Highmark Health · Data Scientist
Updated · 2026-09-24

Highmark Health Data Scientist
Interview Questions & Guide 2026

THE 60-SECOND BRIEF

As a Data Scientist at Highmark Health, you will occupy a critical position at the intersection of healthcare, technology, and business strategy. Highmark Health operates as a massive, integrated healthcare delivery and financing network, meaning your data-driven insights will directly impact both clinical care delivery and health insurance operations. You will be responsible for transforming vast, complex datasets—including electronic health records, insurance claims, and member touchpoints—into predictive models and actionable solutions that improve patient outcomes and optimize operational efficiency.

A large share of questions open as "how would you measure X", where the real work is choosing the metric, fixing its denominator, and defining the population it applies to. Any computation comes last and is frequently not required at all.

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

Build member-month denominators from overlapping coverage spansSeparate censoring from events in time-to-event modelsCorrect for claims runout before reporting recent months

33 min read

Browse Data Scientist questions

See the practice prompts

14Practice promptsAcross five skill areas
3With worked solutionsIncluded in the practice prompts

As a Data Scientist at Highmark Health, you will occupy a critical position at the intersection of healthcare, technology, and business strategy. Highmark Health operates as a massive, integrated healthcare delivery and financing network, meaning your data-driven insights will directly impact both clinical care delivery and health insurance operations. You will be responsible for transforming vast, complex datasets—including electronic health records, insurance claims, and member touchpoints—into predictive models and actionable solutions that improve patient outcomes and optimize operational efficiency.

The work you do here transcends basic reporting. You will design and deploy machine learning models that predict disease onset, optimize hospital resource allocation, and personalize the member experience. This requires a deep understanding of statistical modeling, modern machine learning algorithms, and the unique nuances of healthcare data.

Your role is highly collaborative, requiring you to translate sophisticated technical concepts for clinical leaders, product managers, and executive stakeholders. By bridging the gap between advanced analytics and real-world healthcare delivery, you will help transition toward a more proactive, preventive, and personalized model of health.

01

Online Application

reported

A handful of shapes account for most of what gets asked in this format: a ranking or deduplication inside groups, a running or rolling total, a period-over-period comparison, and a cohort tracked forward over time. Recognising the shape quickly is most of the speed here; deriving it from scratch while a clock runs is where the time goes. Know that a window function keeps every row while a GROUP BY collapses them, and know which one the question needs. If the exercise is in Python instead of SQL, the same shapes arrive as groupby with transform, shift and merge, and the same grain mistakes are available.

What to demonstrate

  • Whether you reach the right construct without a detour, such as ROW_NUMBER over a partition to deduplicate instead of a self-join against a MAX subquery
  • Whether you know what your window frame actually is, since adding ORDER BY inside OVER changes the default frame and silently changes a running total
  • Whether the thing runs. A near-miss that throws an error scores below a plainer query that returns the right rows.

How to prepare

  • Write each of the four shapes once from memory against a small schema and keep the working version somewhere you will reread it: dedupe with ROW_NUMBER, a running total, a month-over-month change with LAG, and a retention table
  • Compute one running total twice on data with tied timestamps, once on the default frame and once with ROWS BETWEEN UNBOUNDED PRECEDING AND CURRENT ROW, and look at where the two disagree
  • If Python is on the table, rebuild the dedupe and the running total with groupby and cumsum, then assert the two implementations return identical rows
PracHub interview research ↗
02

Gallup Assignment

reported

Before any modelling, the dataset is itself the first test. Take-home data usually carries something broken: rows duplicated at an unexpected grain, a join that silently drops part of the population, timestamps stored in more than one timezone, or missingness correlated with the outcome. An hour spent profiling row counts, key uniqueness and date ranges is not overhead, because it decides whether every number after it is real. What separates submissions is whether you report the defects you found and adapt the analysis to them, rather than modelling over them quietly and hoping the aggregate absorbs it.

What to demonstrate

  • Whether you established the grain of each table and checked row counts after every join, and said so in the writeup
  • Whether data defects you found are surfaced with their effect on the conclusion, instead of being dropped without comment
  • Whether filters and exclusions are reproducible from the submitted code, with the size of the excluded population quantified

How to prepare

  • Write a short profiling script you can point at any unfamiliar table: row count, distinct key count, null rate per column, and the min and max of every date field, then run it before anything else
  • Write the funnel or the join chain as one query and check the row count at each grain, so a silent fan-out shows up as a number rather than as a wrong answer later
  • On a past dataset, list every exclusion you applied and how many rows each one removed, then draft the single sentence about it you would put in a report
PracHub interview research ↗
03

Technical Conversations

reported

Much of what gets scored here happens out loud while you type. Nobody can see your reasoning inside a half-written query, so five silent minutes read as being stuck even when they are not. State the plan in plain language first: which tables, what grain you are aggregating to, and the one filter that defines the population. Then write it. The narration doubles as insurance, because a wrong plan gets caught early and cheaply while a wrong query gets caught at the end with no time left to redo it. A timed statistics section, where one exists, is a separate test with its own clock.

What to demonstrate

  • Whether the query you write matches the plan you just described
  • What you do with a hint, meaning whether the correction gets absorbed or the first approach gets defended
  • Whether you can debug your own wrong output by reading the result set and naming which part of the query produced the anomaly

How to prepare

  • Solve three problems while screen-sharing into a recording, then watch it back and mark every stretch longer than thirty seconds where you said nothing
  • Practise compressing the plan into one sentence before typing, then check afterwards whether the finished query actually matched it
  • Time yourself on statistics questions that carry a business reading, such as what a confidence interval does and does not claim, rather than re-reading notes without a clock
PracHub interview research ↗
04

Panel Interview

reported

Where a loop ends with a senior leader, that conversation is rarely another skills test. The technical signal already exists by then, so the questions tend to open up: what you would look at first, where a metric you have heard about could mislead, what you would push back on. The decision being made is scope, which in practice means level and how much you would be trusted to own unsupervised. Treating it as a formality is the usual mistake. An open question late in the day is still being scored, and a vague answer reads as someone who has not run anything themselves.

What to demonstrate

  • Whether your view of the business has anything specific behind it, given that you are working only from what is public and are expected to say so
  • Whether the scope of work you describe owning matches the scope of the role, instead of sitting a level below it
  • Whether you can disagree with something concrete and stay useful about it, rather than agreeing with everything said in the room
  • Whether your questions are ones only this person could answer, as opposed to ones the recruiter already covered

How to prepare

  • Build one view you could defend for two minutes using only public information: what the funnel probably looks like, which metric likely drives decisions, and where that metric could mislead. Being wrong for a stated reason survives this round; having no view does not
  • Write down the largest piece of work you have owned from question to decision, who else touched it, and what you decided alone, then check that it reads at the level you are interviewing for
  • Prepare one thing you would want changed if you joined and phrase it as a question rather than a verdict, so it opens a conversation instead of closing one
PracHub interview research ↗

PracHub editorial advice for the preparation topics above.

01

Ignoring clustering by provider, facility, or site

Patients within a provider panel, and subjects within a trial site, are correlated on both case mix and practice pattern. Standard errors computed as if observations were independent are too narrow by roughly the design effect, 1 + (m - 1) * ICC, where m is the average cluster size. With 50 patients per provider and an intracluster correlation of only 0.02, variance is understated by about a factor of two, which manufactures significant provider differences out of noise. Cluster-robust errors or a random intercept per provider, and cluster-level randomisation when you design the test, are the corrections.

02

Pre-post evaluation on a high-cost or high-risk cohort

Cohorts selected on an extreme value of the outcome regress toward the mean on their own. Members identified as the top 1 percent of spend in one year spend far less the next, whether or not anyone intervenes, because the selecting year captured both chronic severity and one-off events. A pre-post design on such a cohort will report savings every time. A concurrent comparison group selected by the same rule in the same period, or a regression discontinuity at the selection threshold, is the minimum credible design.

03

Solving silently instead of narrating the reasoning

Say which branch you are taking and why you chose it over the alternative, for example checking the denominator first because it changes what the comparison means. A correct answer that arrives with no visible path scores below a rigorous one that needed a hint.

04

Extrapolating a first-week lift inflated by novelty effects

Plot the treatment effect by days since first exposure instead of quoting one pooled average. A lift that decays toward zero across the test window is behaviour that will not persist, and annualising it produces a forecast that misses by an order of magnitude.

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

11 technical prompts3 include a worked solution

Explain the difference between L1 and L2 regularization and when you w…

medium
statistics and probability

Explain the difference between L1 and L2 regularization and when you would use each.

Approach
  1. Write down the assumption the method needs before you use the method.
  2. Quantify uncertainty explicitly rather than reporting a point estimate alone.
  3. Sanity-check the answer against a simple bound or a simulated case.
Follow-up
  • What sample size would you need to detect an effect half this size?
  • Which assumption here is most likely to be violated in practice?

How do you handle highly imbalanced datasets when training a classific…

medium
machine learning and modelling

How do you handle highly imbalanced datasets when training a classification model?

Approach
  1. Check what information would not exist at prediction time, and exclude it.
  2. Pick an evaluation metric that matches the cost of each error type, not a default.
  3. Say how the offline result would be validated online before it is trusted.
Follow-up
  • Where could label leakage enter this setup?
  • How would you choose the decision threshold, and who owns that choice?

How would you design a model to predict patient readmission rates usin…

medium
machine learning and modelling

How would you design a model to predict patient readmission rates using historical claims data?

Approach
  1. Check what information would not exist at prediction time, and exclude it.
  2. Frame the prediction: the label, the moment of prediction, and the action it triggers.
  3. Pick an evaluation metric that matches the cost of each error type, not a default.
Follow-up
  • How would you choose the decision threshold, and who owns that choice?
  • What would you monitor after launch to know the model is still valid?

Build a claims lag triangle and complete recent months

mediumWorked solution
chain ladderrunoutpivot

medical_claim_line has claim_id, claim_version, frequency_code, service_start_date, paid_date, allowed_amount, claim_status. Using 24 fully mature incurred months, build a development triangle of allowed dollars by incurred month and payment lag in whole months, derive cumulative completion factors by chain ladder, then estimate ultimate allowed for the three most recent incurred months at a stated paid-through date. Deduplicate to surviving claim versions before building the triangle. Return incurred_month, paid_to_date, completion_factor, estimated_ultimate.

Approach
  1. Deduplicate to surviving claim versions and keep paid lines first. A triangle built on all versions develops on adjustment churn rather than on payment timing, and replacements arrive late, so the distortion concentrates in exactly the tail you are trying to estimate.
  2. Compute lag as a whole-month difference between incurred month and paid month, not as day difference divided by 30. Ragged month lengths otherwise shuffle identical claims between lag buckets depending on which month they fall in.
  3. Pivot to incurred_month by lag, cumulate along lag, then form age-to-age factors as the ratio of the column L+1 total to the column L total, summed over incurred months mature enough to have both. Volume weighting is the chain ladder; a simple mean of per-month ratios lets one low-volume month dominate the factor.
  4. Chain the age-to-age factors from each lag to ultimate and invert: completion factor at lag L is the reciprocal of the product of factors from L onward. Apply as estimated_ultimate = paid_to_date / completion_factor.
  5. State the assumption you have just made, which is that the development pattern is stable. It is not, after a claims-system migration, a network change or a processing backlog, and the most recent month's factor is the least reliable because it rests on the fewest observations while carrying the largest adjustment.
Worked solution 35 min
  1. Deduplicate to surviving versions, drop voids, keep claim_status 'paid', and derive incurred_month from service_start_date and paid_month from paid_date.
  2. lag = (paid_month.year - incurred_month.year) x 12 + (paid_month.month - incurred_month.month); drop negative lags and investigate them separately.
  3. Pivot to a triangle of summed allowed_amount, cumulate along the lag axis, and mask cells past the paid-through date so no cell contains a future payment.
  4. Compute volume-weighted age-to-age factors per lag over the mature rows, then chain them into cumulative completion factors.
  5. Apply the factor for each recent month's current maturity to its paid_to_date and return the four columns.
EXPECTED RESULTThree rows. Completion is well below 1 at short lag and approaches 1 in the tail; for a mixed medical book a one-month-old incurred month commonly sits far from complete, while a twelve-month-old one is close. Exact values are book-specific, so the reviewable property is monotonicity and the holdout test below, not the numbers themselves.
Follow-up
  • A processing backlog means the last two months developed slower than history. What does your estimate do, and how would you detect that before reporting?
  • Pharmacy, professional and inpatient facility develop on different clocks. How do you split the triangle, and what breaks if the service mix shifts?
  • What happens to a PMPM series if someone reports an unadjusted recent month, and in which direction does the error point?

Four days spend equal time on query work, statistics, modelling and product judgement at deliberately shallow depth, which produces a scored map of where you actually stand. The last three days spend everything on the two areas the role weights most, and close by re-running day one to measure movement.

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
01Breadth pass: query fluency
  • Solve six prompts spanning aggregation, joins, window functions and date arithmetic in 60 minutes total, stopping at 10 minutes each whether or not it works, and mark every prompt as solved, solved slowly, or stuck.
  • For each unsolved prompt write the single blocking sentence (I lost the grain, I did not know the frame clause, I could not express the date boundary) instead of reading the solution.
  • Translate one pandas transformation you know well into SQL and one SQL query into pandas, checking that both return the same row count and the same totals.

Deliverable: A scored six-row table, one line per prompt, saved for the day-seven re-run.

Practice prompt ↗Practice prompt ↗Worked solution ↗
02Breadth pass: statistics and inference
  • Answer ten short questions in writing with nothing open: what a p-value is conditional on, what a 95 percent interval covers across repeated samples, when a paired test is the right one, what the bootstrap estimates, why multiple comparisons inflate false positives, how controlling the family-wise error rate differs from controlling the false discovery rate, what power depends on, what a missed real effect costs a product, the three situations where the central limit theorem does not rescue you (small n, very heavy tails, dependent observations), and what a standard error is the standard deviation of.
  • Grade yourself against a reference and count only the answers that were exactly right, not the ones that were nearly right.
  • Rewrite the two weakest answers the following morning from memory in full sentences.

Deliverable: Ten graded answers with an honest count of exact hits.

Practice prompt ↗Practice prompt ↗
03Breadth pass: modelling
  • Take one tabular dataset end to end in 90 minutes: a leakage-safe split, a baseline that is not a model (majority class or historical mean), one regularized linear model, one gradient-boosted tree, and a single evaluation metric chosen before you look at any result.
  • Write why that metric fits the cost structure: precision at a fixed recall for alerting, calibration for anything feeding a price or a threshold, ranking metrics for retrieval, and note that area under the ROC curve is insensitive to class balance in a way that can flatter a rare-positive problem.
  • Name the leak you were most likely to introduce (an encoding fit on all rows before splitting, or a feature computed after the label's timestamp) and write the check that would have caught it.

Deliverable: A notebook whose first cell states the metric and the baseline, plus two lines on what beat what and by how much.

Practice prompt ↗Practice prompt ↗
04Breadth pass: product judgement
  • Answer three case prompts aloud at 15 minutes each, timing how long passes before you state a success metric.
  • For one case write the first segmentation you would run and the row counts you expect per segment, so that a tiny segment cannot quietly drive the conclusion.
  • Take a metric definition you did not write, from a public dashboard, a textbook, or documentation you already have open, and list every place two analysts implementing it would diverge: which rows the denominator admits, whether the unit is an account or a person, what the time window is anchored to, and what happens to data that arrives late. Then write the one question that would close the largest of those gaps.

Deliverable: Three recorded case answers plus an ambiguity list for a metric someone else defined, ending in the single question you would ask about it.

Practice prompt ↗Practice prompt ↗Worked solution ↗
05Depth, first area
  • Rank the four areas by how many bullet points in the role description each one covers, pick the top one, and spend the entire day inside it.
  • Work the six hardest problems you can find in that area and for each write the generalizable move you should have reached for first, rather than the answer.
  • Re-solve the two you failed the same evening with notes closed.

Deliverable: Six generalizable moves written as instructions to yourself, not as solutions.

Practice prompt ↗Practice prompt ↗
06Depth, second area, and the seam between them
  • Repeat the depth protocol on the second-ranked area with the same six-problem structure.
  • Construct one problem that requires both areas at once, for example a metric redefinition whose effect you must validate with a test whose readout you then have to query.
  • Solve your own combined problem end to end and note where the handoff between the two areas cost you time.

Deliverable: One combined problem, solved end to end, with the handoff failure written down.

Practice prompt ↗Practice prompt ↗
07Integration and re-measurement
  • Re-run the six prompts from day one under the same clock and compare both correctness and time.
  • Run a 60-minute mixed mock that moves between areas without warning, since switching cost is what breadth passes do not train.
  • Write the two areas you would still fail on, and the sentence you will use in the interview when you hit one of them.

Deliverable: A before-and-after score table plus a written plan for the two remaining gaps.

Practice prompt ↗Practice prompt ↗Worked solution ↗

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

Nearly every data role forces a trade between the analysis you want and the one that fits the decision window. Prepare a case where you deliberately shipped something less rigorous, named the weakness to the person relying on it, and said what would change your answer. The naming is the part interviewers listen for.

Describe a situation where you had to work with a difficult teammate o…

medium
behavioural and stakeholder questions

Describe a situation where you had to work with a difficult teammate or stakeholder. How did you resolve the conflict?

Approach
  1. State the situation in two sentences and spend the rest on your reasoning.
  2. Close with what you would do differently, concretely.
  3. Quantify the outcome, including what you would not claim credit for.
Follow-up
  • How did you know the outcome was caused by your change?
  • What did you decide not to do, and why?

Why do you want to apply your data science skills to the healthcare in…

medium
behavioural and stakeholder questions

Why do you want to apply your data science skills to the healthcare industry, and specifically to Highmark Health?

Approach
  1. State the situation in two sentences and spend the rest on your reasoning.
  2. Quantify the outcome, including what you would not claim credit for.
  3. Name the disagreement or constraint, and how you resolved it with evidence.
Follow-up
  • How did you know the outcome was caused by your change?
  • What would you do differently if you ran that project again?

Scope a one-line request for a readmission rate

easy
scopingmeasure specificationstakeholder communication

A clinical operations lead messages you: 'What is our readmission rate? The committee meets Friday.' You have encounter (encounter_id, admit_ts, discharge_ts, encounter_type, admission_type, discharge_disposition, drg_code, index_encounter_id) and member_enrollment coverage spans. Do not open a query editor yet. Deliverable: the three to five questions you send back, ranked by how much the answer moves the number; the default specification you will build if nobody replies by Wednesday; and the one line you will place under the figure so the committee does not read it against a published benchmark.

Approach
  1. Read the probe: this tests whether you convert ambiguity into a specification without either stalling or guessing silently. Both failure modes are common, and the silent guess is worse because nobody can see it.
  2. Rank your questions by leverage on the number rather than by curiosity. Whether the numerator is all-cause or unplanned, and whether the clock starts at discharge_ts, move the result far more than a tie-break rule on same-day returns.
  3. Ask about the comparison first. A number going to a committee will be compared to something, and whether that something is last quarter, another panel, or a national figure decides whether you owe them a raw rate, a risk-adjusted rate, or an observed-over-expected ratio.
  4. Commit to a default in writing so silence does not block you: unplanned acute inpatient readmission within 30 days of discharge_ts, index stays excluding planned admissions, acute-to-acute transfers, discharges against medical advice, and dispositions of expired or hospice, denominator of eligible index discharges, paid-through date stated.
  5. Write the caveat as a restriction on use rather than a hedge: name the one comparison the figure supports and the one it does not.
Follow-up
  • They reply that they want it 'the way the benchmark does it'. What do you ask next?
  • The committee wants it split by attending provider. What changes in the specification, and what do you refuse to show?
  • How does your answer change if the meeting is tomorrow rather than Friday?
  • 01

    Describe a situation where you had to work with a difficult teammate or stakeholder. How did you resolve the conflict?

  • 02

    Why do you want to apply your data science skills to the healthcare industry, and specifically to Highmark Health?

  • 03

    A clinical operations lead messages you: 'What is our readmission rate? The committee meets Friday.' You have encounter (encounter_id, admit_ts, discharge_ts, encounter_type, admission_type, discharge_disposition, drg_code, index_encounter_id) and member_enrollment coverage spans. Do not open a query editor yet. Deliverable: the three to five questions you send back, ranked by how much the answer moves the number; the default specification you will build if nobody replies by Wednesday; and the one line you will place under the figure so the committee does not read it against a published benchmark.

PracHub interview preparation framework ↗
Is this an official Highmark Health interview guide?

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

PracHub interview research ↗
How difficult is the Data Scientist interview at Highmark Health?

The difficulty is generally rated as average to easy, but it highly depends on the specific team and the seniority of the role. While the technical coding expectations may be less intense than at some major tech companies, the focus on statistical foundations, practical problem-solving, and behavioral fit is highly rigorous.

PracHub interview research ↗
What is the Gallup assignment, and how should I prepare for it?

The Gallup assignment is a structured behavioral assessment designed to identify your core strengths, work preferences, and situational judgment. The best way to prepare is to answer honestly, focusing on professional integrity, collaboration, structured problem-solving, and a customer-centric mindset.

PracHub interview research ↗
Does Highmark Health support remote or hybrid work for Data Scientists?

Yes, Highmark Health offers hybrid and remote work arrangements depending on the specific team, role, and geographic location. You should clarify the exact expectations for your target role with the recruiter during your initial call.

PracHub interview research ↗
What is the typical timeline for the hiring process?

The timeline can be highly variable. Some candidates report a fast-tracked process of two to three weeks from initial contact to offer, while others experience a slower progression spanning several weeks or even months due to administrative processes and panel scheduling.

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.