CrelioHealth Software Engineer Interview Guide

The 60-second brief

As a Software Engineer at CrelioHealth, you will play a pivotal role in shaping the digital infrastructure of diagnostic laboratories and healthcare providers. The company focuses on streamlining complex medical workflows, meaning your code directly impacts the efficiency of healthcare delivery and patient outcomes. You will work within a fast-paced, product-driven environment where the ability to bridge the gap between technical implementation and user-centric solutions is highly valued. The role demands versatility. Because CrelioHealth operates as a lean, agile organization, engineers are often expected to be full-stack contributors. You will likely find yourself toggling between backend service optimization and frontend interface development, all while ensuring that the systems you build are scalable and robust.

This guide is scoped to a Software Engineer candidate at CrelioHealth.

Focus areas

• Python
• JavaScript
• Django (Python Web Framework)

Where to focus your preparation

No round sequence has been reported for CrelioHealth. Confirm the format with your recruiter.

Preparation focus

No round sequence has been reported for this company, so confirm the format with your recruiter and work the reported questions below.

What to demonstrate

• Breadth across the topics this company reports testing
• Whether you confirm the format before preparing for it

How to prepare

• Ask the recruiter for the sequence, the duration of each stage and whether you will be writing code
• Work the reported questions below and time yourself

Where candidates lose points

Prioritize your resume

Be prepared to answer questions about every single project you list. If you cannot explain a technical choice you made in a past project, it will reflect poorly on your depth of knowledge.

Explain your thoughts

When solving coding problems, talk through your logic. Interviewers at CrelioHealth value the process as much as the final result.

Review the stack

Refresh your knowledge of Django performance tuning. It is a recurring theme in technical discussions.

Stay flexible

You may be asked to discuss both frontend and backend concepts in the same interview. Don't be caught off guard by a pivot in focus.

Questions & practice

Merge partitioned event streams into one ordered feed with bounded lateness

Hard · k-way merge · watermarks · out-of-order streams

The read-model service consumes 64 log partitions carrying about 4,000 events per second in total. Each partition is ordered within itself, but partitions drift by up to 30 seconds, and the activity feed must present a tenant's events in occurred_at order. Produce the merge. State its complexity, the buffer it requires in events and in bytes, what happens when one partition is idle, and what you do with an event that arrives after you have already emitted its position. Payloads average 1 KB.

Approach

1. Merge with a min-heap over the 64 partition heads keyed on (occurred_at, event_id): O(log P) per event and O(n log P) overall. The tie-break on event_id is what makes the output deterministic when two partitions carry the same millisecond, which matters because the feed is paginated and a non-deterministic order reorders pages under the reader.
2. Emitting the heap head is only correct once every partition has produced everything up to that timestamp, so the emit condition is a watermark: the minimum across partitions of the highest occurred_at seen, less the allowed lateness. Events are held until the watermark passes them, which is what turns individually ordered streams into a jointly ordered one.
3. Size the buffer from the lateness rather than guessing: 4,000 events per second times 30 seconds is 120,000 buffered events, and at 1 KB each about 120 MB of heap. That number is the real price of the ordering guarantee and belongs in front of whoever asked for it.
4. Handle the idle partition explicitly, because it fails the feed rather than corrupting it: a partition with no traffic never advances its own maximum, so the watermark freezes and output stops entirely. Either every partition emits a periodic idle marker carrying the broker's current time, or the watermark falls back to wall clock for a partition silent beyond a threshold.

Follow-up

• The lateness budget is raised to five minutes. What is the new buffer, and what besides memory changes?
• The consumer restarts. Where does it resume from, and what does the feed look like for the first 30 seconds?

Find overlapping job attempts and peak concurrency from lease records

Medium · sweep line · intervals · leases

A day of job_run history yields about 50,000,000 attempt records: (job_run_id, job_type, attempt, started_at, finished_at which is NULL when the worker died, lease_expires_at). Leases expire on a clock, so a job that outran its lease ran twice. Produce (a) every job_run_id whose attempts overlapped in wall-clock time and (b) the peak number of simultaneously running attempts per job_type with the minute it occurred. Target O(n log n). State how you treat a NULL finished_at and what clock skew does to your answer.

Approach

1. Define the interval before sorting anything: an attempt occupies [started_at, COALESCE(finished_at, lease_expires_at)). finished_at is observed and lease_expires_at is only a promise, so every attempt without a finish contributes an estimate and the whole result is a lower bound on overlap rather than an exact count.
2. For peak concurrency, sweep: emit 2n endpoints, sort by (timestamp, kind) with ends ordered before starts at equal timestamps, then walk the sequence maintaining a counter per job_type and record each type's maximum with its timestamp. O(n log n) dominated by the sort, O(n) space, or O(1) extra if the sort is external and the walk streams.
3. For overlap detection, do not compare attempts pairwise. A single global sort by (job_run_id, started_at) gives both the grouping and the order; within a group, keep the maximum end seen so far and report an overlap exactly when the next start is less than that running maximum, which is one linear pass after the sort.
4. Half-open intervals matter and are easy to get wrong: with closed intervals an attempt ending at the same millisecond another begins reads as concurrency two, and across 50,000,000 records that artefact swamps the real signal.

Follow-up

• A handler is not idempotent and you have found 400 overlapping jobs. Which of them actually caused damage, and what would you query to find out?
• Peak concurrency for one job_type is 4 against a configured cap of 4. Is the cap working, or is the data hiding attempts that never started?

Collapse a redelivered event batch into per-aggregate high-water marks

Easy · hashing · at-least-once · aggregation

You drain a batch of up to 5,000,000 events, each (aggregate_id BIGINT, aggregate_version INT, event_type, payload). The log guarantees order within one aggregate only; the batch merges 64 partitions, and a relay failover has redelivered a range, so an older version for an aggregate can appear after a newer one. Given a map of last_applied_version per aggregate, produce the events worth applying, at most one per (aggregate_id, version), plus the count discarded. Target O(n) time. State the memory for 2,000,000 distinct aggregates and what you do when it does not fit.

Approach

1. One pass, one hash map from aggregate_id to the highest version kept, and a discard counter. An event whose version is at or below last_applied_version for its aggregate is dropped without further work, which is the whole reason the event carries its version rather than a delta. O(n) expected time, O(d) space in distinct aggregates.
2. Keep the maximum, never the last occurrence. The redelivered range means the final appearance of an aggregate in the batch can be an older version than one seen earlier in the same batch, so last-wins applies stale state over newer state and the projection regresses with no error anywhere.
3. Cost the memory instead of calling it large: an 8-byte key plus a 4-byte version is 12 bytes of payload, and an open-addressed table held at a 0.7 load factor costs roughly 17 bytes per entry before per-slot metadata, so 2,000,000 aggregates is tens of megabytes in a native layout and several times that in a runtime that boxes both key and value.
4. If the distinct set exceeds memory, partition on hash(aggregate_id) mod P and reduce each partition independently. Every event for one aggregate hashes to the same partition, so the per-partition result is exact and the merge is concatenation rather than a second reduction.

Follow-up

• The payload is a patch rather than a snapshot, so applying only the highest version loses the intermediate changes. What changes in your reduction?
• How do you detect that version 7 arrived while version 6 was never delivered, and what should the consumer do about the gap?

Find version gaps and relay lag with window functions

Medium · window functions · event tables · frame semantics

outbox_event holds event_id, aggregate_type, aggregate_id, aggregate_version, event_type, payload, status ('pending','published','dead'), attempts, created_at, published_at. A projection is missing rows and you must decide whether the relay skipped events or the consumer dropped them. Write three queries over the last seven days: one listing every aggregate_id whose published aggregate_version sequence has a hole, one giving per-day counts with a running total, and one returning the newest published event per aggregate. For each, say where the window function is evaluated relative to WHERE and LIMIT. PostgreSQL 16.

Approach

1. Gaps: compute lead(aggregate_version) OVER (PARTITION BY aggregate_id ORDER BY aggregate_version) in a subquery, then filter next_version <> aggregate_version + 1 in the outer query. Window functions are evaluated after WHERE, GROUP BY and HAVING and before the outer ORDER BY and LIMIT, so the predicate cannot sit in the same WHERE clause and PostgreSQL 16 has no QUALIFY.
2. Say what the seven-day filter does to the answer: it truncates every partition, so the first row per aggregate has no predecessor inside the window and a hole spanning the boundary is invisible. Widen the window, or join to resource.version as the authority for the true maximum.
3. Running total: SELECT date_trunc('day', created_at) AS d, count() AS n, sum(count()) OVER (ORDER BY date_trunc('day', created_at) ROWS UNBOUNDED PRECEDING). An aggregate inside a window call is legal because grouping runs before windowing. The grouping key is unique per row here so ROWS and RANGE agree, but write the frame anyway — over ungrouped rows with tied timestamps the default RANGE frame pulls in every peer row and the total jumps.
4. Newest per aggregate: DISTINCT ON (aggregate_id) ... ORDER BY aggregate_id, aggregate_version DESC is the cheap PostgreSQL-only form when an index matches that order; row_number() OVER (PARTITION BY aggregate_id ORDER BY aggregate_version DESC) = 1 is the portable form and needs a subquery for the same evaluation-order reason as the gap query.

Follow-up

• Relay failover redelivers events. Does a duplicate break the gap query, and how would you detect one from this table alone?
• Turn the gap check into a continuous monitor rather than a query someone runs after an incident. What does it watch?

Keep soft-deleted accounts from blocking re-registration

Easy · soft delete · unique constraints · engine differences

app_user holds user_id, tenant_id, email CITEXT, password_hash (NULL for SSO principals), email_verified_at, auth_version, status ('invited','active','suspended','deactivated'), created_at, updated_at, deleted_at. Two live accounts for one address inside a tenant must be impossible, but an address freed by a soft delete must be reusable, and the same tenant may delete and re-register it repeatedly. Write the uniqueness DDL for PostgreSQL 16, then the equivalent for MySQL 8 where partial indexes do not exist, and say what each permits once three deleted rows already hold that address.

Approach

1. Start from what is actually unique: not (tenant_id, email), but (tenant_id, email) among live rows. PostgreSQL says that directly — CREATE UNIQUE INDEX app_user_live_email ON app_user (tenant_id, email) WHERE deleted_at IS NULL. A full constraint over the same two columns burns the address permanently the first time someone deletes an account.
2. Keep case-insensitivity in the type or the index, never in the application: CITEXT as given, or UNIQUE (tenant_id, lower(email)) as an expression index where the extension is unavailable. A case-sensitive unique column is exactly how two accounts for one human appear.
3. For MySQL 8 the predicate has to move inside the key: add a discriminator column that is a constant 0 while the row is live and is set to user_id on delete, with UNIQUE (tenant_id, email, deleted_marker). Live rows share the constant and still collide; deleted rows differ from each other and stop colliding.
4. State the NULL variant and its dependency: leaving the marker NULL for deleted rows also works, because a unique index treats NULLs as distinct — true in MySQL, and true in PostgreSQL only under the default NULLS DISTINCT, which PostgreSQL 15 lets you reverse. Check the polarity against the three existing deleted rows: constant-on-live is what preserves the collision you want, and reversing it silently admits duplicate live accounts.

Follow-up

• A deleted account re-registers with the same address the next day. Do the old resource rows follow the new user_id, and how does the API keep the two principals apart?
• How do you honour an erasure request while resource_revision.actor_user_id still references this table?

Explain the difference between select_related and prefetch_related in Django.

Medium · Technical Proficiency (Python & Django)

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?

Publish rate-limit and deadline semantics the edge actually enforces

Easy · rate limiting · backpressure · retries

The edge API serves about 3k requests/second steady and 9k at peak against a 400 ms p99 budget, with an explicit bounded concurrency limit per instance. Limits exist per principal and per tenant. Callers are a partner integration running nightly bulk loads and a browser app. Specify the counting algorithm and window, which limit a request is charged against, the headers a well-behaved client reads, the status and body when a limit is hit, how that differs from the response when an instance is shedding load, and what each caller does with each.

Approach

1. Choose the counter and name its failure mode. Fixed windows admit nearly twice the limit across a boundary - a full burst at the end of one window and another at the start of the next. A token bucket states sustained rate and burst separately, which is exactly what a nightly bulk load needs. A sliding-window counter is more faithful and costs more state per key. State the choice and the burst it permits.
2. Charge each request against both keys and reject on the stricter. The tenant limit protects the shared primary, which absorbs roughly 1.2k writes/second in total; the per-principal limit stops one credential inside a tenant from consuming that tenant's whole allowance. The tenant is the fairness unit for the same reason it is the leading column of every index.
3. Advertise limit, remaining and reset for the binding key on every response, not only on rejections, so a client can pace before it is refused. Pick one naming scheme - the RateLimit-* draft fields or an X-prefixed set - document the units, and never change them afterwards.
4. Separate two rejections that look identical to a naive client. 429 means this caller exceeded its own share and Retry-After is a real schedule it should obey. 503 means the instance is at its concurrency bound and shedding, which is a statement about the server; a fleet-wide 503 retried on a fixed delay resynchronises every client into one stampede, so full jitter is mandatory there and the delay is the client's guess, not ours.

Follow-up

• One tenant stays under its limit and still degrades everyone else during a backfill. What changes - the limiter, the worker concurrency caps, or both?
• How are counters kept correct across 20 to 40 stateless instances, and what does your answer cost per request?

Listing latency scales with page size, not with filters

Easy · n+1 · latency · query batching

The tenant listing endpoint reads resource filtered by tenant_id and status, ordered by updated_at DESC, and returns each row plus the owner's display name from app_user and the actor of that resource's latest resource_revision. p99 is 55 ms at 10 rows per page and 1.4 s at 200. Database telemetry shows 401 statements per request, each under 1 ms, and nothing in the slow-query log. Diagnose the cause and give the fix, stating the statement count per request and the p99 you expect afterwards.

Approach

1. Read the counters before forming a theory. 401 statements for 200 rows is one driver query plus two per row, and sub-millisecond execution with an empty slow-query log rules out a bad plan. The time is round trips, which is why it is invisible in every per-query metric and scales with rows returned rather than with filter selectivity.
2. Name the two per-row statements from their normalised text: a single-row app_user lookup by user_id, and a resource_revision lookup by resource_id ordered by version DESC LIMIT 1. Confirm by dropping those two response fields and watching the statement count fall to one. That locates the calls in the serialisation layer, not the repository.
3. Check that the arithmetic accounts for the whole gap. Measure one round trip to the replica in isolation; 400 trips at roughly 3 ms of network plus 0.2 ms of execution is about 1.3 s on top of a 55 ms baseline, which matches. If the multiplication had fallen short, the N+1 would only be part of the story and you would keep looking.
4. Batch both lookups. Collect owner_user_ids and resource_ids from the driver query, then issue WHERE tenant_id = $1 AND user_id = ANY($2) for the users, and PostgreSQL's SELECT DISTINCT ON (resource_id) ... WHERE resource_id = ANY($2) ORDER BY resource_id, version DESC for the latest revision, which the UNIQUE (resource_id, version) index serves directly. On an engine without DISTINCT ON, use a lateral join or a row_number window. Three statements per request at any page size.

Follow-up

• The page size is capped at 200 today. What breaks first if it is raised to 2,000, and is it still this bug?
• How do you stop the next N+1 from reaching production, given that no individual query is slow and the endpoint's tests pass?

Suggested practice checklist

Built from the topics and questions CrelioHealth candidates report; no round sequence has been reported.

Day 1 — Establish the CrelioHealth format

• No round sequence has been reported, so ask your recruiter for the sequence, the duration of each stage and whether you will write code.

Deliverable: A written reply from your recruiter confirming the format.

Day 2 — Work Python

• Spend the session on Python, which CrelioHealth candidates report being tested on.
• Write one worked example in Python and time yourself on it.

Deliverable: One timed worked example in Python.

Day 3 — Work JavaScript

• Spend the session on JavaScript, which CrelioHealth candidates report being tested on.
• Write one worked example in JavaScript and time yourself on it.

Deliverable: One timed worked example in JavaScript.

Day 4 — Work Django (Python Web Framework)

• Spend the session on Django (Python Web Framework), which CrelioHealth candidates report being tested on.
• Write one worked example in Django (Python Web Framework) and time yourself on it.

Deliverable: One timed worked example in Django (Python Web Framework).

Day 5 — Answer out loud: Technical Proficiency (Python & Django)

• Answer aloud, timed: Explain the difference between select_related and prefetch_related in Django.

Deliverable: Spoken answers to 1 reported Technical Proficiency (Python & Django) question(s), under time.

Day 6 — Rehearse your own examples

• Prepare three examples from your own work where you made the decision, each with the outcome you can quantify.

Deliverable: Three examples written out, each with a number attached.

Day 7 — Dry run for CrelioHealth

• Run one full mock under time, then write down the two questions you most want to ask your interviewers.

Deliverable: A completed timed mock and two questions to ask.

Behavioural preparation

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

Tell callers you do not own that their integration breaks

Medium · deprecation · compatibility · stakeholders

A field in a write endpoint's response must change shape. You own the endpoint; you do not own the four internal callers or the outbound webhook consumers who read it. Describe a deprecation you were responsible for: what you shipped first, how you established who was actually reading the field, the window you gave and what set its length, what you did about the consumer who never moved, and how you decided removal was safe. Name the signal you used, not the announcement you sent.

Approach

1. Establish the reader set empirically rather than from a wiki of owners: per-field usage counters keyed by principal, or access logs attributed to a consumer. State the blind spot of whichever you pick, since a consumer that reads the field only on a monthly job will not appear in a week of logs.
2. Ship additive first. Populate the new field alongside the old one so no reader is forced to move, which is also what keeps a rolling deploy safe, because old and new instances answer the same requests at the same time and a rollback must still find the old shape present.
3. Set the window from the slowest legitimate consumer's release cadence, not from your calendar, and decide separately what to do for a consumer with no release process at all, such as an external webhook endpoint you can only email.
4. Convert silence into evidence before you rely on it: a short, low-traffic removal window that makes a still-dependent consumer fail visibly and loudly while you are watching, rather than at three in the morning after you have moved on.

Follow-up

• How would you detect a consumer that reads the field only during a monthly export?
• One caller refuses to move and has a commercial relationship behind it. What changes in your plan and what does not?

Ship under a deadline and bound the debt you chose

Medium · pagination · technical debt · tradeoffs

You have four days to ship a tenant-facing listing endpoint. The version you would defend uses keyset pagination over (tenant_id, status, updated_at DESC, resource_id DESC); the version you can finish uses LIMIT/OFFSET with no matching index. Describe a deadline call you actually made of this shape: what you shipped, what you knowingly deferred, how you bounded the damage with a mechanism rather than an intention, and the specific numeric condition that would force the follow-up. Name who you told and where you wrote it down.

Approach

1. Name the deferred failure precisely instead of calling it slow. OFFSET n makes the database produce and discard n rows, so cost grows with page depth; without an index matching the sort, every matching row is read and sorted before the limit applies; and rows inserted between two page fetches shift across the boundary so items are skipped or repeated with nothing in the response to signal it.
2. Bound the blast radius with something mechanical rather than a promise: cap maximum page depth, cap page size, restrict the endpoint to one internal caller, or keep it behind a flag. State which failure each cap removes and which it leaves standing.
3. Attach a number to the trigger and wire it to an alarm: the first tenant crossing N resources, or the endpoint's p99 crossing its share of the 400 ms budget, so the debt announces itself instead of waiting to be remembered.
4. Write it where the next engineer looks, which is the code and the ticket, not a chat message: what was deferred, why, the cap, and the trigger.

Follow-up

• At what page depth does the offset version breach your latency budget, given your page size and row counts?
• What breaks first when you switch to keyset pagination later, and what does a client holding an old page token see?

Reverse your own decision and price the reversal

Medium · reversibility · measurement · migrations

Describe a technical decision you made and later reversed. Pick one that cost something: a service you split and merged back, a cache you added and removed, an index you created that pushed the planner onto a worse plan, a projection you rebuilt from scratch. State what you believed when you decided, the measurement that changed your mind, how long the wrong version ran in production, and what the reversal cost in migrations, dual writes, and a deprecation window for callers you did not own.

Approach

1. State the original rationale without irony, in the version you would still defend given what was known then. If it is not defensible, the story is about carelessness rather than judgement, and a different example serves you better.
2. Give the measurement that moved with a before and after: the p99 that did not improve, the cache hit rate that sat at 40%, the plan that flipped to a sequential scan once the table passed a size you can name.
3. Cost the reversal in steps, not adjectives: expand-and-contract deploys, the dual-write window, the callers who had to be notified, the rows already written in the wrong shape that had to be backfilled or abandoned.
4. Distinguish reversal from rewrite by naming what you kept. Most good reversals preserve the schema or the interface and undo one decision inside it, which is also why they were affordable.

Follow-up

• What in that decision was irreversible, and did you know it was irreversible when you made it?
• How did you tell the people who had already built on top of the original decision?