Epic · Software Engineer
Updated · 2026-09-24

Epic Software Engineer
Interview Guide

THE 60-SECOND BRIEF

As a Software Engineer at Epic, you will build and maintain software that touches the medical records of over 305 million patients worldwide. Epic creates integrated healthcare software used by major hospital systems, academic medical centers, community clinics, and patients across the globe. In this role, your code directly impacts patient care, clinical workflows, and critical healthcare infrastructure where system reliability, real-time data access, and data privacy are paramount.

If the seat owns a service boundary, scope your preparation toward failure behaviour rather than topology. Retrying over an at-least-once channel produces duplicates by construction, so a retry policy is only as safe as the idempotency key underneath it.

Epic candidates report 4 rounds · ≈ 3-5 weeks. The stages below are what candidates describe, not a published process.

Authorise every identified read against current consentVersion clinical results instead of updating rows in placeDesign person merges that remain reversible afterwards

33 min read

Practice 2+ Epic questions

See the practice prompts

2Company bank questions ↗Snapshot · Oct 11, 2026 PT5Candidate experiences ↗Read their reports
13Practice promptsAcross five skill areas
3With worked solutionsIncluded in the practice prompts

As a Software Engineer at Epic, you will build and maintain software that touches the medical records of over 305 million patients worldwide. Epic creates integrated healthcare software used by major hospital systems, academic medical centers, community clinics, and patients across the globe. In this role, your code directly impacts patient care, clinical workflows, and critical healthcare infrastructure where system reliability, real-time data access, and data privacy are paramount.

Engineers at Epic work on large-scale systems handling massive transaction volumes, complex medical data models, and mission-critical uptime requirements. You will work across the full stack—from low-level database engine performance and data integration protocols to intuitive clinical user interfaces used daily by doctors, nurses, and administrative staff. You will solve complex algorithmic and architectural problems, such as scaling real-time patient charts, optimizing health record queries, and integrating interoperability standards across healthcare networks.

The environment at is fast-paced, highly collaborative, and deeply impact-driven. The engineering culture places high value on analytical thinking, rapid domain learning, and clear communication. Success in this role requires strong core computer science fundamentals, a willingness to master proprietary and specialized technical stacks, and a practical mindset focused on delivering robust, high-quality healthcare applications.

01

Phone Screen

reported

Before anything technical happens, someone has to decide which rung of the ladder your loop is calibrated to, and that decision sets the bar for every round after it. It comes from how you describe scope, not from your title, because titles do not convert cleanly between companies. The weak version of the answer is team size and years. The strong version names the largest change you shipped where nobody reviewed the design, what would have broken if you had been wrong, and what you were paged for. Get the level said out loud on this call, because the range and the loop both follow from it.

What to demonstrate

  • Whether the scope in your own account maps onto a level the team actually has an opening at, so a mismatch ends the process cheaply rather than after four interviewers have spent a day
  • Whether your title needs re-mapping: the same word describes very different amounts of independent decision-making at a twenty-person company and a ten-thousand-person one
  • Whether your compensation expectation can be filled at that level in the structure the role pays in, which is why the number gets asked for before any engineer is scheduled

How to prepare

  • Write down two changes from the last two years: the largest one you designed with nobody reviewing the design, and the largest one where someone more senior did. Lead with the first when scope comes up, and be ready to say which parts of the second were yours
  • Ask which level the loop is calibrated to and what changes at the level above it, then plan your weeks from that answer rather than from the posting
  • Settle a total-compensation range beforehand with the split named, base against bonus against equity and its vesting period, so a question about numbers gets a number instead of the word market
PracHub interview research ↗
02

Skills Assessment

reported

The same problem is scored by two different mechanisms depending on the format, and preparing for one does not cover the other. With a person watching, partial progress is visible and a hint is a correction you can absorb; silence is the expensive failure, because nobody can read a half-written function. With an automated grader there is no partial credit for what you were about to do, nobody to ask, and the worked examples in the prompt are the entire specification. Read them as a contract, down to whether an empty result should be an empty list or no output at all.

What to demonstrate

  • In a live session, whether your commentary tracks what your hands are doing, and whether a hint redirects you or gets defended against
  • In an automated one, whether you cover the cases the examples do not show, since the hidden cases are where the score moves
  • Whether you manage the clock on purpose: abandoning an approach that is not converging while there is still time to write something simpler that finishes

How to prepare

  • Have someone hand you a problem and feed you one deliberately wrong hint. Practise testing it against a concrete case instead of accepting or rejecting it on authority.
  • Do one timed run a week in a plain browser editor with autocomplete, linting and your own snippets switched off, which is closer to what these environments give you
  • For the automated format, write the harness before the solution: a main that feeds the worked examples plus an empty and a single-element case and prints expected against actual, so a wrong submission is caught by you first
PracHub interview research ↗
03

Final Interview

reported

Nobody in the room with you decides this. Interviewers typically write their rounds up separately, often before seeing anyone else's, and the outcome is settled later from those write-ups. A split panel gets resolved by whichever note carries specific evidence, so what you want out of each room is one concrete thing that person could write down: a bug you caught yourself, a trade-off you named, a decision you owned. The rest is arithmetic. The project you describe in a behavioural conversation is often the same system you sketched an hour earlier, and the two accounts have to agree.

What to demonstrate

  • Whether the scale, team size and timeline you attach to a project hold steady when that project resurfaces in a different round
  • Whether each interviewer leaves with a specific thing to cite rather than a general impression of competence
  • Whether a trade-off you defended in one round survives a challenge in another, instead of being quietly swapped for the answer the new interviewer seemed to want
  • Whether a question you have already answered earlier in the day gets the same answer at the same depth, without visible impatience

How to prepare

  • Write a one-page sheet per project fixing the figures you will quote — request volume, data size, team size, elapsed time, what broke — and say them aloud from the sheet until they come out identical every time
  • For each round on the schedule, decide in advance the one sentence you want in that person's notes, then check in a mock that you said it outright instead of leaving it to be inferred
  • Have someone ask you the same project question twice, an hour apart, and diff the two answers for numbers that moved or a trade-off that reversed
PracHub interview research ↗
04

Technical Evaluations

reported

Input bounds are the part of the prompt most often skimmed, and they usually contain the answer. They tell you which complexity class is admissible, which narrows the search before you have thought about the problem itself. As a rough planning figure, a compiled language does on the order of 10^8 simple operations per second and an interpreted one roughly an order of magnitude less. So n up to about twenty admits enumerating subsets, a few thousand admits a quadratic pass, and a million admits neither: you need near-linear, or linear with a log factor. If the bounds are missing, ask for them.

What to demonstrate

  • Whether the approach is justified by the stated input size rather than by whichever pattern you recognised first
  • Whether you ask about the properties that change the algorithm: whether the input arrives sorted, whether duplicates occur, whether values are bounded integers, whether it all fits in memory
  • Whether you can name the bottleneck in your own solution and what would remove it, even when you deliberately leave it in place
  • Whether a claimed speedup is real, since memoising a recursion only helps when subproblems genuinely overlap and the state can be keyed cheaply

How to prepare

  • For each algorithm you rely on, write down the largest n it handles in roughly a second, then check two of those figures by timing them in the language you will actually type in
  • For two weeks, write one line naming your target complexity and the bound that justifies it before you write any code, then compare that line with what you ended up submitting
  • Practise the conversion backwards: given a required O(n log n), list the mechanisms that get you there (sorting, a heap, an ordered map, divide and conquer) and choose by what the problem needs to query, not by what you used last
PracHub interview research ↗

5 candidate reports. Individual accounts describe a particular role and hiring cycle.

Software Engineer

Epic Software Engineer onsite: evolving patient-database design and backtracking

Onsite → Other → HR Screen

I started the day with an online video overview that lasted about forty-five minutes. It covered what Epic does and the software it provides. After that, I moved into one-on-one conversations with engineers. One was a lighter discussion where I could ask questions and hear about their experiences. The next engineer conversation was more technical and felt like a system design prompt that kept bui…

Read full experience
Software Engineer

Epic Software Engineer, difficult assessment led to an offer

Online AssessmentOutcome: offer

I started with a quick phone interview with an existing employee. It was mainly a fit check, and then I moved directly into scheduling an assessment. The assessment was genuinely hard, longer and more challenging than I expected, and it was the part that required the most effort. After finishing it, I made it far enough to receive an offer. I ultimately declined because a better opportunity came…

Read full experience
Software Engineer

Epic Software Engineer interview with HR call and coding assessment

HR Screen → Online Assessment

My process started with a phone call with HR. It had a resume and behavioral focus, with some discussion of my background and questions about how I think and present myself. After that, I completed an assessment test. That was clearly the hardest part. It wasn't described as a single coding-only challenge, but the coding section pushed me the most. The test had to be completed before or after the…

Read full experience
Software Engineer

Epic Software Engineer interview: assessment funnel with math, logic, and coding

Other

I started with a basic phone interview about my resume and why I was interested in the role and company. After that, I completed an assessment with several parts: a personality section, math and logic sections, and coding. Once I finished those, I had a longer final interview that combined a case study with behavioral questions. The final conversations felt fairly normal. They focused mostly on f…

Read full experience
Software Engineer

Epic Software Engineer Interview Experience — MIIS, Logic Puzzles, and Four Coding Tasks

Online Assessment

Online Assessment Format Two minutes: Answer as many short logic/reasoning questions as possible. Twenty MIIS questions. Fifteen math/logic questions. Four programming questions. MIIS Questions MIIS arithmetic Calculate the value of 1 + 1 * 3 / 2 + 7. MIIS strings and type conversion Given A = "JOHN", B = "JANE", and C = "3DOES", find the value of 0.A + B + C - 3. Math / Logic Questions Coins Som…

Read full experience

PracHub editorial advice for the preparation topics above.

01

Treating a medical record number or a member ID as a globally unique key and joining on it directly.

These identifiers are unique only within the authority that issued them. Two facilities in one network routinely have the same medical record number for different people, and member IDs get reissued when someone changes plans. Joining on the bare value merges two patients' records, which is the most damaging failure available in this domain, and it passes every test written against a single-facility fixture because the collision only appears once a second source is connected.

02

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.

03

Treating a network call as though it were a local function call

A remote call can be slow, fail, or return after you stopped waiting, so name the timeout, the retry policy, and what the caller sees while the dependency is down. A call with no timeout turns one slow dependency into an exhausted thread or connection pool in every service upstream of it.

04

Abandoning working code to chase the optimal solution

Get the straightforward version correct, state its complexity, and only then optimise, keeping the working version until the faster one passes the same cases. A correct quadratic solution with a stated path to linear beats a half-written optimal one that never ran.

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

10 technical prompts3 include a worked solution

"Explain how you would write a function to evaluate mathematical expre…

medium
data structures and algorithms

"Explain how you would write a function to evaluate mathematical expressions or custom language tokens."

Approach
  1. Walk one small example through your approach before writing the whole thing.
  2. Restate the input: its shape, its size, and what is guaranteed about it.
  3. Choose the data structure from the access pattern, not from familiarity.
Follow-up
  • Which test case would catch an off-by-one here?
  • How does this change if the input no longer fits in memory?

"Write a function to generate all valid permutations or recursive comb…

medium
data structures and algorithms

"Write a function to generate all valid permutations or recursive combinations given a set of input constraints."

Approach
  1. Walk one small example through your approach before writing the whole thing.
  2. Restate the input: its shape, its size, and what is guaranteed about it.
  3. Name the brute-force solution and its complexity before improving on it.
Follow-up
  • What is the worst case, and how likely is it on real data?
  • Which test case would catch an off-by-one here?

"Solve a backtracking problem to find all paths meeting specific crite…

medium
data structures and algorithms

"Solve a backtracking problem to find all paths meeting specific criteria without relying on an external compiler."

Approach
  1. Name the brute-force solution and its complexity before improving on it.
  2. Restate the input: its shape, its size, and what is guaranteed about it.
  3. Choose the data structure from the access pattern, not from familiarity.
Follow-up
  • How does this change if the input no longer fits in memory?
  • What is the worst case, and how likely is it on real data?

Reconstruct what the chart displayed at five million past instants

hardWorked solution
external sortas-of joinio bound

observation_result holds 200 million versions: observation_id, enterprise_person_id, filler_order_id, loinc_code, value_numeric, result_status, collected_ts, issued_ts, version, supersedes_observation_id. An incident review hands you 5 million queries of (enterprise_person_id, filler_order_id, loinc_code, as_of_instant). For each, return the version that was visible at that instant, meaning the one with the greatest issued_ts at or before it. Neither side fits in memory. The per-query scan is correct. Explain precisely why it is too slow, then give a plan with its complexity.

Approach
  1. Name the clock before naming an algorithm. Visibility is issued_ts, the release time. collected_ts is when the specimen was drawn and can precede release by hours, so ordering on it reports a correction as visible long before anyone could have seen it. No amount of index work rescues the wrong column.
  2. Be exact about why the naive plan fails, because the interviewer is testing whether you can tell arithmetic cost from I/O cost. Per query the chain scan is O(V_k) and the arithmetic is trivial, but 5 million independent lookups into a 200-million-row structure that does not fit in RAM is 5 million random reads. The job is bounded by seeks per query, not by comparisons, and buying a faster comparison changes nothing.
  3. Convert random access into sequential access. Hash-partition both sides on the chain key (enterprise_person_id, filler_order_id, loinc_code) into P shards sized to fit memory, sort each shard's versions by (chain key, issued_ts) and its queries by (chain key, as_of_instant), and sweep the pair in lockstep. Total O((V + Q) log(V + Q)) with external sort, replacing Q seeks with two sequential passes.
  4. Inside a chain the sweep is linear, not logarithmic, because queries are visited in ascending as_of order and the version pointer only moves forward: O(V_k + Q_k) per chain. Binary search per query is the better shape only when Q is small relative to V and the versions are already indexed and resident.
  5. Return the empty answer as a distinct outcome. A query whose as_of precedes the first issued_ts means nothing was displayed, which is not the same as the earliest value, and is frequently the exact fact the review is chasing.
  6. Return a version later marked entered_in_error if it was live at the instant asked about. Reconstructing the past means reporting what was on the screen, including what was wrong, and quietly substituting today's truth defeats the purpose of the exercise.
Worked solution 45 min
  1. Choose P so a shard fits in memory: at P equal to 256, each shard holds about 781,000 versions and about 19,500 queries.
  2. Hash-partition versions and queries on the chain key, writing both to shard files.
  3. Per shard, sort versions by (chain key, issued_ts) and queries by (chain key, as_of_instant).
  4. Sweep the two sorted streams together, advancing the version pointer while issued_ts is at or before as_of and answering from the last version passed.
  5. Emit an explicit empty answer when the pointer has not advanced past any version for that chain, and concatenate the shard outputs.
EXPECTED RESULTA chain with version 1 preliminary 5.2 issued 09:12, version 2 final 5.4 issued 11:40, version 3 corrected 7.1 issued 14:02 answers: as_of 08:00 returns nothing displayed, 10:00 returns 5.2 preliminary, 12:00 returns 5.4 final, 14:10 returns 7.1 corrected. If version 3 is marked entered_in_error at 18:00, the 14:10 query still returns 7.1, because that is what was on the screen. The whole job is two sequential passes over 200 million rows instead of 5 million seeks.
Follow-up
  • Read replicas lagged 40 seconds at the time. Does your answer describe what the clinician actually saw, and how would you bound the difference?
  • Serve the same question online for a single chart at a p99 under 50ms. What changes?
  • One partner changed its filler_order_id format mid-year, so the chain key is not stable. How does that appear in your output, and how do you detect it rather than returning empty answers?

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.

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
01Fix 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.

Counting review comments or mentees proves nothing. The useful version is a specific change you approved with a reservation you stated, or one you blocked and the delay that cost. Say which standard you were holding and why it was worth the friction. A mentoring story needs the thing the other person can now do without you.

"Tell me four things that you are not, and explain how those traits in…

medium
behavioural and engineering judgement

"Tell me four things that you are not, and explain how those traits influence your working style."

Approach
  1. State the situation in two sentences and spend the rest on the reasoning.
  2. Close with what you would do differently, concretely.
  3. Pick a story where you made the decision, not one where you watched it.
Follow-up
  • What did you decide not to do, and why?
  • What would you do differently if you ran that again?

"Why do you want to work at Epic, and why are you interested in reloca…

medium
behavioural and engineering judgement

"Why do you want to work at Epic, and why are you interested in relocating to Verona, Wisconsin?"

Approach
  1. Close with what you would do differently, concretely.
  2. Name the disagreement and how you resolved it with evidence.
  3. State the situation in two sentences and spend the rest on the reasoning.
Follow-up
  • What would you do differently if you ran that again?
  • What did you decide not to do, and why?

"You are faced with three competing client deadlines for custom softwa…

medium
behavioural and engineering judgement

"You are faced with three competing client deadlines for custom software deployments. How do you prioritize these tasks and communicate updates to stakeholders?"

Approach
  1. Give the blast radius: what could have broken, and what you measured.
  2. Close with what you would do differently, concretely.
  3. State the situation in two sentences and spend the rest on the reasoning.
Follow-up
  • What did you decide not to do, and why?
  • What would you do differently if you ran that again?
  • 01

    "Tell me four things that you are not, and explain how those traits influence your working style."

  • 02

    "Why do you want to work at Epic, and why are you interested in relocating to Verona, Wisconsin?"

  • 03

    "You are faced with three competing client deadlines for custom software deployments. How do you prioritize these tasks and communicate updates to stakeholders?"

PracHub interview preparation framework ↗
Is this an official Epic interview guide?

No. It is PracHub's own research and practice material for the Software Engineer role at Epic. Rounds and questions reflect what candidates have reported, not a process Epic has published, and they change over time. Confirm the current format and scope with your recruiter.

PracHub interview research ↗
How difficult is the Sphinx assessment, and how should I prepare for it?

The Sphinx assessment is widely considered challenging due to its breadth, speed math constraints, and requirement to write algorithmic pseudocode in a standard text box without a compiler. To prepare, practice LeetCode easy-to-medium array and backtracking problems in a plain text editor, practice rapid mental math and percentage estimations, and review sample logic word puzzles.

PracHub interview research ↗
Does Epic allow remote work for Software Engineers?

No. Epic maintains an on-site work culture to foster rapid collaboration, mentorship, and team cohesion. All Software Engineer roles require full-time, on-site presence at Epic's headquarters in Verona, Wisconsin (near Madison). Relocation assistance packages are provided to hired candidates.

PracHub interview research ↗
Do I need prior experience in healthcare IT or MUMPS/M programming to be hired?

No, prior healthcare background or experience with M/MUMPS is not required. Epic provides comprehensive onboarding and developer training programs that teach new hires company-specific technical stacks, internal framework architectures, and domain knowledge.

PracHub interview research ↗
What is the typical timeline from initial application to offer?

The hiring process generally moves quickly, often taking between 2 to 4 weeks from application submission to final offer decision. Assessment results are typically evaluated within a few business days, followed promptly by scheduling for the final interview round.

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.