As a Software Engineer at RxSense, you will play a vital role in shaping the future of healthcare technology. This position is integral to developing innovative solutions that enhance patient care and streamline pharmacy benefits management. By leveraging your technical expertise, you will contribute to building scalable applications that support RxSense's mission of transforming the healthcare landscape through data-driven insights. The impact of your work will resonate across various products and services, influencing how users interact with healthcare systems. You will be part of a collaborative team that addresses complex challenges, employs cutting-edge technologies, and drives strategic initiatives to improve healthcare delivery. Expect to work on exciting projects that require creativity, technical acumen, and a passion for problem-solving. This role offers a unique opportunity to engage with cross-functional teams, tackle real-world problems, and ultimately make a meaningful difference in the lives of patients and healthcare providers alike.
Initial Screening
reportedThe first step involves a review of your application and qualifications.
What to demonstrate
- The first step involves a review of your application and qualifications
- Depth in Full Stack Engineering
How to prepare
- Be able to walk your CV end to end in two minutes, and say why this company specifically.
- Have your salary expectations, notice period and location constraints ready, and ask for the rest of the loop in writing.
Technical Assessments
reportedYou will undergo technical assessments to evaluate your expertise and problem-solving skills.
What to demonstrate
- You will undergo technical assessments to evaluate your expertise and problem-solving skills
- Depth in Full Stack Engineering
How to prepare
- Answer aloud and timed: Discuss a time when you optimized an application for performance. What strategies did you employ?
- Answer aloud and timed: How do you ensure the security of your applications?
Behavioral Interviews
reportedEngage in interviews that assess your interpersonal skills and cultural fit within the company.
What to demonstrate
- Engage in interviews that assess your interpersonal skills and cultural fit within the company
- Depth in Full Stack Engineering
How to prepare
- Prepare three examples from your own work, each with a decision you made and an outcome you can quantify.
- Re-read the description of the behavioral interviews above and write down what you would ask to confirm before it.
Final Interviews
reportedParticipate in final discussions with team members, including technical leads and HR representatives.
What to demonstrate
- Participate in final discussions with team members
- Including technical leads and HR representatives
How to prepare
- Answer aloud and timed: Explain how you would handle load balancing in a web application.
- Answer aloud and timed: What considerations would you take into account when designing a RESTful API?
PracHub editorial advice for the preparation topics above.
Research the Company
Understanding RxSense’s mission and recent developments is critical. This knowledge will help you tailor your responses and demonstrate alignment with the company's goals.
Practice Behavioral Questions
Prepare to discuss your experiences using the STAR (Situation, Task, Action, Result) method to structure your answers effectively.
Engage in Technical Exercises
Work on coding challenges and system design scenarios to sharpen your skills and boost your confidence.
Ask Insightful Questions
Prepare thoughtful questions for your interviewers to show your interest in the position and the company culture.
Choose a category, try a prompt, then open its approach, worked solution or follow-up when you need it.
Write a function to reverse a linked list.
Write a function to reverse a linked list.
Approach
- Restate the input: its shape, its size, and what is guaranteed about it.
- Name the brute-force solution and its complexity before improving on it.
- Choose the data structure from the access pattern, not from familiarity.
- State the target complexity and say which constraint rules the naive version out.
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?
How would you implement a binary search algorithm?
How would you implement a binary search algorithm?
Approach
- Restate the input: its shape, its size, and what is guaranteed about it.
- Name the brute-force solution and its complexity before improving on it.
- Choose the data structure from the access pattern, not from familiarity.
- State the target complexity and say which constraint rules the naive version out.
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?
Given an array of integers, write a function to find the two numbers that add up to a specific target.
Given an array of integers, write a function to find the two numbers that add up to a specific target.
Approach
- Restate the input: its shape, its size, and what is guaranteed about it.
- Name the brute-force solution and its complexity before improving on it.
- Choose the data structure from the access pattern, not from familiarity.
- State the target complexity and say which constraint rules the naive version out.
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?
Explain the time and space complexity of your solution.
Explain the time and space complexity of your solution.
Approach
- Restate the input: its shape, its size, and what is guaranteed about it.
- Name the brute-force solution and its complexity before improving on it.
- Choose the data structure from the access pattern, not from familiarity.
- State the target complexity and say which constraint rules the naive version out.
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?
Write a program to detect if a string is a palindrome.
Write a program to detect if a string is a palindrome.
Approach
- Restate the input: its shape, its size, and what is guaranteed about it.
- Name the brute-force solution and its complexity before improving on it.
- Choose the data structure from the access pattern, not from familiarity.
- State the target complexity and say which constraint rules the naive version out.
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?
Denormalise tenant onto revisions and backfill it live
resource_revision (revision_id, resource_id, version, actor_user_id, change_kind, patch, request_id, created_at) has 400M rows and no tenant column; tenant_id lives only on resource. Two reads need it: a tenant-scoped audit feed ordered by created_at DESC, and an offboarding purge. Both join back to resource today. Justify adding tenant_id to resource_revision against those two reads, name the anomaly the copy introduces and the constraint that prevents it, then give the ordered migration for a live table taking 1.2k writes/second — the lock each step takes, how the backfill is batched, and where each step stops being reversible. PostgreSQL 16.
Approach
- Justify from the access path rather than from taste. Without the column, the audit feed either scans resource_revision by created_at and discards other tenants' rows, or resolves the tenant's resource_ids first and probes with them — both proportional to the tenant's whole history rather than to one page. With (tenant_id, created_at DESC, revision_id DESC) it is a seek that stops at 50 rows, and the purge becomes a ranged delete instead of a join.
- Name the cost exactly: a second copy of a fact can disagree with the first. Make the disagreement unwritable rather than documented — add UNIQUE (resource_id, tenant_id) on resource so it can serve as a foreign-key target, then FOREIGN KEY (resource_id, tenant_id) REFERENCES resource (resource_id, tenant_id) on the revision table. A revision can then only ever carry its parent's tenant.
- Step one, expand: ALTER TABLE resource_revision ADD COLUMN tenant_id BIGINT NULL, with no default, so it is a catalogue change and no rewrite. It still needs ACCESS EXCLUSIVE for an instant, and that instant queues behind the longest open transaction on the table while every later query queues behind it — set lock_timeout to 2s and retry rather than wait.
- Step two, dual-write: deploy the writer that populates tenant_id on every new revision while reads still use the join. Reversible by redeploying the previous build, because nothing reads the column yet.
Follow-up
- The backfill is half finished and a rollback is required. What state is the table in, and what does the previous build do with a half-populated column?
- How do you verify the backfill actually finished, given rows are still being inserted while it runs?
Stop tag and share joins from fanning out a page
resource_tag is (resource_id, tag_id) with PK (resource_id, tag_id); resource_share is (resource_id, shared_with_user_id, permission). The tagged-and-shared listing inner-joins resource to both, filters tenant_id, tag_id = ANY($2) and shared_with_user_id = $3, orders by updated_at DESC and takes 50. Pages come back with fewer than 50 distinct resources and the total in the header is far too high. Explain the row multiplication, rewrite both the page query and the count query so each is correct, and name the index each one needs. PostgreSQL 16.
Approach
- Do the arithmetic against the predicates that are actually there. An inner join emits one row per matching child row, and both joins are filtered: tag_id = ANY($2) admits only the requested tags, shared_with_user_id = $3 admits one user's share rows. So a resource holding three of the requested tags and shared with $3 once yields three rows, not one — the multiplier is its count of matching tags times its share rows for that single user, and that second factor is 1 unless the table admits duplicate (resource_id, shared_with_user_id) pairs. LIMIT 50 then limits rows rather than resources, and COUNT(*) counts pairs — the header is the product, not the population.
- Reject DISTINCT as the fix. It deduplicates after the product has been built, so the planner must materialise and sort the fanned-out set before the LIMIT can apply, and it leaves any SUM or AVG in the same select list wrong.
- Rewrite both filters as semi-joins, keeping resource as the only row source: AND EXISTS (SELECT 1 FROM resource_tag rt WHERE rt.resource_id = r.resource_id AND rt.tag_id = ANY($2)) and the same shape against resource_share. A semi-join stops at the first match per resource and preserves the driving index order, so ORDER BY updated_at DESC, resource_id DESC LIMIT 50 still stops after 50 rows.
- Count with the same predicates and no join at all: SELECT count(*) FROM resource r WHERE r.tenant_id = $1 AND r.status = 'active' AND EXISTS (...) AND EXISTS (...). Nothing multiplies a resource, so the number is the population.
Follow-up
- The filter changes from 'any of these tags' to 'all of these tags'. Rewrite it and state what it costs relative to the ANY form.
- A resource can be shared with the same user twice under different permissions. Does your count change, and should it?
What programming languages are you proficient in, and how have you applied them in your projects?
What programming languages are you proficient in, and how have you applied them in your projects?
Approach
- Clarify what is being asked and what a complete answer contains.
- State your assumptions explicitly before working the problem.
- Say what you would check first and why it is the highest-information step.
- Work from the requirement backwards to the design.
Follow-up
- What assumption would you test first?
- How would you know your answer was wrong?
Can you explain the differences between object-oriented programming and functional programming?
Can you explain the differences between object-oriented programming and functional programming?
Approach
- Clarify what is being asked and what a complete answer contains.
- State your assumptions explicitly before working the problem.
- Say what you would check first and why it is the highest-information step.
- Work from the requirement backwards to the design.
Follow-up
- What assumption would you test first?
- How would you know your answer was wrong?
How do you ensure the security of your applications?
How do you ensure the security of your applications?
Approach
- Clarify what is being asked and what a complete answer contains.
- State your assumptions explicitly before working the problem.
- Say what you would check first and why it is the highest-information step.
- Work from the requirement backwards to the design.
Follow-up
- What assumption would you test first?
- How would you know your answer was wrong?
How would you design a distributed system for processing healthcare data?
How would you design a distributed system for processing healthcare data?
Approach
- Fix the scope first: who calls this, how often, and what they do when it fails.
- 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 breaks first when traffic grows ten times?
- How does this behave when that dependency is down for an hour?
Explain how you would handle load balancing in a web application.
Explain how you would handle load balancing in a web application.
Approach
- Fix the scope first: who calls this, how often, and what they do when it fails.
- 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 breaks first when traffic grows ten times?
- How does this behave when that dependency is down for an hour?
What considerations would you take into account when designing a RESTful API?
What considerations would you take into account when designing a RESTful API?
Approach
- Say who the caller is and what they do when the call fails halfway.
- Define the identity of a request so a retry cannot double-apply it.
- Separate accepted, pending, failed and confirmed; they are different facts.
- Design the error taxonomy before the success shape; callers branch on it.
Follow-up
- What happens if the caller retries after a timeout?
- How does a client discover it is on an old version of this contract?
Discuss how you would ensure data consistency in a microservices architecture.
Discuss how you would ensure data consistency in a microservices architecture.
Approach
- Fix the scope first: who calls this, how often, and what they do when it fails.
- 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 breaks first when traffic grows ten times?
- How does this behave when that dependency is down for an hour?
Describe a system you designed and the key architectural decisions you made.
Describe a system you designed and the key architectural decisions you made.
Approach
- Fix the scope first: who calls this, how often, and what they do when it fails.
- 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 breaks first when traffic grows ten times?
- How does this behave when that dependency is down for an hour?
If you were given a legacy system to maintain, what steps would you take to modernize it?
If you were given a legacy system to maintain, what steps would you take to modernize it?
Approach
- Clarify what is being asked and what a complete answer contains.
- State your assumptions explicitly before working the problem.
- Say what you would check first and why it is the highest-information step.
- Work from the requirement backwards to the design.
Follow-up
- What assumption would you test first?
- How would you know your answer was wrong?
Provide a solution for a hypothetical project involving data migration from one system to another.
Provide a solution for a hypothetical project involving data migration from one system to another.
Approach
- Clarify what is being asked and what a complete answer contains.
- State your assumptions explicitly before working the problem.
- Say what you would check first and why it is the highest-information step.
- Work from the requirement backwards to the design.
Follow-up
- What assumption would you test first?
- How would you know your answer was wrong?
Describe a situation where you encountered a significant bug. How did you approach troubleshooting it?
Describe a situation where you encountered a significant bug. How did you approach troubleshooting it?
Approach
- Establish what changed and when, before forming any theory.
- Pick a bisection that eliminates candidates whichever way it turns out.
- Check the instrumentation before believing the symptom.
- Separate the trigger from the cause; the deploy is rarely the bug.
Follow-up
- What would you look at first, and what would it rule out?
- How would you tell a cause from a coincidence here?
How would you approach debugging a performance issue in an application?
How would you approach debugging a performance issue in an application?
Approach
- Establish what changed and when, before forming any theory.
- Pick a bisection that eliminates candidates whichever way it turns out.
- Check the instrumentation before believing the symptom.
- Separate the trigger from the cause; the deploy is rarely the bug.
Follow-up
- What would you look at first, and what would it rule out?
- How would you tell a cause from a coincidence here?
Built from the rounds and topics RxSense candidates report.
Prepare, practise & reflect
One practical outcome each day. Spend longer where you need it.
0 / 7 done01Map the RxSense loop
- Write out the reported sequence: Initial Screening, Technical Assessments, Behavioral Interviews, Final Interviews.
- For each round, write one sentence on what it is judging, from the description above, and mark the one you are least ready for.
Deliverable: A one-page map of the 4 reported rounds, with the weakest marked.
02Work Full Stack Engineering
- Spend the session on Full Stack Engineering, which RxSense candidates report being tested on.
- Write one worked example in Full Stack Engineering and time yourself on it.
Deliverable: One timed worked example in Full Stack Engineering.
03Work Software Engineering (General)
- Spend the session on Software Engineering (General), which RxSense candidates report being tested on.
- Write one worked example in Software Engineering (General) and time yourself on it.
Deliverable: One timed worked example in Software Engineering (General).
04Work Front-End Development
- Spend the session on Front-End Development, which RxSense candidates report being tested on.
- Write one worked example in Front-End Development and time yourself on it.
Deliverable: One timed worked example in Front-End Development.
05Answer out loud: Technical / Domain Questions
- Answer aloud, timed: What programming languages are you proficient in, and how have you applied them in your projects?
- Answer aloud, timed: Can you explain the differences between object-oriented programming and functional programming?
Deliverable: Spoken answers to 2 reported Technical / Domain Questions question(s), under time.
06Answer out loud: System Design / Architecture
- Answer aloud, timed: How would you design a distributed system for processing healthcare data?
- Answer aloud, timed: Explain how you would handle load balancing in a web application.
Deliverable: Spoken answers to 2 reported System Design / Architecture question(s), under time.
07Answer out loud: Behavioral / Leadership
- Answer aloud, timed: Tell me about a challenging project you worked on. How did you handle obstacles?
- Answer aloud, timed: How do you prioritize tasks when working on multiple projects?
Deliverable: Spoken answers to 2 reported Behavioral / Leadership question(s), under time.
Expand any day for tasks and deliverables. Your progress is saved on this device.
Behavioural rounds judge the decision you made and what it cost.
Discuss a time when you optimized an application for performance. What strategies did you employ?
Discuss a time when you optimized an application for performance. What strategies did you employ?
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
Describe your experience with version control systems such as Git.
Describe your experience with version control systems such as Git.
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
Tell me about a challenging project you worked on. How did you handle obstacles?
Tell me about a challenging project you worked on. How did you handle obstacles?
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
How do you prioritize tasks when working on multiple projects?
How do you prioritize tasks when working on multiple projects?
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
Describe a time when you had to collaborate with a difficult teammate. How did you manage the relationship?
Describe a time when you had to collaborate with a difficult teammate. How did you manage the relationship?
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
What motivates you to perform your best in a team environment?
What motivates you to perform your best in a team environment?
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
How do you handle feedback and criticism?
How do you handle feedback and criticism?
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
Discuss a time when you had to make a quick decision with limited information.
Discuss a time when you had to make a quick decision with limited information.
Approach
- Pick a story where you made the decision, not one where you watched it.
- State the situation in two sentences and spend the rest on the reasoning.
- Give the blast radius: what could have broken, and what you measured.
- Name the disagreement and how you resolved it with evidence.
Follow-up
- What would you do differently if you ran that again?
- How did you know your change caused the improvement?
- 01
Discuss a time when you optimized an application for performance. What strategies did you employ?
- 02
Describe your experience with version control systems such as Git.
- 03
Tell me about a challenging project you worked on. How did you handle obstacles?
- 04
How do you prioritize tasks when working on multiple projects?
How difficult is the interview process, and how much preparation time is typical?
The interview process is designed to be challenging yet fair. Candidates typically benefit from several weeks of preparation, focusing on both technical skills and behavioral competencies.
RxSense Software Engineer candidate reports ↗What differentiates successful candidates?
Successful candidates demonstrate a strong technical foundation, effective communication skills, and a genuine passion for the mission of RxSense. They can articulate their experiences clearly and show how they align with the company's values.
RxSense Software Engineer candidate reports ↗Can you describe the culture and working style at RxSense?
RxSense fosters a collaborative and inclusive culture. Team members are encouraged to share ideas, experiment, and learn from each other. Adaptability and a positive attitude are highly valued.
RxSense Software Engineer candidate reports ↗What is the typical timeline from initial screen to offer?
The timeline can vary, but candidates can generally expect to move from initial screening to an offer within 2-4 weeks, depending on scheduling and team availability.
RxSense Software Engineer candidate reports ↗Are there remote work, hybrid expectations, or location specifics?
RxSense offers remote work opportunities, allowing candidates flexibility in their work environment. Specific arrangements can be discussed during the interview process.
RxSense Software Engineer candidate reports ↗What topics does RxSense test in interviews?
RxSense interviews most often cover Prior Authorization (PA) workflows, Marketing Analytics, Full Stack Engineering, Clinical Rules Infrastructure, and Clarifying requirements and scope. The exact emphasis depends on the specific role you apply for.
RxSense Software Engineer candidate reports ↗Sources & methodology 3 sources ↗
No official company page is cited. Rounds and questions come from candidate reports and PracHub editorial material; each source shows the date it was read.
- 01RxSense Software Engineer candidate reports ↗
Company-reported rounds, questions and FAQ.
Candidate reports · Accessed 2026-09-22 - 02PracHub Software Engineer practice ↗
PracHub practice material, not company-reported.
PracHub page · Accessed 2026-09-22 - 03PracHub preparation framework ↗
PracHub preparation guidance.
PracHub page · Accessed 2026-09-22
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