cswork / libraryOpen practice workspace

Interview guides · Corewell Health

Corewell Health Software Engineer Interview Guide

Corewell Health Software Engineer interview guide: reported rounds, questions and how candidates describe the process.

The 60-second brief

As a Software Engineer at Corewell Health, you play a pivotal role in bridging the gap between complex healthcare data and actionable clinical outcomes. You are not just writing code; you are building the digital infrastructure that supports patient care, streamlines hospital operations, and ensures that critical health information is accessible, secure, and accurate. Your work directly impacts how healthcare providers interact with technology, ultimately influencing the quality of service provided to patients across the region. The environment at Corewell Health is defined by a blend of mission-critical stability and the need for modern, scalable innovation. You will navigate a complex ecosystem where reliability is paramount, yet there is a constant drive to modernize legacy systems and integrate new, efficient solutions.

This guide is scoped to a Software Engineer candidate at Corewell Health.

Focus areas

  • Coding Assessments
  • Technical Interviewing
  • Problem Solving

The Corewell Health interview process

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

High-Level Screening

Initial assessment to evaluate candidate's fit for the role and organizational culture.

What to demonstrate

  • Initial assessment to evaluate candidate's fit for the role and organizational culture
  • Depth in Coding Assessments

How to prepare

  • Answer aloud and timed: How would you explain the mechanics of this specific technical process to a non-technical stakeholder?
  • Answer aloud and timed: What are the trade-offs in using [specific technology] versus an alternative approach in a healthcare environment?

Phone Screens

Multiple phone interviews to assess technical skills and problem-solving abilities.

What to demonstrate

  • Multiple phone interviews to assess technical skills and problem-solving abilities
  • Depth in Coding Assessments

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.

Panel Interviews

Interviews with internal team members to evaluate collaboration and technical depth.

What to demonstrate

  • Interviews with internal team members to evaluate collaboration and technical depth
  • Depth in Coding Assessments

How to prepare

  • Answer aloud and timed: Describe your process for ensuring code quality in a high-stakes production environment.
  • Answer aloud and timed: Walk me through your approach to analyzing a set of requirements when the scope is ambiguous.

Technical Project Analysis

Potential evaluation of a technical project to assess independent problem analysis and solution formulation.

What to demonstrate

  • Potential evaluation of a technical project to assess independent problem analysis and solution formulation
  • Depth in Coding Assessments

How to prepare

  • Answer aloud and timed: If you were presented with a project analysis task, how would you prioritize the fixes needed for the most critical issues?
  • Answer aloud and timed: How do you handle a situation where you have a strict 24-hour turnaround for a technical project analysis?

Where candidates lose points

Structure your answers

Use the STAR method (Situation, Task, Action, Result) for behavioral questions to keep your responses concise and impactful.

Emphasize impact

When discussing past projects, focus on the result. What was the benefit to the end-user or the business?

Be prepared for ambiguity

In healthcare, requirements may change or be unclear. Show your interviewer how you ask clarifying questions to reduce uncertainty.

Research the organization

Understanding the challenges facing modern healthcare systems will give you a significant advantage during your interviews.

Questions & practice

Walk me through your approach to analyzing a set of requirements when the scope is ambiguous.

Medium · Problem-Solving and Case Studies

Approach

  1. Restate the input: its shape, its size, and what is guaranteed about it.
  2. Name the brute-force solution and its complexity before improving on it.
  3. Choose the data structure from the access pattern, not from familiarity.
  4. 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?

Identify the heaviest tenants in a five-minute window under memory pressure

Medium · top-k · heavy hitters · streaming

The edge service handles about 3,000 requests per second across roughly 50,000 tenants, peaking near 9,000. Expose the 50 heaviest tenants by request count over the trailing five minutes so limits can be tightened before one tenant's backfill starves the fleet. You may not retain five minutes of raw records. Give the exact solution and its memory, then the bounded-memory approximation with its error stated as a formula, and say which you would ship and at what tenant cardinality that choice changes.

Approach

  1. Do the exact version first, because it is affordable at this cardinality: a ring of 300 one-second counters per tenant, advanced lazily, is 1,200 bytes of counters per tenant and roughly 60 to 90 MB for 50,000 tenants with overhead. Carry a running total and subtract the bucket you overwrite so a window read is O(1) rather than 300 adds.
  2. Extract the top 50 with a size-k min-heap over the tenant sums: O(d log k) for d tenants, against O(d log d) to sort them all. Maintaining the heap continuously instead of on query requires a tenant-to-heap-index map, because incrementing a count already inside the heap means sifting from a known position, and without that map you rebuild the heap on every request.
  3. State the approximation precisely rather than gesturing at sketches. Misra-Gries with m counters retains every item whose true count exceeds N/(m+1), and each retained count underestimates the truth by at most N/(m+1). With m = 1,000 and N = 900,000 requests in the window the error is roughly 900 requests, which is fine for spotting a tenant sending 50,000 and useless for ranking two tenants 200 apart.
  4. Say what breaks when the window slides: Misra-Gries and Space-Saving are insert-only and cannot be decremented as records age out. The workable construction is one summary per sub-window, say ten seconds, with 30 summaries merged at query time, and the merged error is the sum of the per-summary errors, so the bound degrades linearly in the number of sub-windows.

Follow-up

  • The heaviest tenant is heavy because of one export job rather than user traffic. Should the limiter treat those as the same tenant?
  • Two tenants sit tied at the boundary of the top 50. Does your answer flap, and does the flapping matter?

Diff a projection against the primary without per-row point reads

Hard · reconciliation · range hashing · throttling

The listing projection has drifted and some rows show a stale version. The primary holds 40,000,000 resource rows across 12,000 tenants while serving 1,200 writes and 14,000 reads per second. The obvious repair, reading each resource row and comparing its version against the projection, is correct and would eventually finish. Explain precisely why it is unacceptable here, then give a diff that finds the differing rows, state its complexity, and make it safe to run against a live primary. Replication lag is usually under 100 ms and is not bounded.

Approach

  1. Quantify the naive cost rather than calling it slow: 40,000,000 point reads at even 0.5 ms each is over five hours serialised, and the only lever is concurrency, which is exactly what you cannot spend. The primary's pool is sized for the write path, and 40,000,000 random reads evict the buffer cache that sustains the 85 percent cache hit rate, so the audit degrades the system it is auditing.
  2. Replace random access with one ordered pass per side. Both sides can be read in (tenant_id, resource_id) order, which is a sequential scan on each and a merge join in O(n) time and O(1) memory. For a dense diff that is the whole answer, and it reads the primary once instead of 40,000,000 times.
  3. For the expected sparse case, compare range hashes instead of rows: partition the key space, compute per range an order-independent aggregate over hash(resource_id, version), compare aggregates, and descend only into ranges that differ. With d differing rows and branching factor B, at most d ranges mismatch per level, so the drill-down examines O(d log_B(n/d)) ranges and reads full rows only in mismatching leaves.
  4. Aggregate with a sum modulo 2^64 or a multiset hash, never XOR. XOR is order-independent but self-cancelling, so two rows wrong in the same way, or a row duplicated on one side, leave the range aggregate matching and the range is declared clean.

Follow-up

  • The diff reports 900 stale rows. How do you decide between patching those rows and rebuilding the projection from resource_revision?
  • Same job, but the projection lives in a search index that cannot be scanned in key order. What changes?

Denormalise tenant onto revisions and backfill it live

Hard · denormalisation · online migration · backfill

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

  1. 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.
  2. 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.
  3. 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.
  4. 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?

Explain why the owner filter ignores the listing index

Medium · composite index · query plans · sort elimination

The only index on resource is (tenant_id, status, updated_at DESC, resource_id DESC). A new endpoint returns one user's resources across all statuses, newest created first: WHERE tenant_id = $1 AND owner_user_id = $2 ORDER BY created_at DESC LIMIT 20. On a tenant with 2M rows it takes 900 ms and EXPLAIN shows a sort above a large scan. Explain precisely why the existing index cannot serve it, give the index that can, and state which of these the new index still will not help: owner_user_id alone across tenants; the same query ordered by updated_at. PostgreSQL 16.

Approach

  1. Separate the two jobs an index does. For filtering, a composite btree is seekable only on a left prefix, so with no predicate on status the scan can at best range over tenant_id and test owner_user_id per row; PostgreSQL 16 has no btree skip scan to jump the unconstrained column.
  2. For ordering, the index is sorted by (status, updated_at) within a tenant and not by created_at, so the LIMIT cannot stop early: every matching row is read and then sorted. That is the 'Sort Method: top-N heapsort' line, and it is why the plan reads 2M rows to answer with 20.
  3. Derive the replacement from the access path — equality, equality, then the ordering column: CREATE INDEX CONCURRENTLY ON resource (tenant_id, owner_user_id, created_at DESC). The scan seeks to the (tenant, owner) range and walks 20 entries in order, so the Sort node disappears along with the row-read.
  4. Treat INCLUDE (title, status) as conditional, not free. An index-only scan still visits the heap for any row whose page is not marked all-visible, so on a table taking 1.2k writes/second the win depends on autovacuum keeping the visibility map current, and the wider index costs more on every insert.

Follow-up

  • 90% of rows are status='active'. Would a partial index WHERE status = 'active' change your answer, and for which of the three queries?
  • A dashboard runs this for 40 owners in one page load. What changes about the design?

How would you explain the mechanics of this specific technical process to a non-technical stakeholder?

Medium · Technical and Domain Knowledge

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. Work from the requirement backwards to the design.

Follow-up

  • What assumption would you test first?
  • How would you know your answer was wrong?

What are the trade-offs in using [specific technology] versus an alternative approach in a healthcare environm

Medium · Technical and Domain Knowledge

What are the trade-offs in using [specific technology] versus an alternative approach in a healthcare environment?

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. 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 materials or modules you develop are scalable and maintainable over time?

Medium · Technical and Domain Knowledge

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. 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 your process for ensuring code quality in a high-stakes production environment.

Medium · Technical and Domain Knowledge

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. Work from the requirement backwards to the design.

Follow-up

  • What assumption would you test first?
  • How would you know your answer was wrong?

If you were presented with a project analysis task, how would you prioritize the fixes needed for the most cri

Medium · Problem-Solving and Case Studies

If you were presented with a project analysis task, how would you prioritize the fixes needed for the most critical issues?

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. 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 document your process to ensure that your proposed fixes are clear to the rest of the team?

Medium · Problem-Solving and Case Studies

Approach

  1. Say who the caller is and what they do when the call fails halfway.
  2. Define the identity of a request so a retry cannot double-apply it.
  3. Separate accepted, pending, failed and confirmed; they are different facts.
  4. 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?

Can you discuss a time you had to troubleshoot a system failure involving complex data dependencies?

Medium · Technical and Domain Knowledge

Approach

  1. Establish what changed and when, before forming any theory.
  2. Pick a bisection that eliminates candidates whichever way it turns out.
  3. Check the instrumentation before believing the symptom.
  4. 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?

Suggested practice checklist

Built from the rounds and topics Corewell Health candidates report.

Day 1 — Map the Corewell Health loop

  • Write out the reported sequence: High-Level Screening, Phone Screens, Panel Interviews, Technical Project Analysis.
  • 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.

Day 2 — Work Coding Assessments

  • Spend the session on Coding Assessments, which Corewell Health candidates report being tested on.
  • Write one worked example in Coding Assessments and time yourself on it.

Deliverable: One timed worked example in Coding Assessments.

Day 3 — Work Technical Interviewing

  • Spend the session on Technical Interviewing, which Corewell Health candidates report being tested on.
  • Write one worked example in Technical Interviewing and time yourself on it.

Deliverable: One timed worked example in Technical Interviewing.

Day 4 — Work Problem Solving

  • Spend the session on Problem Solving, which Corewell Health candidates report being tested on.
  • Write one worked example in Problem Solving and time yourself on it.

Deliverable: One timed worked example in Problem Solving.

Day 5 — Answer out loud: Technical and Domain Knowledge

  • Answer aloud, timed: How would you explain the mechanics of this specific technical process to a non-technical stakeholder?
  • Answer aloud, timed: What are the trade-offs in using [specific technology] versus an alternative approach in a healthcare environment?

Deliverable: Spoken answers to 2 reported Technical and Domain Knowledge question(s), under time.

Day 6 — Answer out loud: Problem-Solving and Case Studies

  • Answer aloud, timed: Walk me through your approach to analyzing a set of requirements when the scope is ambiguous.
  • Answer aloud, timed: If you were presented with a project analysis task, how would you prioritize the fixes needed for the most critical issues?

Deliverable: Spoken answers to 2 reported Problem-Solving and Case Studies question(s), under time.

Day 7 — Answer out loud: Behavioral and Teamwork

  • Answer aloud, timed: Tell me about a time you had to work with a cross-functional team to solve a difficult technical problem.
  • Answer aloud, timed: How do you handle feedback on your code or your architectural designs from senior engineers?

Deliverable: Spoken answers to 2 reported Behavioral and Teamwork question(s), under time.

Behavioural preparation

Behavioural rounds judge the decision you made and what it cost.

How do you handle a situation where you have a strict 24-hour turnaround for a technical project analysis?

Medium · Problem-Solving and Case Studies

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. 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 you identified an inefficiency in a system and the specific steps you took to resolve it.

Medium · Problem-Solving and Case Studies

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. 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 time you had to work with a cross-functional team to solve a difficult technical problem.

Medium · Behavioral and Teamwork

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. 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 on your code or your architectural designs from senior engineers?

Medium · Behavioral and Teamwork

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. 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 communication style when explaining technical constraints to project managers.

Medium · Behavioral and Teamwork

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. 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?

Give an example of how you have contributed to a positive team culture during a high-pressure project phase.

Medium · Behavioral and Teamwork

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. 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?