Ceribell · Software Engineer
Updated · 2026-10-02

Ceribell Software Engineer
Interview Guide

THE 60-SECOND BRIEF

Ceribell makes point-of-care EEG for seizure monitoring, a product clinicians use when treating patients in critical care. Candidates describe the Software Engineer role as backend-focused: designing and building backend services, working on data-processing pipelines, and collaborating with product and engineering teams. They also mention working with data engineering or supply chain teams where hardware and software workflows meet, and taking part in architectural reviews where you explain and defend design choices.

This guide is for engineers preparing for Ceribell's Software Engineer loop. It covers the three reported rounds (Recruiter Screen, Technical Deep-Dive, Leadership Review), the reported technical questions on object-oriented design, concurrency and system design, and the reported behavioral questions on trade-offs, disagreement, technical debt, mentoring and business problems. The seven-day plan also borrows drills from PracHub's own practice set, which is separate from anything candidates report about Ceribell.

Candidates report three stages over roughly 3-5 weeks: a Recruiter Screen, a Technical Deep-Dive with engineering peers, and a Leadership Review. Reports also mention a mix of virtual and onsite conversations.

System DesignSOLID PrinciplesScalability

35 min read

Browse Software Engineer questions

See the practice prompts

19Practice promptsAcross five skill areas

The work candidates describe is backend engineering for a medical device company: services that handle many concurrent requests, and pipelines that move device data reliably. The topics reported for this loop follow from that. They include SOLID principles, design patterns, concurrency models, load balancing, database sharding and partitioning, caching layers, refactoring legacy code, dependency decoupling, and unit, integration and end-to-end testing. Prepare to reason about these as engineering decisions with costs, not as vocabulary lists.

The fifteen reported questions are conceptual rather than puzzle-style. Five concern foundations (SOLID, choosing design patterns, testable and modular code, data structures under concurrency, debugging multi-threaded programs). Five concern system design (handling 10k threads at low latency, load balancing and horizontal scaling, fault tolerance, monolith-to-microservices, consistency across services). Five are behavioral. The requirements candidates describe name a modern backend language, with Java, Python or Go as examples, so choose one and be ready to show how its threading or async model, locking primitives and test tooling actually work. Reports also mention coding assessments in the process, so keep that language fluent enough to write code live.

Candidates also report two practical points. First, your resume works as the roadmap for the technical conversations, so every technology you list needs a reason it was chosen, an alternative you rejected and a result you can state with a number. Second, reported example scenarios include designing a real-time ingestion pipeline for EEG devices, handling a sudden traffic spike that threatens stability, and refactoring a module toward better SOLID compliance. Practise those as whiteboard exercises: state requirements, sketch components, name the failure modes, then give a phased plan.

01

Recruiter Screen

reported

Candidates describe the Recruiter Screen as an initial conversation about fit for the role and an outline of how the rest of the process runs. Reports mention virtual screens combined with an onsite component later, and a total timeline of roughly 3-5 weeks that can stretch when leadership schedules are involved. Treat this stage as a place to get the loop in writing and to show you understand what the company makes: point-of-care EEG for seizure monitoring.

What to demonstrate

  • Fit for a backend Software Engineer role, as the stage is described
  • Awareness of the process ahead and your availability for it
  • Whether your resume holds up as a summary of your experience

How to prepare

  • Write a short walkthrough of your resume where each technology has a one-line reason you chose it; reports say the resume guides later technical conversations
  • Prepare a specific sentence on why a point-of-care EEG product interests you, based on what the product does rather than slogans
  • Name your strongest backend language (Java, Python and Go are the examples candidates cite) and one project where you used it for concurrent or distributed work
  • Ask the recruiter which stages are virtual, which are onsite, and when a presentation-style scenario, if any, will happen
Ceribell Software Engineer candidate reports ↗
02

Technical Deep-Dive

reported

Candidates describe the Technical Deep-Dive as in-depth technical discussion with engineering peers. The reported topic list for the loop covers SOLID and design patterns, testable and modular code, data structures and debugging under concurrency, and system design: 10k threads at low latency, load balancing, fault tolerance, monolith-to-microservices and consistency across services. Reported example scenarios include a real-time ingestion pipeline for EEG devices and a traffic spike that threatens stability. Approach it as a design conversation where every claim comes with a trade-off.

What to demonstrate

  • Depth in object-oriented design, SOLID and design pattern choice
  • Reasoning about concurrency, scaling and failure in distributed systems
  • Code quality habits: refactoring, dependency decoupling and layered testing
  • Ability to explain technical decisions and the alternatives you rejected

How to prepare

  • Take one module from your own code and write a refactor that applies dependency inversion, then explain how it makes testing easier
  • Build a one-page comparison of shared-state options under high concurrency: lock-guarded structures, concurrent collections, immutable snapshots and message passing
  • Sketch the EEG ingestion scenario end to end: device connection, buffering, backpressure, storage, caching and what happens on duplicate or late data
  • Rehearse the 10k-threads question by contrasting thread-per-request with event-driven or bounded worker pools, and say what you would measure
Ceribell Software Engineer candidate reports ↗
03

Leadership Review

reported

Candidates describe the Leadership Review as the final discussion with leadership about fit with the team and culture. Reported behavioral questions cover justifying a trade-off to a non-technical stakeholder, handling technical disagreement, balancing speed against technical debt, mentoring junior engineers, and acting on a business problem. Reports also mention scenario-based presentations later in the process, where you break a business problem into bottlenecks and a phased plan. Prepare stories with real decisions and numbers.

What to demonstrate

  • Fit with the team and its way of working, as the stage is described
  • Communication of technical trade-offs to a non-technical audience
  • Leadership behaviours reported for this loop: influencing, mentoring and handling ambiguity

How to prepare

  • Write five story outlines, one per reported behavioral question, with situation, your decision, the alternatives and a measured result
  • Build a short phased-plan presentation from a real project: the problem in business terms, the technical bottleneck, phase one, phase two, risks
  • Prepare a version of your trade-off story that uses no jargon, then check that a non-engineer could repeat it back
  • Prepare questions about the team's current technical challenges; candidates report that closing questions are an opening to show how you think
Ceribell Software Engineer candidate reports ↗

PracHub editorial advice for the preparation topics above.

01

Reciting what SOLID stands for without showing it in code

For each letter, bring one example from your own code: the violation, the refactor and what it did for testing. Be ready to say when applying a principle would over-engineer a small module.

02

Answering the 10k threads question with 'add more threads or servers'

Discuss the cost of a thread (stack memory, context switching), then contrast thread-per-request with event-driven handling or bounded worker pools. Add queue limits, backpressure and the latency percentile you would measure.

03

Presenting microservices as simply better than a monolith

Start from the reasons to split (independent scaling, team boundaries) and the cost (network failure, distributed transactions, operational overhead). Describe an incremental migration with data ownership per service.

04

Designing the EEG ingestion scenario like an ordinary CRUD service

Ask about delivery guarantees, ordering and tolerance for loss first. Cover buffering, idempotent writes for duplicates, late data, and what the system does when storage is slow.

05

Giving behavioral answers with 'we', no numbers and no decision of your own

Use first person for your actions, state the alternatives you weighed and give before-and-after measures. Rehearse each story until you can name its trade-off in one sentence.

Choose a category, try a prompt, then open its approach, worked solution or follow-up when you need it.

14 technical prompts0 include a worked solution

What are the trade-offs between different data structures in a high-concurrency environment?

medium
Technical Foundations and OOPS

What are the trade-offs between different data structures in a high-concurrency environment?

Approach
  1. Lay out the options and their costs. One coarse lock around a plain structure is simple and correct but serialises every caller. Fine-grained locking or lock striping is what Java's ConcurrentHashMap does: non-blocking reads, and writes that use CAS or lock a single bin. Copy-on-write gives lock-free reads, but every write copies the whole array (O(n)), so it suits read-mostly data such as listener lists.
  2. For producer/consumer, compare queues. ArrayBlockingQueue uses one lock. LinkedBlockingQueue has separate put and take locks, so producers and consumers contend less. A bounded queue gives you backpressure, while an unbounded one hides overload until memory runs out. Lock-free CAS queues never block but spin under heavy contention.
  3. Point out that a thread-safe structure does not make compound operations atomic. Check-then-act on a concurrent map still races, so use putIfAbsent, computeIfAbsent or merge. ConcurrentHashMap iterators are weakly consistent, and size() is only an estimate while writers are active.
  4. Name contention hot spots. Use LongAdder instead of AtomicLong for a heavily updated counter: it spreads updates across cells, and sum() is not an atomic snapshot. Watch for false sharing when hot fields share a cache line.
  5. Cover your language. Python's GIL does not make compound operations such as d[k] += 1 atomic. In Go, use a mutex-guarded map in general. sync.Map is built for keys that are written once and read many times, or for goroutines that work on disjoint key sets. Immutable snapshots that you swap behind a single reference often beat locking.
Follow-up
  • How would you build a thread-safe LRU cache, and where does contention concentrate?
  • What is the ABA problem in lock-free structures, and how is it avoided?
  • Why might a read-heavy workload prefer copy-on-write over a lock-striped map, and when does that reverse?

Track a rolling failure rate per destination for circuit decisions

easy
sliding windowring buffercircuit breaker

The egress service delivers about 1,500 webhooks per second across roughly 40,000 destinations, each call bounded by a 10 second timeout. Maintain, per destination, the failure rate over the trailing 60 seconds so a caller can ask before dispatch whether the circuit should open. Attempts arrive as (destination_id, finished_at_ms, outcome). Requirement: amortised O(1) per attempt, with total memory bounded by the destination count rather than by traffic. Give the structure, its exact memory, and the rule that stops a destination with three attempts from opening a circuit.

Approach
  1. Name the exact-deque version and then reject it as the default. Holding timestamps and advancing a tail pointer past anything older than now minus 60 seconds is a correct two-pointer window at amortised O(1) per attempt, but its memory tracks in-window traffic, so one destination in a retry storm holds hundreds of thousands of entries while thousands of quiet destinations hold none.
  2. Use a ring of 60 one-second buckets per destination, each bucket a pair of counters for attempts and failures. On an attempt, advance the ring by the elapsed whole seconds, zeroing at most min(elapsed, 60) buckets, then increment the head. That is amortised O(1) with a fixed footprint per destination.
  3. State the footprint: 60 buckets times two 4-byte counters is 480 bytes of payload per destination, so 40,000 destinations is roughly 20 to 25 MB with per-entry overhead, bounded by the catalogue rather than by the rate. The cost is granularity, since the oldest bucket ages out in whole seconds, which is far tighter than the decision needs.
  4. Require a minimum sample before the circuit may open. A destination with three attempts and three failures reads as 100 percent and is not evidence; a floor of roughly 20 attempts in the window makes the ratio meaningful, and below that floor use a run of consecutive failures as the trigger instead.
Follow-up
  • The fleet is 30 instances and each sees roughly a thirtieth of a destination's traffic. Where does the rate actually live, and what does a per-instance answer get wrong?
  • A destination answers in 9.5 seconds and succeeds. It is not failing but it is consuming your per-destination concurrency. What signal should open the circuit here?

Archive a resource graph without breaking live references or recursing

medium
graph traversaltopological ordertenant isolation

Resources reference other resources within a tenant; for the largest tenant the reference table holds up to 2,000,000 nodes and 8,000,000 edges. Archiving a resource must archive everything reachable from it that nothing outside the set still references, refuse when a live external referrer exists, and terminate when references form cycles, which they legitimately do. Produce the archive order and the refusal list, targeting O(V+E). Say what stops the traversal crossing a tenant boundary, and why recursion is the wrong control structure at this size.

Approach
  1. Load the subgraph with the tenant predicate on both endpoints of the edge, not only on the side you started from. Scoping the left table alone is the classic cross-tenant leak: one mis-entered edge then pulls another tenant's resources into the traversal and, worse, into the archive.
  2. Traverse iteratively with an explicit stack. A 2,000,000-node graph can hold a chain deep enough to exhaust a native stack in the low tens of thousands of frames, and that failure is a process crash rather than an error you can return.
  3. Treat cycles as data rather than corruption: compute strongly connected components with Tarjan in O(V+E) using its own explicit stack, then condense. The condensation is a DAG, so a topological order over it gives the archive order, and every member of a component archives in one transaction because no order within a cycle is valid.
  4. Decide refusals with reverse edges. A candidate is archivable only if every in-edge originates inside the candidate set, so build the transpose or count in-degrees restricted to the visited set, and emit each blocked resource with the id of the external referrer, which is the only part of the answer an operator can act on.
Follow-up
  • The graph is read in one query and the archive writes a minute later. What can change in between, and how do you make the write safe?
  • The candidate set is 400,000 resources. Is that one transaction, and if not, what does a half-finished archive look like to a reader?

The plan follows the three reported rounds: resume and process on day one, foundations and concurrency next, then system design and consistency, and finally behavioral stories and a phased presentation. Practice-set drills are pointed at the days they support.

Small steps. Visible outcomes.0 / 7 completed
ONE WEEK · YOUR PACE

Prepare, practise & reflect

One practical outcome each day. Spend longer where you need it.

0 / 7 done
01Map the loop and audit your resume
  • Write the three reported rounds on one page: Recruiter Screen, Technical Deep-Dive, Leadership Review.
  • List every technology on your resume with why you chose it, one alternative, and one measured result.
  • Write a short statement of why a point-of-care EEG product interests you, using only what the product does.

Deliverable: A one-page loop map, a resume audit table, and a written why-Ceribell statement.

02SOLID, design patterns and testable code
  • Take one module from your own project and mark where it breaks single responsibility or dependency inversion, then write the refactor.
  • Write when-to-use and when-not-to-use notes for three patterns you know well, such as strategy, factory and observer.
  • Answer aloud: how you keep code testable and modular as a system grows, naming unit, integration and end-to-end layers.

Deliverable: A before-and-after refactor outline, three pattern notes, and spoken answers to the SOLID, design patterns and testability questions.

Practice prompt ↗Practice prompt ↗Practice prompt ↗
03Concurrency and debugging multi-threaded code
  • In Java, Python or Go, write a small program with a deliberate race condition, then fix it two ways.
  • Build a comparison table of shared-state options: lock-guarded map, concurrent collection, immutable snapshot, queue-based message passing.
  • Write a debugging checklist for hangs and intermittent failures: reproduce, capture thread dumps or traces, use race detectors, test hypotheses.

Deliverable: A working race and its two fixes, a data structure trade-off table, and a one-page debugging checklist.

Practice prompt ↗Practice prompt ↗
04Scaling: 10k threads, load balancing, large datasets
  • Sketch a design that serves 10k concurrent connections with low latency, comparing thread-per-request, event loop and bounded pools.
  • List load balancing strategies (round robin, least connections, consistent hashing) and when sessions or caches affect the choice.
  • Work the PracHub keyset paging drill to practise reading large tables without offset scans.
  • Outline the EEG ingestion scenario with buffering, backpressure and a caching layer.

Deliverable: Two diagrams (10k connections, EEG ingestion), a load balancing comparison and a solved paging drill.

Practice prompt ↗Practice prompt ↗Practice prompt ↗
05Fault tolerance, consistency and service boundaries
  • Write a fault tolerance checklist: timeouts, retries with jitter, circuit breakers, bulkheads, idempotent operations.
  • Solve the PracHub rolling failure rate drill as practice for circuit-breaker decisions.
  • Outline a monolith-to-microservices migration: seams, data ownership, incremental extraction, and what to measure at each step.
  • Compare consistency options across services, such as sagas, outbox pattern and eventual consistency, and when each is acceptable. Use the PracHub live backfill drill for the data migration step.

Deliverable: A fault tolerance checklist, a working rolling-failure-rate solution, a migration outline and a consistency comparison.

Practice prompt ↗Practice prompt ↗Practice prompt ↗Practice prompt ↗Practice prompt ↗
06Behavioral stories, part one
  • Write outlines for the trade-off story, the disagreement story and the speed-versus-technical-debt story, each with the options you weighed and a measured result.
  • Rewrite the trade-off story with no jargon and have someone outside engineering repeat it back.
  • Say each story aloud and cut anything that is about the team rather than your own decisions.

Deliverable: Three story outlines with options and results, and one jargon-free version of the trade-off story.

Practice prompt ↗Practice prompt ↗Practice prompt ↗
07Mentoring, business problem and full mock
  • Write the mentoring story around one named mentee and the specific actions you took.
  • Write the business-problem story, then build a short phased-plan presentation from it: problem, bottleneck, phase one, phase two, risks.
  • Run a mock across all reported question types: one foundations question, one system design question and one behavioral question, answered aloud.
  • Prepare closing questions about the team's current technical challenges.

Deliverable: Two story outlines, a phased-plan presentation, a recorded mock and a list of questions for the team.

Practice prompt ↗Practice prompt ↗

Expand any day for tasks and deliverables. Your progress is saved on this device.

The behavioral questions reported for this loop concern technical judgment explained to others: justifying trade-offs to non-technical people, resolving disagreement, weighing speed against debt, mentoring juniors, and turning a business problem into a technical plan. Candidates also cite sample prompts such as 'Growing a Junior Engineer' and 'Explaining Technical Constraints Clearly'. Prepare stories in the STAR structure with your own decisions and measured results.

Describe a time you had to justify a technical trade-off to a non-technical stakeholder.

medium
Behavioral and Leadership

Describe a time you had to justify a technical trade-off to a non-technical stakeholder.

Approach
  1. Choose a trade-off you decided yourself, such as shipping a simpler design now versus a more scalable one later, or consistency versus latency. State the two options in plain terms in your first minute.
  2. Translate the engineering terms into the stakeholder's currency: delivery date, cost, risk to users, and what could go wrong in operation. Avoid acronyms they would have to ask about.
  3. Show that you gave options rather than an ultimatum: two or three paths, what each costs, your recommendation and what the stakeholder gives up by agreeing.
  4. Close with the decision, the measured outcome and what you would change. A weak story ends with 'they understood'; a strong one ends with a decision made and a result observed.
Follow-up
  • What would you have done if the stakeholder had insisted on the other option?
  • How did you check the stakeholder had understood the risk and not just agreed?
  • Which number or example convinced them most?

How do you handle disagreements within an engineering team regarding technical direction?

medium
Behavioral and Leadership

How do you handle disagreements within an engineering team regarding technical direction?

Approach
  1. Choose a real disagreement about technical direction, such as framework choice, service boundaries or a rewrite versus incremental refactor. State the other person's position fairly before yours.
  2. Explain how you moved from opinion to evidence: a benchmark, a small prototype, a written design note with agreed decision criteria, or consulting the people who run the system.
  3. Say who made the final call and how you handled it. Disagree-and-commit is stronger than winning, and a story where you were overruled and still helped the outcome is strong.
  4. Report the outcome and the relationship after it. The mistake that sinks this answer is a story where you were right and the other person was obstinate.
Follow-up
  • What if the data had been inconclusive?
  • Tell me about a time you were the one overruled.
  • How do you keep a disagreement from becoming personal in a design review?

Tell us about a project where you had to balance speed-to-market with technical debt.

medium
Behavioral and Leadership

Tell us about a project where you had to balance speed-to-market with technical debt.

Approach
  1. Pick a project with a hard date where you knowingly took on debt. Name the shortcut precisely, such as skipping a abstraction layer, hard-coding configuration or deferring a migration, rather than saying 'we cut corners'.
  2. Explain how you bounded the debt: behind an interface so it can be replaced, covered by tests for the core path, tracked with an owner and a trigger for repayment.
  3. State what you refused to cut, such as tests on the data path or monitoring on the ingestion service, and why. This shows judgment, not just speed.
  4. Give the result with numbers: release date met, incidents afterwards, and whether and when the debt was repaid. A story with no repayment needs an honest account of why.
Follow-up
  • How did you decide which shortcuts were off limits?
  • How did you get time scheduled to pay the debt back?
  • Did the debt ever cause an incident, and what did you change afterwards?

How do you mentor junior engineers and contribute to a culture of high performance?

medium
Behavioral and Leadership

How do you mentor junior engineers and contribute to a culture of high performance?

Approach
  1. Use one named mentee (no real name needed) and describe where they started, such as hesitant in code review or new to the service. Avoid a general philosophy of mentoring.
  2. Describe concrete actions: pairing on a first change, review comments that explain the reasoning, a scoped task that stretched them, and handing over design ownership in steps.
  3. Show the result in observable terms: they shipped a feature unaided, handled an on-call issue or reviewed others. Also mention a team practice you introduced, such as a review checklist or blameless post-incident reviews.
  4. Be honest about trade-offs: mentoring cost you delivery time, and say how you managed it. Avoid defining high performance as pressure or long hours.
Follow-up
  • What did you do when a mentee was not progressing?
  • How do you give hard feedback to someone junior?
  • How did you balance mentoring with your own deliverables?

Describe a situation where you identified a critical business problem and proposed a technical solution.

medium
Behavioral and Leadership

Describe a situation where you identified a critical business problem and proposed a technical solution.

Approach
  1. Start with how you found the problem yourself: support tickets, incident reviews, cost data or a customer complaint, rather than a task you were assigned. State it in business terms with a number.
  2. Explain the technical diagnosis: the bottleneck you identified, the options you considered and why you chose one. Include one option you rejected.
  3. Describe getting buy-in with a phased plan: a small first step that proved value, then later phases, with risks named.
  4. Report the measured result and anything that fell short. The mistake is a purely technical story with no business measure, or results that cannot be checked.
Follow-up
  • How did you size the problem before asking for time to fix it?
  • What alternatives did you reject and why?
  • How did you phase the work so it delivered value early?
  • 01

    Describe a time you had to justify a technical trade-off to a non-technical stakeholder.

  • 02

    How do you handle disagreements within an engineering team regarding technical direction?

  • 03

    Describe a project where you had to balance speed-to-market with technical debt.

  • 04

    How do you mentor junior engineers and contribute to a culture of high performance?

  • 05

    Describe a situation where you identified a critical business problem and put forward a technical solution.

  • 06

    Growing a Junior Engineer

PracHub preparation framework ↗
How many rounds does the Ceribell Software Engineer loop have?

Candidates report three stages: a Recruiter Screen, a Technical Deep-Dive with engineering peers and a Leadership Review. Overall timing is reported as roughly 3-5 weeks, and it can stretch when leadership schedules need coordinating. Treat the sequence as what candidates describe rather than a published process, and ask your recruiter to confirm the stages and format.

Ceribell Software Engineer candidate reports ↗
Is the process remote or onsite?

Candidates report a mix of virtual screens and an onsite component, with the onsite part often taking several hours and involving several team members. Ask the recruiter early which stages are virtual and whether a whiteboard or presentation will be involved.

Ceribell Software Engineer candidate reports ↗
What technical topics should I prepare?

The reported topics are SOLID principles, design patterns, testable and modular code, concurrency and data structures, debugging multi-threaded code, load balancing, horizontal scaling, fault tolerance, monolith-to-microservices, and data consistency across services. Reported evaluation areas also include database sharding and partitioning, caching layers, refactoring legacy code, dependency decoupling, and unit, integration and end-to-end testing.

Ceribell Software Engineer candidate reports ↗
Do I need medical device experience?

The requirements candidates describe list a modern backend language such as Java, Python or Go, strong object-oriented design and design patterns, and experience building scalable distributed systems. Medical device software, real-time data processing and regulated environments appear as nice-to-have items. If you lack them, prepare to explain how your own reliability or data pipeline work transfers.

Ceribell Software Engineer candidate reports ↗
How should I prepare for a presentation-style scenario?

Reports mention scenario-based presentations later in the process, and the advice candidates repeat is clarity and logical flow. Build one from a real project: state the business problem, identify the technical bottlenecks, then lay out a phased implementation plan with risks. Practise it aloud, including a version for a non-technical audience.

Ceribell Software Engineer candidate reports ↗
What happens after the final round, and are pay figures reported?

No pay figures are reported for this role, so ask the recruiter in the first conversation. Some candidates report receiving no feedback or offer after several rounds, so ask at each stage when you should expect to hear back and follow up politely if that date passes.

Ceribell Software Engineer candidate reports ↗
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.