need it.
Resolve enterprise identity from a link log that supports unmerge
person_identity_link holds link_id, enterprise_person_id, assigning_authority, source_person_id, match_score, link_status (auto_linked, manual_linked, potential_duplicate, unlinked, rejected), version, superseded_by_link_id, decided_by, decided_at. You have up to 40 million source identities and 60 million decisions applied in decided_at order. Build a structure answering which enterprise identity a given (assigning_authority, source_person_id) resolves to after any prefix of the log, and supporting a revert of the k most recent merges at O(1) each. State the query complexity, and say why path compression is unavailable to you.
Approach
- Intern the node key as the pair (assigning_authority, source_person_id) into a dense integer index. Never key on source_person_id alone: two facilities in one network routinely issue the same medical record number to different people, so a bare-value key merges two patients before any matching logic has run, and a single-source test fixture will never show it.
- Classify the log rows before touching the structure. auto_linked and manual_linked are unions; potential_duplicate and rejected are recorded decisions that must not union anything; unlinked is a revert of the link it supersedes, not a new edge.
- Use union by size with an explicit undo stack, pushing (attached_root, its previous parent, the previous size of the absorbing root) on every union. Find walks parent pointers to the root: union by size bounds tree height at log2(n), so a query is O(log n) worst case, a union is O(log n), and a revert pops two words and is O(1).
- Path compression is the thing you have to give up, and the reason is specific: it rewrites parent pointers of nodes that were never named in the union being recorded, so the undo entry no longer describes the mutation that happened and a revert restores a forest that is quietly wrong. Near-constant find is only available to an append-only structure.
- Hold enterprise_person_id as a property of the root slot rather than a value copied onto every member. A merge then relabels one slot instead of n rows, and an unmerge restores two labels instead of reconstructing n.
- State the price plainly: every read path gains a resolution hop and no downstream table can carry a plain patient_id column. That cost is what buys reversibility, and it belongs in the design discussion rather than being discovered later by whoever writes the first join.
Follow-up
- A merge is found wrong three weeks and 200,000 unions later, and your stack only reverts a suffix. What do you do instead, and what does that cost?
- A claim was posted under the losing identity before the merge. After the unmerge, which identity owns it, and what in your design let you answer that?
- Two matcher instances submit unions concurrently. What is the smallest change that keeps both the structure and the undo stack consistent?
Merge twelve resource streams into one patient summary page
A patient summary fans out to between 8 and 12 resource types. Each returns a network-backed, paged iterator of resource versions sorted by issued_ts descending, up to 200,000 versions per type for one person. Return the 50 most recent current versions across all types, where current means no later version supersedes it within the same logical resource, and a logical resource whose current version is entered_in_error is omitted entirely. You may not materialise the iterators. Give time and space in terms of k types, the result size and the page size.
Approach
- k-way merge with a max-heap holding one head per iterator, keyed on issued_ts. Seeding is O(k), each pop is O(log k), so reaching R emitted rows costs O(k + P log k) for P pops, with O(k) heap space plus one page buffered per iterator. Fetching everything and sorting is O(V log V) over V up to 2.4 million versions and drags every page across the network to produce 50 rows.
- Suppress with a hash set of logical resource ids already seen, recorded on first sight whether or not that version is emitted. A logical resource has exactly one resource type, so all of its versions arrive on one iterator, and that iterator is descending in issued_ts: the first version you see for a logical resource is its newest. Deciding on first sight and suppressing every later pop for that id is therefore correct in one pass with no lookahead.
- Count emits, not pops. A correction-heavy chart can burn many pops per emitted row, so a loop that stops at 50 pops returns a short page. Put a bound on total pops as well, and when it trips, return what you have with a continuation token rather than spinning.
- Break issued_ts ties deterministically on (resource type, resource id). Without it two identical requests return two different orderings and the next page silently skips or repeats rows.
- Handle entered_in_error at first sight: the erroneous version still supersedes its predecessor, so record the id in the seen set and emit nothing, dropping the whole logical resource instead of falling back to the value it replaced. Recording it is the load-bearing half. Skip it and the next pop re-displays the value a clinician already retracted.
- Summarise the budget honestly: the composite p99 is what the user feels, and it is bounded below by the slowest of the k iterators, so the merge fixes the ordering cost but not the fan-out tail.
Worked solution 25 min
- Seed the heap with the head of each iterator and an empty emitted-id set.
- Pop the maximum by issued_ts, push that iterator's next head, and check the logical resource id against the set.
- On first sight record the id, then emit unless that version is entered_in_error; on a repeat sight suppress. Stop when emits reach the target.
- Return the rows plus a continuation token carrying the last (issued_ts, type, id) tie-break tuple.
Follow-up
- One of the twelve iterators has a p99 of 400ms while the rest return in 20ms. What is your composite p99 and what would you change first?
- The user pages to rows 51 through 100. How do you resume without re-reading from the top, and what breaks if issued_ts is not unique?
- One resource type is accidentally returning ascending order. How would your code detect that rather than quietly emitting the oldest rows?
Flag a requester reading too many distinct charts per window
You consume access-audit records (event_ts, requester_id, enterprise_person_id, purpose_of_use, break_glass) at tens of thousands per second, non-decreasing in event_ts. For each requester, emit an alert the first time any sliding 600-second window contains reads of more than D distinct enterprise_person_ids. Break-glass reads count toward the window and are also reported separately. Return (requester_id, window_start_ts, distinct_count). Target O(1) amortised per event and memory proportional to the events resident in the window, not to the day.
Approach
- Per requester, hold a deque of (event_ts, person_id) and a hash map from person_id to its occurrence count inside the window, plus a running distinct counter. Push on the right; while the front is older than event_ts minus 600 seconds, pop it, decrement its count and erase the key when the count reaches zero, decrementing the distinct counter. Each event is pushed once and popped once, so the amortised cost is O(1) and the memory is O(W) for window occupancy W.
- Test the threshold immediately after each push and nowhere else. Between two consecutive events the window can only lose members as its left edge advances, so the maximum distinct count over all window positions is attained at a position whose right edge is an event. Checking at pushes is therefore exhaustive rather than a sampling approximation.
- Latch the alert per requester and re-arm only when the distinct count falls back below D, otherwise one busy stretch emits thousands of near-identical rows and the real signal is buried by its own volume.
- Bound memory both per requester and globally. A requester whose window legitimately holds tens of thousands of reads must not hold the process hostage, so cap the deque and degrade above the cap to an approximate distinct counter such as HyperLogLog, stating the error you accept in exchange.
- Count break-glass toward the window but carry it in its own output field. Break-glass has to succeed during an emergency, which is exactly why it must be the most visible path in the audit, and excluding it from the count would make the abuse route the quiet one.
- State the precondition: this is correct only while input is non-decreasing in event_ts. Out-of-order arrival needs a bounded-lateness buffer and a watermark, and dropping late events without a counter is the failure that hides itself.
Follow-up
- One region's events arrive up to 90 seconds late. What buffer do you add, and what does that do to alert latency?
- One person uses two requester accounts. What has to change in the key, and what new false positive does that introduce?
- How do you restore window state after a process restart without replaying the whole day?
Fix a paid-amount report that double counts claim versions
claim_line: claim_line_id, claim_id, claim_version smallint, line_number, frequency_code in ('original','replacement','void'), enterprise_person_id, coverage_id, billing_provider_npi, service_from_date, procedure_code, units, billed_amount_cents bigint, allowed_amount_cents, paid_amount_cents, adjudication_status, UNIQUE (claim_id, claim_version, line_number). A monthly report sums paid_amount_cents and joins coverage_span on enterprise_person_id with date overlap to attribute a plan. It overstates payment by roughly 9%, and reconciliation against remittance fails. Name both causes, then write the corrected query returning paid cents and plan per billing_provider_npi for March 2026 service dates.
Approach
- Cause one: the SUM spans every claim version. A replacement supersedes a prior claim and a void cancels one, so a replaced claim contributes twice and a voided claim contributes once when it should contribute nothing. Resolve the surviving version per claim_id before aggregating, never by deleting superseded rows.
- Cause two: the coverage join is one-to-many. coverage_span carries a system-time version per coverage period, so a person with three beliefs about one period multiplies every claim line by three. The join is for a label, not for filtering, so it must not be allowed to change cardinality.
- Collapse the version chain with DISTINCT ON (claim_id) ... ORDER BY claim_id, claim_version DESC, then join the lines back on (claim_id, claim_version), and exclude the surviving version when its frequency_code is 'void'.
- Make the coverage lookup cardinality-safe with a LEFT JOIN LATERAL ... LIMIT 1 pinned to valid_to = 'infinity' and ordered by valid_from DESC. LATERAL with LIMIT 1 cannot fan out by construction; a plain join can, and no amount of later DISTINCT repairs a SUM that already doubled.
- Keep the money in integer minor units the whole way. SUM(bigint) returns numeric in PostgreSQL, so there is no overflow and no binary floating-point error; cast to a display type only at the edge.
Follow-up
- A replacement arrives before its original. Your surviving-version logic picks max(claim_version) — what does the report show in the window before the original lands, and does the number self-correct?
- Add a claim_line_adjustment table with several reason codes per line. What does that do to this query, and where do you aggregate to keep it safe?
- Reconciliation is still off by 400 cents. Which of the two causes could still produce that, and what is your next query?
Diagnose why an eligibility lookup ignores its index
A 40-million-row coverage_span serves eligibility lookups with: SELECT coverage_id, plan_id, coverage_order FROM coverage_span WHERE enterprise_person_id = $1 AND valid_to = 'infinity' AND effective_date <= $2 AND (termination_date IS NULL OR termination_date >= $2). An index exists on (effective_date). EXPLAIN (ANALYZE, BUFFERS) shows a sequential scan reading 1.8 million buffers at 2.4 seconds. Explain why that index cannot help, propose the index plus any schema change that makes the predicate index-friendly, and state what you expect the new plan and buffer count to be.
Approach
- Read the predicate for selectivity before touching the index. effective_date <= $2 matches most of a 40-million-row history, so a leading range scan on that column returns a large fraction of the table and the planner correctly prefers a sequential scan over millions of random heap fetches. The index is not being ignored; it is being rejected on cost.
- Put the equality column first. enterprise_person_id = $1 selects a handful of rows out of 40 million, so it must lead the composite index; a b-tree can only use columns after the first range predicate as filters, not as search bounds.
- Turn the open-ended termination into something indexable. The OR ... IS NULL branch forces either a BitmapOr or a post-index filter. Add coverage_end date GENERATED ALWAYS AS (COALESCE(termination_date, DATE '9999-12-31')) STORED and rewrite the predicate to coverage_end >= $2; both COALESCE over a column and a date literal are immutable, so the generated column is legal.
- Make the index partial on WHERE valid_to = 'infinity'. Most rows in a bitemporal table are superseded beliefs, so the partial index is a fraction of the full one, stays in cache, and encodes the predicate for free rather than re-checking it per row.
- Consider the range alternative honestly: a daterange(effective_date, termination_date + 1, '[)') column with a GiST index and the && operator handles overlap queries and supports an EXCLUDE constraint against overlapping active coverage, but GiST lookups are slower than b-tree for this point-in-time pattern. Pick b-tree for the read path and keep GiST only if you also need the overlap constraint.
- Verify rather than assert: re-run EXPLAIN (ANALYZE, BUFFERS) and read Rows Removed by Filter and the shared hit/read split, not just the total time.
Worked solution 30 min
- Run EXPLAIN (ANALYZE, BUFFERS) on the original and write down estimated versus actual rows for each predicate, which shows effective_date <= $2 is not selective.
- Add the generated column and rewrite the predicate to use coverage_end.
- Create the partial composite index and ANALYZE the table so the planner has statistics for the new column.
- Re-run EXPLAIN (ANALYZE, BUFFERS) and confirm an index scan with Rows Removed by Filter at or near zero.
- Measure the partial index size against the full-table equivalent with pg_relation_size to confirm the cache argument is real and not assumed.
Follow-up
- After the change the plan is still a sequential scan for one particular member. What single query tells you whether that is stale statistics, a genuinely huge row count for that person, or parameter-dependent plan caching?
- Your generated column needs backfilling on a live table. Does adding a STORED generated column rewrite it, and what does that mean for your maintenance window?
- How would you serve the same lookup when the answer must be as of a past system-time instant rather than the current belief, given your index is partial on valid_to = 'infinity'?
What is the importance of dependency injection?
What is the importance of dependency injection?
Approach
- Work from the requirement backwards to the design.
- State your assumptions explicitly before working the problem.
- Say what you would check first and why it is the highest-information step.
Follow-up
- What assumption would you test first?
- How would you know your answer was wrong?
What is the difference between an Abstract Class and an Interface in C…
What is the difference between an Abstract Class and an Interface in C#?
Approach
- Say what you would check first and why it is the highest-information step.
- State your assumptions explicitly before working the problem.
- Work from the requirement backwards to the design.
Follow-up
- How would you know your answer was wrong?
- What assumption would you test first?
Resolving surviving claim versions with late-arriving originals
claim_line carries (claim_id, claim_version, line_number, frequency_code in original, replacement or void; billed, allowed, paid and patient-responsibility amounts as bigint minor units; adjudication_status). Batch feeds do not guarantee the original arrives before the replacement that supersedes it, and a void can reference a claim you have never seen. Financial totals must derive from exactly one surviving version per claim. Design the resolution as either query-time or materialised, the handling of a late original, and how nightly remittance reconciliation surfaces an error before finance does.
Approach
- Resolve, never delete. Define the surviving version as a function over the chain — the highest claim_version for a claim_id, with a void making the chain contribute zero — and keep every superseded row. Deleting them makes the replay requirement, reprocessing any claim from the archive to the same result, impossible to satisfy.
- Choose materialised over query-time for the totals path and say why. DISTINCT ON (claim_id) ... ORDER BY claim_id, claim_version DESC is fine for one claim and unacceptable as the basis of every financial aggregate over millions of lines. Maintain a claim_current table with one row per claim_id naming the surviving version, written in the same transaction that loads a version, and build aggregates from that join.
- Treat the late original as ordinary traffic. A replacement for an unknown claim_id inserts and marks the chain incomplete; when the original lands, resolution recomputes and the affected aggregates are invalidated by claim_id. Rejecting the orphan loses a financial fact permanently, because nothing is going to resend it.
- Keep money in integer minor units from the wire to the report. Binary floating point cannot represent 0.10 exactly, so summing millions of lines accumulates representation error, and reconciliation is exact to the cent — the symptom is a balance off by a few cents with no attributable cause and days spent hunting a logic bug in code that is correct apart from its numeric type.
- Reconcile by construction, not by eyeball: nightly, sum paid amounts over surviving versions for the remittance's date range and compare to the remittance total; on mismatch, bisect by billing provider and then by claim so the alert names specific claim_ids. An alert reading 'off by 412.19' is not actionable; one naming four claims is.
Worked solution 30 min
- Write the surviving-version function as SQL, then write the claim_current maintenance statement that runs on each version load.
- Construct a fixture where a replacement precedes its original and a void precedes both, and assert the totals after each arrival.
- Write the nightly reconciliation query and the bisect that turns a difference into a list of claim identifiers.
- Audit the path end to end for any float or double type touching a monetary value.
Follow-up
- A void arrives for a claim already paid and already reconciled in a closed period. What changes in the totals, and what does the next remittance say?
- Two replacements for one claim arrive in the same batch carrying the same claim_version. How do you break the tie, and what becomes of the loser?
Gateway instances OOM every five days with flat traffic
Interoperability gateway instances are OOM-killed with exit 137 every five to six days. Resident memory grows about 400MB a day per instance and never falls; restarting resets it. Message throughput, connection count and partner mix are unchanged over that period. The gateway keeps an in-process set of recently seen idempotency keys — (sending facility, sending application, message control ID, event timestamp) — in front of the durable ledger. Give the ordered investigation and say what evidence would rule the idempotency cache out.
Approach
- Establish that this is a retained-object leak before profiling. Compare resident memory with live heap measured immediately after a forced collection, sampled daily. Resident memory rising while post-collection live heap stays flat points at allocator fragmentation, off-heap or native buffers, or thread stacks, and a heap dump will implicate the wrong object. Rising post-collection live heap is a genuine leak.
- Find what the growth is linear in. Plot daily growth against messages processed, connections accepted and wall-clock hours across instances carrying different traffic. Proportional to messages means something is retained per message; proportional to connections means per-connection state is not released on abnormal close, such as a half-open socket whose FIN never arrives.
- Diff two heap dumps taken six hours apart on the same instance, sorted by retained size, and identify the dominator. An unbounded set or map shows up as one root holding millions of small entries. This is a five-minute answer once you have the dumps, which is precisely why the first two steps exist: they tell you whether the dump can answer the question at all.
- Check the idempotency cache directly against arithmetic rather than suspicion. At single-digit millions of messages a day and a key of roughly 80 bytes plus per-entry overhead, an unevicted set grows by hundreds of megabytes a day, which matches the observed 400MB. A live gauge of its entry count that stays flat is the evidence that rules it out; a gauge tracking messages processed convicts it.
- Fix and restore the invariant: bound the cache by size or by a time window, and keep the durable unique constraint as the authority. An in-process set is a latency optimisation and cannot be the correctness mechanism, because it does not survive a restart and is not shared across instances — so a replay right after a deploy would bypass it entirely.
- Verify over 48 hours that post-collection live heap is flat, and alert on the cache's entry-count gauge rather than on resident memory, which only tells you after the growth has already happened.
Follow-up
- How long must the time window be? Tie the number to the sender's replay behaviour after an interface restart and to how far back the broker redelivers.
- If growth had tracked connections instead of messages, what would you look at first, and how would a half-open MLLP connection show up in the socket table?
Roughly ninety minutes on weeknights with one longer weekend block. The plan cuts scope rather than compressing everything, on the assumption that one thing finished per night beats four half-started.
Prepare, practise & reflect
One practical outcome each day. Spend longer where you need it.
0 / 7 done01Fix the scope and take a cold baseline
- Read the role description and write the three things the loop will almost certainly test, then write an explicit not-doing list and keep it visible all week.
- Take one twenty-five-minute coding problem and one fifteen-minute design prompt cold, and write the single sentence naming what blocked each, because those two sentences decide where the remaining evenings go.
- Set the week's rule: one thing finished every night, including the night you only have forty minutes.
Deliverable: A one-page scope with a not-doing list and two cold attempts, each carrying one sentence on what blocked it.
Practice prompt ↗Practice prompt ↗Worked solution ↗02One pattern, written three times from blank
- Choose the single pattern most likely to appear in your loop and write it three times from an empty file rather than editing the previous attempt.
- On the third pass, write the invariant as a comment before the loop body and the complexity before the first line of code.
- Stop at ninety minutes even if the third version is imperfect, and write the one thing you would fix given another hour.
Deliverable: Three independent implementations of the same pattern plus a note on what changed between them.
Practice prompt ↗Practice prompt ↗03One design, only to the depth you can defend
- Take one system shape and go only as far as requirements, interface and data model, refusing to draw a box you could not survive a follow-up about.
- Attach one number to each non-functional requirement, deriving it rather than asserting it, and write the assumption the number rests on.
- Write the one tradeoff you are choosing against and the observation that would make you reverse it.
Deliverable: One design at interface-and-schema depth with derived numbers and one written reversible tradeoff.
Practice prompt ↗Practice prompt ↗04Only the fundamentals you will have to defend
- Write, in under two hundred words each, the answers to the two questions that follow almost any implementation: why this structure and not the obvious alternative, and what happens to this code at a hundred times the input.
- Write what an index actually costs: faster lookups on the indexed columns against a write that now maintains a second structure, plus the cases where the planner declines to use it anyway, low selectivity, or a predicate wrapping the column in a function.
- Delete any answer you cannot deliver aloud in under a minute, since an answer that needs reading is not an answer you have.
Deliverable: Three written answers, each under two hundred words and each timed aloud.
Practice prompt ↗Practice prompt ↗Worked solution ↗05Your own work, timed
- Write a ninety-second and a four-minute version of your main project and time both aloud rather than reading them.
- Prepare the two follow-ups that always come: what you would do differently, and how you knew it worked.
- Put one number in the first sentence and be ready to say exactly where it came from and what it excludes.
Deliverable: Two timed narratives with one defensible number in the opening line.
Practice prompt ↗Practice prompt ↗06The one full rehearsal, in the weekend block
- Run a sixty-minute mock covering a coding round and a design round in one sitting with no break, because sustained attention is the thing evenings have not trained.
- Immediately afterwards, and before hearing any feedback, write the three moments you lost the thread.
- Spend the rest of the block only on those three moments, and on nothing you merely feel shaky about.
Deliverable: Mock notes naming three failure moments with a specific fix written under each.
Practice prompt ↗Practice prompt ↗07Taper
- Write the twenty-minute warm-up you will actually do on the morning: one problem you can already solve from a blank file, one design you can narrate, and nothing you have never seen.
- Re-read only your own notes from this week and open no new material.
- Write the logistics down: the editor or shared document you will be working in, whether execution and lookups are permitted, and the sentence you will use when you do not know something.
Deliverable: A one-page card holding the design structure, the project numbers, and the logistics.
Practice prompt ↗Worked solution ↗Expand any day for tasks and deliverables. Your progress is saved on this device.
Keep one story where the bad call was yours rather than a dependency's or a manager's. Name the check that would have caught it, whether you added that check afterwards, and whether it has fired since. Answers that route blame outward end the conversation early; answers that end in a guardrail someone still relies on tend to open it up.
What makes a good code review? What are your personal standards for "c…
What makes a good code review? What are your personal standards for "code smell"?
Approach
- Name the disagreement and how you resolved it with evidence.
- Close with what you would do differently, concretely.
- Give the blast radius: what could have broken, and what you measured.
Follow-up
- What would you do differently if you ran that again?
- What did you decide not to do, and why?
Tell us about a time you disagreed with a manager and how you handled …
Tell us about a time you disagreed with a manager and how you handled it.
Approach
- Pick a story where you made the decision, not one where you watched it.
- Close with what you would do differently, concretely.
- Give the blast radius: what could have broken, and what you measured.
Follow-up
- How did you know your change caused the improvement?
- What did you decide not to do, and why?
How would you describe yourself, and how would others describe you in …
How would you describe yourself, and how would others describe you in one or two words?
Approach
- State the situation in two sentences and spend the rest on the reasoning.
- Name the disagreement and how you resolved it with evidence.
- Close with what you would do differently, concretely.
Follow-up
- How did you know your change caused the improvement?
- What would you do differently if you ran that again?
Tell us about a difficult deadline and how you handled it.
Tell us about a difficult deadline and how you handled it.
Approach
- Pick a story where you made the decision, not one where you watched it.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- What did you decide not to do, and why?
- 01
What makes a good code review? What are your personal standards for "code smell"?
- 02
Tell us about a time you disagreed with a manager and how you handled it.
- 03
How would you describe yourself, and how would others describe you in one or two words?
- 04
Tell us about a difficult deadline and how you handled it.
Is this an official Aya Healthcare interview guide?
No. It is PracHub's own research and practice material for the Software Engineer role at Aya Healthcare. Rounds and questions reflect what candidates have reported, not a process Aya Healthcare has published, and they change over time. Confirm the current format and scope with your recruiter.
PracHub interview research ↗Is there a coding exam or live-coding session?
Generally, no. The technical evaluation at Aya Healthcare is typically an "oral exam" style, where you discuss technical concepts, patterns, and your past experience rather than writing code on a whiteboard.
PracHub interview research ↗How long does the process take?
The process can move relatively quickly, often within a few weeks from the initial recruiter screen to the final decision.
PracHub interview research ↗What is the best way to prepare for the technical questions?
Focus on your core stack. Be ready to explain the "why" behind your technical decisions, such as why you would choose an Interface over an Abstract Class or the benefits of Lazy Loading.
PracHub interview research ↗What is the culture like at Aya Healthcare?
Candidates often describe the culture as friendly, transparent, and conversational. The interview team is generally supportive and aims to see the boundaries of your knowledge rather than "trip you up."
PracHub interview research ↗Sources & methodology 3 sources ↗
No official company page is cited. Rounds and questions come from candidate reports and PracHub editorial material; each source shows the date it was read.
- 01PracHub interview research ↗
PracHub editorial research into this company and role, maintained with this guide. Candidate-reported, not an employer publication.
PracHub page · Accessed 2026-09-22 - 02PracHub Software Engineer practice ↗
Cross-company practice questions for this role.
PracHub page · Accessed 2026-09-22 - 03PracHub interview preparation framework ↗
The framework the preparation plan follows.
PracHub page · Accessed 2026-09-22
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