As a Software Engineer at MedImpact, you are joining a pivotal organization within the pharmacy benefit management industry. Your work directly influences the systems that manage complex prescription drug data, ensuring that millions of patients receive the care they need efficiently and accurately. You will be responsible for building, maintaining, and scaling the software infrastructure that powers MedImpact’s core operations.
This role requires a blend of technical precision and domain adaptability. Whether you are working on backend Java services, database architecture, or full-stack initiatives, your contributions are expected to drive reliability and performance in a high-stakes environment. You will collaborate with cross-functional teams to solve real-world problems that bridge the gap between healthcare requirements and robust software solutions.
Initial Screening
reportedThe title covers product work, platform work, infrastructure, mobile and frontend, and those are different jobs with different loops behind them. A screening call is the cheapest place to find out which one the seat is, and asking reads as experienced rather than fussy. The questions that separate them: what the team is on call for, what the last three projects were, and whether any round happens inside an existing repository instead of a blank file. Then say which of that you have done and which you have not. Claiming the whole posting is the fastest way to be found out one round later.
What to demonstrate
- Whether you can locate your experience inside one flavour of the role honestly instead of claiming the entire requirements list
- Whether you name what you have not done, which an experienced screener reads as a level signal and can plan the loop around
- Whether what you want next matches what the seat is: someone who wants greenfield work landing on a team that mostly operates an existing system is a hire that leaves within the year
How to prepare
- Mark every line of the posting as done, adjacent or new, and write one sentence for each adjacent line naming the closest thing you actually built
- Split your last two years into rough percentages across feature work, operating and debugging live systems, and design or review, so a question about scope gets numbers rather than adjectives
- Bring three questions that discriminate between seats: what the team is paged for, how much of the work is changing existing code versus standing up something new, and what shipped in the last quarter
Technical Assessment
reportedInput 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
Technical Interviews
reportedThe 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
Behavioral Discussions
reportedThis round is deciding whether a change you make without supervision can be allowed to reach production. It is scored on what you knew at the moment you decided, not on how it turned out, so a story that opens with the result and works backwards reads as luck retold as judgement. Say what the options were, what you did not know, what you did to shrink the unknown before committing, and what you accepted as the worst plausible case. The detail that separates answers is a bound: how many users, how much data, and for how long, if you had been wrong.
What to demonstrate
- Whether the reasoning you give was available at the time you decided rather than after the result came in, since a story whose deciding evidence arrived later describes an outcome and not a judgement
- Whether you can put units on the exposure (users, rows, minutes of degraded service) and whether the containment you chose actually bounded it: a canary bounds the request path it fronts, while a background job writing to a shared table reaches every user regardless of which version served their requests
- Whether the reversal path existed before you shipped or was improvised during the incident, and whether it restores state or only stops further damage
How to prepare
- For your three largest changes, write down the one thing you would have had to be wrong about for it to fail, and what your best estimate of it was on the day you shipped. If you never held an estimate, that is the gap the follow-up questions will find
- Write the undo procedure for one of those changes as it existed at the time, then mark which steps restore data and which only stop new damage. Turning a flag off or reverting a deploy ends the new writes; rows already written come back only from a copy you kept, and a dropped column comes back empty unless something outside the schema holds the values
- Rehearse one story from the decision point forward and stop before the outcome, then have someone ask what you would do next. If the story only works with the ending attached, it is an anecdote rather than a decision you can defend
Multi-Interviewer Sessions
reportedAn unlabelled round is first an information problem, and the cheapest information is free. Whoever schedules it can usually tell you how long it runs, who will be in the room and what they work on, whether you will be writing code and in what environment, and whether anything is being sent beforehand. Ask in writing so the answer is on record, then prepare for the two or three formats those answers still leave open instead of betting on one. What separates a strong candidate is not guessing right; it is having an opening that works whichever one it turns out to be.
What to demonstrate
- Whether you can start work from an ambiguous brief, since tolerating a vague scope without stalling is the same thing the job asks for
- Whether the questions you asked beforehand were ones that change your preparation, such as duration, medium and who is joining, rather than ones whose answers you could not have acted on
- Whether you adapt when the round turns out to be something other than what you were told, instead of spending the first ten minutes visibly recalibrating
How to prepare
- Send one short scheduling message asking four things: how long, who is joining and what they work on, whether you will be writing code and where, and whether to prepare anything in advance. Treat a vague reply as real information, since it means the round is loosely structured and you will be shaping it yourself.
- Write one opening that works in any of the formats still open: restate in your own words what you have been asked to do, then ask which of two directions is more useful to them. Say it aloud until it stops sounding recited.
- Set up for the two most likely formats before the call starts, with a blank editor in the language you would choose and a shared document you can type into, so a format surprise costs you nothing in the first minutes
PracHub editorial advice for the preparation topics above.
Serialising a tenant's writes through select ... for update on a single counter row
It is the first change that makes a counter correct, and it caps that tenant's write throughput at roughly one divided by the lock hold time. A transaction that takes the lock, makes a network call and then commits holds it for the entire round trip: at 2 ms that is about 500 writes per second for the whole tenant, and the largest tenants are exactly the ones that exceed it. The damage then spreads, because every waiter holds a database connection while it queues, so one hot tenant drains the shared pool and the symptom presents as a site-wide latency incident rather than as a lock problem. The repairs are to shrink the critical section to a single statement, to shard the counter into per-(tenant, hour) or per-(tenant, bucket) rows and sum on read, or to batch in memory and flush periodically while accepting the bounded loss that batching implies.
One shared connection pool for every tenant and every query class
A single tenant with a large table and a missing index can occupy every connection with slow queries, and every other tenant then waits in connection acquisition -- a queue invisible in database metrics, because the database itself looks healthy while the application starves. Containment is bulkheads: separate pools or per-tenant concurrency caps for interactive requests, background jobs and exports, a statement timeout low enough that a pathological query dies before it accumulates, and an idle-in-transaction timeout so a stuck client cannot pin a connection and its locks indefinitely. One caveat worth knowing in advance: if a transaction-pooling proxy sits in front of the database, session-scoped behaviour changes, so session-level advisory locks and settings applied outside a transaction do not survive the way they do on a direct connection.
Retrying a write that is not safe to repeat
A timeout tells you nothing about whether the server applied the write, so a blind retry of a create or a charge can duplicate it. Either make the operation idempotent, with a caller-supplied key the server deduplicates on or a conditional update, or do not retry it; and use exponential backoff with jitter so the retries of many clients do not synchronise into a second outage.
Not asking what the system looks like if it dies halfway through
For any multi-step write, say what state remains if the process stops between step two and step three, and what brings it back: a single transaction, a saga with compensating actions, an outbox, or a reconciliation job. Partial failure is routine at any real call volume, so 'that shouldn't happen' is an answer with nothing behind it.
Choose a category, try a prompt, then open its approach, worked solution or follow-up when you need it.
Solve a coding challenge involving arrays or HashMaps.
Solve a coding challenge involving arrays or HashMaps.
Approach
- Walk one small example through your approach before writing the whole thing.
- Name the brute-force solution and its complexity before improving on it.
- State the target complexity and say which constraint rules the naive version out.
Follow-up
- What is the worst case, and how likely is it on real data?
- How does this change if the input no longer fits in memory?
What is the difference between a list and an array?
What is the difference between a list and an array?
Approach
- Identify the window where an invariant is briefly untrue.
- Distinguish a value from a reference to it, and say which one you handed out.
- Name what is shared across threads and what owns each piece of state.
Follow-up
- What happens if two callers reach this at the same time?
- How would you prove the race exists rather than suspect it?
Why is Python considered an interpreted language?
Why is Python considered an interpreted language?
Approach
- Identify the window where an invariant is briefly untrue.
- Reach for the cheapest primitive that closes the race, not the broadest lock.
- Distinguish a value from a reference to it, and say which one you handed out.
Follow-up
- Where could this allocate more than you expect?
- What happens if two callers reach this at the same time?
Schedule ordered webhook retries with a heap of subscription queues
Design the in-memory scheduler for webhook delivery. Up to 20 million rows sit in status pending or failed_retryable across 200,000 subscriptions, each row carrying next_attempt_at and attempt_count, and each endpoint having a circuit breaker. Deliveries for one subscription must be attempted in order, so at most one attempt per subscription may be in flight. Support due(now), complete(delivery, outcome) and insert(delivery) in O(log S), where S is the subscription count rather than the delivery count. Give the backoff formula you schedule retries with.
Approach
- Key the global heap by subscription, not by delivery. Each subscription owns a FIFO of its due deliveries in event order; the heap holds one entry per eligible subscription, keyed by its head's
next_attempt_at. That is 200,000 heap entries instead of 20 million, and it makes the one-in-flight rule structural rather than a check somebody can forget. due(now): peek the minimum. If its key is in the future, sleep until then instead of spinning. Otherwise pop it, move the subscription into an in-flight set, and do not re-push it. A subscription absent from the heap cannot be dispatched twice, which is precisely how ordering is preserved.complete: on success, drop the head and re-push the subscription keyed by its new head, or leave it out when the queue empties. On a retryable failure, incrementattempt_countand setnext_attempt_at = now + uniform(0, min(cap, base * 2^attempt)), sampled uniformly across the whole interval. That is full jitter; deterministic backoff re-synchronises the herd you just created.- Circuit breaker: park the subscription in a second heap keyed by its half-open time, so an endpoint dead for six hours costs one heap entry and zero attempts rather than consuming worker slots. Admit exactly one probe at half-open and close the breaker only on its success.
- Say the price of the ordering guarantee out loud. One in-flight attempt per subscription means an endpoint answering in 10 seconds drains at 0.1 deliveries/second however many workers you run, and its backlog grows until it recovers. If the customer does not need order, allow k in flight and document delivery as unordered; that is the trade, and it is a product decision.
- All three operations are O(log S) with O(S) resident heap memory and the queues themselves backed by the store. The database-backed equivalent is a partial index on
(subscription_id, next_attempt_at) where status in ('pending','failed_retryable')claimed withFOR UPDATE SKIP LOCKED, and the write-back must be fenced onlease_tokenso a worker that stalled and resumed cannot overwrite a newer attempt.
Worked solution 30 min
- Define the four structures explicitly:
queues: subscription_id -> deque[delivery],ready: min-heap of (next_attempt_at, subscription_id),inflight: set[subscription_id],breaker: min-heap of (half_open_at, subscription_id). - Write down the invariant you will assert after every operation: a subscription appears in at most one of
ready,inflightandbreaker, never in two. - Implement
due,completeandinsert, then simulate 200,000 subscriptions with Zipf-distributed queue depths totalling 20 million deliveries. - Add one endpoint that always times out after 10 seconds and one that always answers in 20 ms, then measure the fast endpoint's throughput with and without the per-endpoint breaker.
- Instrument heap size across the run.
Follow-up
- One subscription has 4 million queued deliveries. What stops it from starving the other 199,999, and what does your heap look like under that load?
- A customer requests redelivery of last Tuesday's events. Where do those rows enter your structure, and what keeps them from reordering live traffic?
- The process restarts. How much state do you rebuild, and what stops every subscription from being attempted in the same second?
Model credential revocation so history survives the delete
tenant_api_key stores key_id, tenant_id, workspace_id, name, key_prefix, secret_hash, scopes text[], status (active, revoked, expired, compromised), auth_version, created_at, expires_at, last_used_at, revoked_at, revoked_reason. Rotation inserts a new row and revocation never deletes, because an incident review asks which credential served a request last quarter. Write the constraints that enforce: a label is unique only among a tenant's live keys, revoked_at and status can never disagree, and scopes is never empty. Then write the authentication lookup predicate, and name one column in this table that must stay out of it.
Approach
- Reach for a partial unique index rather than a plain UNIQUE:
create unique index on tenant_api_key (tenant_id, name) where revoked_at is null. Any number of revoked rows may share a label, the live namespace stays unique per tenant, and the revoked majority is not in the index at all, so it stays small on a table that only grows. - Tie the nullable timestamp to the enum so the two cannot drift:
check ((revoked_at is not null) = (status in ('revoked','compromised')))andcheck ((revoked_at is null) = (revoked_reason is null)). A revocation that records no reason is the one an incident review cannot use. - Write the emptiness check as
check (cardinality(scopes) > 0), notarray_length(scopes, 1) > 0. array_length returns NULL for an empty array, a CHECK constraint passes when its expression is NULL, so the array_length version accepts exactly the value it was written to reject. - Make the lookup a single index probe with every liveness condition inside it:
where secret_hash = $1 and revoked_at is null and (expires_at is null or expires_at > now()) and auth_version = $2, backed by a unique index on secret_hash. Nothing is filtered in application code, so there is no path that forgets a clause. - Keep last_used_at out of that predicate. It is written asynchronously and is allowed to lag by a minute, so it is a usage signal; feeding it into an authorisation decision makes the decision depend on a write that may be late, batched away or lost.
- Flag the modelling smell while you are here:
expiredis derivable fromexpires_at < now(), so storing it as a status obliges a job to keep it true and guarantees the column is wrong between the expiry instant and that job's next run. Derive it in the predicate; keep the stored status for states that are decisions rather than clock readings.
Follow-up
- Rotation issues a replacement while the old key stays live for a 30-day overlap. What does the uniqueness rule become, and what does the UI show to tell two same-named keys apart?
- A password reset bumps the principal's auth_version. No row in this table changed. How does the next request fail, and what query counts how many keys that bump just killed?
- A key turns up in a public repository. Which columns let you find it, and what do you write to the row?
Paginate a tenant's delivery export without skipping rows
A customer exports webhook_delivery: delivery_id (bigint identity), subscription_id, tenant_id, event_id, status, attempt_count, next_attempt_at, created_at, delivered_at, updated_at. The endpoint runs select ... where tenant_id = $1 order by created_at desc limit 100 offset $2, and customers report rows missing from exports taken while new deliveries are being inserted. Write the replacement query and the index that supports it, paging a tenant's deliveries newest first at constant cost per page. State why updated_at cannot be the cursor column.
Approach
- Name the defect precisely. OFFSET is a position in a result set that is recomputed on every request, so a row inserted ahead of the window shifts everything back by one and the next page starts after a row the client never received. Nothing errors and no identifier gap appears, so the loss is silent.
- Replace the position with a value predicate over a stable, unique, indexed ordering:
where tenant_id = $1 and (created_at, delivery_id) < ($2, $3) order by created_at desc, delivery_id desc limit 100. The row comparison is load-bearing: created_at alone is not unique, so ties straddling a page boundary are dropped or repeated, which is the same bug in a smaller window. - Index
(tenant_id, created_at, delivery_id). PostgreSQL scans a btree in either direction, so an all-DESC ORDER BY is served by an ASC index read backwards and no DESC modifiers are needed; they only matter when the ORDER BY mixes directions. Confirm the plan has no Sort node above the index scan, or the LIMIT stops being an early exit. - Price both forms: keyset is one index descent plus 100 adjacent leaf entries per page, constant regardless of depth, while OFFSET still produces and discards every skipped row, so page N costs time proportional to N times the page size and a deep page on a large table goes from milliseconds to seconds.
- Rule out updated_at as the cursor from the precondition, not from taste: a cursor column must never change value for a row already paged past. updated_at moves on every delivery attempt, so a row the client already emitted re-enters a later page and is exported twice. created_at and delivery_id are immutable, which is the whole qualification.
Worked solution 20 min
- Load about 50k deliveries for one tenant, then walk them with the OFFSET query while a writer inserts 10 rows/second, collecting every returned delivery_id.
- Compare the distinct ids collected against the set of ids that existed when the walk started, and record the shortfall.
- Repeat the walk with the keyset query and confirm every pre-existing id is returned exactly once.
- Run
explain (analyze, buffers)on page 1 and page 500 of each form and compare shared buffer hits.
Follow-up
- The client wants a snapshot as of one instant rather than a live tail. Compare a repeatable-read transaction held open, an added
created_at <= $snapshotbound, and a materialised export table. - A retention job deletes deliveries older than 90 days. What does a client mid-walk see, and does keyset pagination help at all?
- The customer wants to resume an export from yesterday's last cursor. What must be true of the cursor for that to be safe?
Explain the SOLID principles and how you apply them in development.
Explain the SOLID principles and how you apply them in development.
Approach
- Fix the scope first: who calls this, how often, and what they do when it fails.
- State the consistency you need, and where you are willing to be stale.
- Choose a partition key and say what query it makes expensive.
Follow-up
- How does this behave when that dependency is down for an hour?
- What would you drop to keep the system up under load?
Can you describe the use of specific Spring Boot annotations?
Can you describe the use of specific Spring Boot annotations?
Approach
- Name the failure you are designing for, then the recovery path.
- Name the read and write paths separately; they rarely have the same bottleneck.
- Choose a partition key and say what query it makes expensive.
Follow-up
- What breaks first when traffic grows ten times?
- What would you drop to keep the system up under load?
How would you implement or troubleshoot communication protocols in an …
How would you implement or troubleshoot communication protocols in an environment?
Approach
- Name the read and write paths separately; they rarely have the same bottleneck.
- Choose a partition key and say what query it makes expensive.
- State the consistency you need, and where you are willing to be stale.
Follow-up
- What would you drop to keep the system up under load?
- What breaks first when traffic grows ten times?
Ship three breaking-looking changes without breaking pinned SDKs
GET /v1/runs/{id} returns status from the set queued, leased, running, succeeded, failed, timed_out, cancelled. You must add the terminal state lost, add an optional billable_seconds field, and start rejecting name values over 64 characters that were previously accepted. Clients are generated SDKs pinned inside customer build pipelines you cannot redeploy or reliably contact, some with strict deserialisers. Classify each change as compatible or breaking and justify it mechanically, then give the rollout: the versioning scheme, the transform old clients receive, the telemetry, and the sunset process.
Approach
- Classify against a deserialiser rather than against intuition. A new enum value breaks a generated client that validates the enum or switches exhaustively; a new optional field breaks one generated with additionalProperties false; tightening validation breaks every caller already sending an 80-character name even though no field moved. All three are breaking for some real client, and that is the answer, not a technicality.
- Choose the versioning axis on maintenance cost. A path version forks the handler, and each subsequent change multiplies the fork. A date-pinned version header, defaulted per credential at first use and pinned thereafter, keeps one internal model and a chain of ordered response transforms, so the handler stays single and the transforms compose.
- Write the downgrade honestly. Older versions have no lost, so the transform maps it to the least-wrong existing value and the changelog says which; mapping it to failed asserts an outcome nobody observed, so pair it with a reason field the old version already exposes rather than inventing a field, and keep the mapping in one documented table instead of a conditional inside the serialiser.
- Sequence the validation tightening separately from the payload changes: first measure how many tenants send names over 64 characters, then warn for a stated window with a Deprecation header and a non-fatal warning code, then reject only for versions dated after the change, never retroactively for a pinned client.
- Deprecate from evidence, not from announcement: per-version, per-tenant, per-credential request counts from the gateway, a Sunset header carrying the date, direct contact for the handful of accounts that make up most of the tail, and short scheduled brownouts before the cutoff so the clients nobody can reach fail on your calendar rather than during their release.
Worked solution 40 min
- Write the three-row classification table with the client-side mechanism that breaks in each case, not just a verdict.
- Pick the versioning scheme and write the header, the default-and-pin rule for a new credential, and where the transform chain sits relative to the handler.
- Write the lost mapping for pre-change versions as an explicit table entry plus the changelog sentence a customer reads.
- Write the validation timeline with four dated steps, and mark which one is visible to clients that never change their version.
- Write the deprecation plan: the telemetry query by version and tenant, the headers, the brownout schedule, and the fallback for the largest holdout.
Follow-up
- Which step of your rollout cannot be rolled back cleanly once a client has depended on it?
- A tenant pinned to a sunset version breaks their build the morning after the cutoff. What in your plan already lets you resolve it within an hour?
- Your transform chain is now six versions deep. What stops it becoming the fork you were avoiding?
Invoice detail latency triples after an ORM relationship refactor
An invoice detail endpoint returned in 40 ms at p99 last week. After a refactor replaced a hand-written join with ORM relationship access it returns in 1.4 s, and the regression grows with the number of invoice_line_item rows on the invoice. Database CPU rose, but no statement in the slow-query log exceeds 3 ms. You have request traces with per-span SQL, the ORM statement log, and a staging copy of the data. Produce an ordered diagnostic checklist, the measurement that confirms the cause before any code change, and the fix.
Approach
- Count statements per request before reading any statement duration. A slow-query log hides this class by construction, because every individual query is fast and only their number is wrong; take one trace and count SQL spans.
- Establish proportionality rather than asserting it: sample invoices with 5, 20, 60 and 200 line items and plot statements per request against line count. A straight line of slope 1 through an intercept of one or two identifies a lazy relationship load, and no index or cache would move that line.
- Locate the emitting attribute access in the refactored code and check whether the same shape repeats one level deeper, for instance a tax or adjustment collection hanging off each line, which turns the cost quadratic.
- Fix with a bounded statement count: either one join that fetches invoice and lines together, or two statements where the second is WHERE invoice_id = $1 AND tenant_id = $2. Keep tenant_id in the predicate so the read stays tenant-scoped even though invoice_id already implies it.
- Choose between the two deliberately: the join duplicates the wide parent row across N children on the wire, the two-statement form avoids that for one extra round trip. Prefer the join for narrow parents and the split for wide ones.
- Pin it with a per-request statement-count assertion in a test that varies line count, because a latency assertion passes on a small fixture and would not have caught this.
Follow-up
- The endpoint now also needs per-line tax rows. Show the shape that keeps statement count constant instead of reintroducing the same defect one level down.
- How does this change if a transaction-pooling proxy sits between the service and the database, so each statement may land on a different backend session?
- The same page paginates invoices with LIMIT and OFFSET. Why is that a second, independent defect, and what replaces it?
Four days sample coding, design, fundamentals and the practical rounds at deliberately shallow depth, which is enough to surface the topics you did not know were in scope. That map, rather than a guess made on day one, decides where the last three days go.
Prepare, practise & reflect
One practical outcome each day. Spend longer where you need it.
0 / 7 done01Coding, one pass at shallow depth
- Solve one problem from each of six families, an array with two pointers, hash counting, binary search, a tree traversal, a graph traversal and one dynamic program, under a hard twenty-minute cap with no extensions, marking each finished, late, or stalled.
- For every stall, write the exact move you could not make rather than the subject, so the note reads could not turn the recurrence into a loop rather than bad at dynamic programming.
- Fix nothing today. The value of the pass is the unfixed record.
Deliverable: Six timed attempts marked finished, late or stalled, each stall carrying a named blocking move.
Practice prompt ↗Practice prompt ↗Worked solution ↗02Design, one pass at shallow depth
- Spend twenty minutes each on three different shapes, a read-heavy feed, a write-heavy ingest path, and something needing a transaction across two entities, stopping each at requirements, interface and data model.
- After each, write the first question you could not answer, which is usually a number you could not estimate or a failure mode you had no vocabulary for.
- Mark which of the three you would be most relieved not to be asked, and treat that as data rather than as a preference.
Deliverable: Three shallow designs, each with the first unanswerable question written at the bottom.
Practice prompt ↗Practice prompt ↗03Fundamentals and the practical rounds
- Answer eight short questions in writing at four minutes each, covering the material that fills the gaps between the big rounds: what happens between a URL and a rendered page, what an index costs on write, when a process is preferable to a thread, and what conditions a deadlock requires.
- Do one thirty-minute practical task of the kind a take-home compresses: read an unfamiliar two-hundred-line file and write what it does, what you would change, and the one thing you remain unsure of.
- Score every answer fluent, correct but slow, or absent, and keep the absent ones visible.
Deliverable: Eight scored short answers and one written reading of unfamiliar code.
Practice prompt ↗Practice prompt ↗04The rounds that are about you, and the map
- Deliver three behavioural answers aloud against a timer, a conflict, a failure you owned, and a decision made without enough information, marking any that ran past three minutes or contained no number.
- Assemble the map: every marked item from days one to three on a single page, sorted by how likely it is to appear in your loop rather than by how uncomfortable it felt.
- Choose exactly two areas for the remaining three days and write down what you are deliberately abandoning.
Deliverable: A one-page scored map of the whole surface area with two areas chosen and the rest explicitly abandoned.
Practice prompt ↗Practice prompt ↗Worked solution ↗05First chosen area, to the depth you skipped
- Work the higher-ranked area in four focused blocks, choosing items one level above where you stalled rather than repeating what already works.
- After each block write the rule you extracted in one sentence with its precondition attached, since a rule carrying no precondition is exactly what fails under a variation.
- Re-attempt the day-one or day-two item that exposed this area and compare against the original timing.
Deliverable: Four worked blocks, a timed re-attempt against the original, and three one-sentence rules with preconditions.
Practice prompt ↗Practice prompt ↗06Second chosen area, where the gap is coverage rather than speed
- Treat the second area differently from the first. Day five drilled something you could already half-do; this one is usually a topic you had simply never met, so build one worked reference example end to end and keep it, rather than attempting six problems badly.
- Write down the vocabulary you were missing on day two or three, five terms at most, each with the one sentence that makes it usable in an answer rather than the textbook definition.
- Redo the shallow attempt that exposed this area and note whether you now fail later in the problem, because moving the failure point is the realistic gain from a single day and is worth more than a score that did not change.
Deliverable: One worked reference example for the newly covered area, a five-term vocabulary list, and a note on where the failure point moved.
Practice prompt ↗Practice prompt ↗07Reassemble the loop
- Sit two rounds back to back with no gap, ordering them so the area you chose second comes last, because the map was built from rested, isolated attempts and the loop will reach your weaker area when you are already spent.
- Write where the second round suffered from the first, which is normally the point at which structure collapses into narration.
- Reduce the week to one page holding only the rules you can state without reading them.
Deliverable: Mock notes on cross-round carryover plus a one-page card of rules you can recite from memory.
Practice prompt ↗Practice prompt ↗Worked solution ↗Expand any day for tasks and deliverables. Your progress is saved on this device.
Engineers over-index on what they repaired. A stronger answer covers something you knowingly left broken: the alert you tuned down, the data inconsistency you documented instead of chasing, the cleanup you deferred past two quarters. Give the reasoning and the condition that would have reopened it, so it reads as a decision and not as neglect.
Own the incident where invoices undercounted metered usage
A metering consumer acknowledged each batch before committing the fold into usage_rollup_hourly. A rolling deploy restarted consumers mid-batch for two hours; roughly 1.4M usage_event rows were acknowledged and never folded, and 61 invoices sealed against the resulting rollups before anyone noticed. Take the owner's role. Describe an incident of comparable blast radius you owned: how it surfaced, the query that sized the loss, what you stopped first, and how the money was corrected. Give a wall-clock timeline and one thing you got wrong while it was still live.
Approach
- Open with the invariant that broke and the direction of the error, because they determine everything else: acknowledging before committing makes the consumer at-most-once, so this loses events rather than duplicating them, and loss raises no error anywhere. A listener who hears 'we lost revenue silently' knows immediately why detection took two hours.
- Size it with a stated reconciliation rather than an adjective: sum(quantity) from usage_event grouped by (tenant_id, sku, hour of occurred_at) over the window, against usage_rollup_hourly.quantity_sum on the same keys, filtered to environment='production' because staging and sandbox are metered but not billed. Then bisect by hour and tenant until single cells explain the gap. Say how long that ran and whether a replica could serve it while the incident was live.
- Separate mitigation from fix and say which came first. Mitigation is holding the sealing job, because a sealed row is frozen by design and every minute of sealing converts a recoverable rollup into an invoice correction. The fix is moving the acknowledgement after the commit, which re-introduces duplicates that the dedup check on (tenant_id, idempotency_key) must now absorb.
- State the correction path in the domain's own terms: sealed periods are never edited, so each affected tenant gets an adjustment line on the next invoice with kind='adjustment' and voided_by_line_id pointing at the line it reverses, priced against the same rate tier and carrying the watermark it priced against. That is four separate numbers — tenants affected, minor units, the cycle the adjustment lands in, and when customers were told.
- Close on one prevention control with its cost, not five: a per-hour reconciliation comparing raw sum to rollup sum that pages above a threshold. Name the threshold and the false-page rate you accepted, because a detector nobody will keep staffed is not prevention.
- Name a mistake you made inside the response window — the wrong first hypothesis, a mitigation that made it worse — rather than a design mistake from six months earlier. That is the part candidates rehearse away and interviewers weight heavily.
Follow-up
- Your fix moves the acknowledgement after the commit. What breaks now, and what absorbs it?
- One undercharged tenant has since churned. Do you bill them, and who decides?
- How would you have caught this in ten minutes instead of two hours, and what would that detector cost you in pages per week?
Unblock an engineer on a job run that finished twice
An engineer two weeks into the team brings you a job_run row showing status succeeded with an exit_code written by a worker declared dead ten minutes earlier; the retry attempt also shows succeeded. They have spent a day adding logging and are no closer. You have twenty minutes and you do not want to take the keyboard. Describe how you unblock someone: the question you ask first, what you let them find themselves, the concept you name and when, and how you check the next day that they own the fix rather than having watched you produce it.
Approach
- Ask what they expect rather than what they see: which statement set status to succeeded, and what did it check before writing? That question points directly at the update's WHERE clause, which is where the answer lives, and it costs them nothing to answer, so it does not read as a test.
- Let them build the timeline themselves from the row: queued_at, started_at, leased_until, finished_at and worker_id, on both the original run and the retry. Two different worker_ids with a lease expiry between them tells the whole story, and they will see it before you say it.
- Name the concept once the evidence has earned it. A lease bounds time; it does not prevent a write. The store has to reject a stale writer, which means the update carries a fencing token the row compares — update job_run set status = 'succeeded' where run_id = $1 and lease_token = $2 and status = 'running' — and a long garbage-collection pause or a brief partition is enough to produce what they are looking at.
- Point at the second, less obvious half and let them decide it: 'lost' exists in the status enum precisely so a run whose worker vanished is not recorded as failed, because failed asserts an outcome nobody observed and the system then bills and retries on that assertion. Ask them what these two rows should have said.
- Leave them with the next step rather than the patch — a test that kills the first worker after the sandbox exits and before the row is written — and say when you are available again, so the offer is real rather than polite.
- Check ownership the next day by what they produced, not by asking if it went well: a test that reproduces the window proves they understood it; a test that only asserts the new WHERE clause proves they copied it. Ask them to explain it to a third person and listen for whether the explanation is theirs.
Follow-up
- They propose a longer lease instead of a token. What do you say, and what breaks when legitimate runs last thirty minutes?
- How can you tell whether your explanation landed or they simply deferred to you?
- The same engineer hits a variant of this next month. What did you fail to teach the first time?
Reverse a webhook ordering decision after measuring its cost
You argued for strict per-subscription ordering in webhook-delivery, which means one in-flight attempt per subscription. It shipped. Three months later a single unresponsive endpoint holds one subscription's queue at a six-hour backlog, and two customers report events arriving out of order anyway once their own retries are counted. Describe a decision you reversed: what you originally optimised for, the measurement that changed your mind, what the reversal cost in engineering time and customer change, and how you told the people who had already built on the original guarantee.
Approach
- State the original decision as a trade you made knowingly. Ordering across a network requires a single in-flight attempt per subscription, and its price is head-of-line blocking whenever one endpoint is slow. 'We priced it wrong' is a much stronger opening than 'we did not realise', and it is usually the true one.
- Bring the measurement that flipped it, not the anecdote: backlog age at the ninety-ninth percentile per subscription, the share of subscriptions where one slow endpoint gated an otherwise healthy queue, and the delivery throughput lost to serialisation. A reversal justified by complaints is indistinguishable from a reversal justified by fatigue.
- Name what you learned about the guarantee itself, which is the engineering content of this story. At-least-once delivery means a retried event already arrives after newer ones and the consumer already must be idempotent, so a guarantee the customer has to defend against anyway was never worth what it cost to provide.
- Describe the migration, because reversing a published contract is the hard half and the part candidates skip. Parallel attempts behind a per-subscription flag, a monotonically increasing sequence number added to the envelope so order-sensitive consumers can sort or discard, documentation that states at-least-once and unordered in those words, and a deprecation measured in quarters because the client is a pinned SDK inside a build pipeline you cannot see or redeploy.
- Give the cost in the two currencies that matter: engineer-weeks, and how many customers had to change code. Then say who you told before it shipped rather than in a changelog afterwards, and which large customer you left on the old behaviour and for how long.
- Close with the signal you now weight differently, stated as something you would do earlier next time: measuring the blocking cost on the slowest decile of endpoints before committing to the guarantee, rather than after a customer noticed.
Follow-up
- A customer insists they need ordering. What do you offer them that is not global serialisation?
- How did you choose the deprecation window given that you cannot see or redeploy the clients?
- What would have to be true for you to reverse back?
- 01
A metering consumer acknowledged each batch before committing the fold into usage_rollup_hourly. A rolling deploy restarted consumers mid-batch for two hours; roughly 1.4M usage_event rows were acknowledged and never folded, and 61 invoices sealed against the resulting rollups before anyone noticed. Take the owner's role. Describe an incident of comparable blast radius you owned: how it surfaced, the query that sized the loss, what you stopped first, and how the money was corrected. Give a wall-clock timeline and one thing you got wrong while it was still live.
- 02
An engineer two weeks into the team brings you a job_run row showing status succeeded with an exit_code written by a worker declared dead ten minutes earlier; the retry attempt also shows succeeded. They have spent a day adding logging and are no closer. You have twenty minutes and you do not want to take the keyboard. Describe how you unblock someone: the question you ask first, what you let them find themselves, the concept you name and when, and how you check the next day that they own the fix rather than having watched you produce it.
- 03
You argued for strict per-subscription ordering in webhook-delivery, which means one in-flight attempt per subscription. It shipped. Three months later a single unresponsive endpoint holds one subscription's queue at a six-hour backlog, and two customers report events arriving out of order anyway once their own retries are counted. Describe a decision you reversed: what you originally optimised for, the measurement that changed your mind, what the reversal cost in engineering time and customer change, and how you told the people who had already built on the original guarantee.
Is this an official MedImpact interview guide?
No. It is PracHub's own research and practice material for the Software Engineer role at MedImpact. Rounds and questions reflect what candidates have reported, not a process MedImpact has published, and they change over time. Confirm the current format and scope with your recruiter.
PracHub interview research ↗How can I best prepare for the technical rounds?
Focus on mastering the fundamentals of your primary language and SQL. Review your past projects to explain your technical decisions, and practice coding simple data structure problems to stay sharp.
PracHub interview research ↗Is the interview process difficult?
Candidates report varying levels of difficulty. The process is thorough and expects you to be technically sound. Do not be discouraged by the intensity; treat every question as an opportunity to showcase your problem-solving process.
PracHub interview research ↗What should I do if I don't know the answer to a specific technical question?
Be honest. Explain how you would approach finding the answer or what your intuition tells you based on your experience. Interviewers value transparency and the ability to think through a problem over rote memorization.
PracHub interview research ↗What is the culture like at MedImpact?
The culture is professional and project-focused. You will be working in a fast-paced environment where the ability to complete projects effectively is highly valued.
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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