eClinicalWorks Software Engineer Interview Guide

The 60-second brief

As a Software Engineer at eClinicalWorks, you play a pivotal role in designing, developing, and maintaining innovative software solutions that enhance healthcare delivery. This position is crucial for ensuring that our products meet the evolving needs of healthcare providers and patients. Your contributions will directly impact the functionality and efficiency of electronic medical records systems, telehealth applications, and other critical healthcare technologies. The position offers unique challenges, including working on complex systems that require a deep understanding of software architecture, coding best practices, and data management. You'll collaborate with cross-functional teams to develop solutions that not only meet technical specifications but also improve user experience.

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

Focus areas

• Java
• SQL
• DBMS (Database Management Systems)

The eClinicalWorks interview process

eClinicalWorks candidates report 2 rounds over 2-4 weeks. The stages below are what candidates describe, not a published process.

HR Screening

Initial screening to evaluate communication skills and cultural fit.

What to demonstrate

• Initial screening to evaluate communication skills and cultural fit
• Depth in Java

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 Interviews

Interviews focusing on coding abilities and software engineering principles.

What to demonstrate

• Interviews focusing on coding abilities and software engineering principles
• Depth in Java

How to prepare

• Answer aloud and timed: How do you manage memory in Java?
• Answer aloud and timed: Write a SQL query to find the second highest salary from a table.

Where candidates lose points

Be Prepared

Familiarize yourself with eClinicalWorks products and recent developments in healthcare technology.

Practice Coding

Use platforms like LeetCode or HackerRank to sharpen your coding skills and problem-solving techniques.

Communicate Clearly

During interviews, articulate your thought process clearly and confidently to demonstrate your problem-solving approach.

Stay Positive

Maintain a positive attitude throughout the interview process, even if faced with challenging questions or scenarios.

Questions & practice

How do you manage memory in Java?

Medium · Technical / Domain Questions

Approach

1. Say what the runtime actually does before reasoning about the code.
2. Name what is shared across threads and what owns each piece of state.
3. Identify the window where an invariant is briefly untrue.
4. Distinguish a value from a reference to it, and say which one you handed out.

Follow-up

• What happens if two callers reach this at the same time?
• Where could this allocate more than you expect?

Write a function to reverse a linked list.

Medium · Coding / Algorithms

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?

How would you implement a binary search algorithm in Java?

Medium · Coding / Algorithms

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?

Write a SQL query to find the second highest salary from a table.

Medium · Technical / Domain Questions

Approach

1. Name the grain you start from and join outward from it.
2. Check whether any join is one-to-many before aggregating, or the sums inflate.
3. Say which index the query would use, and what makes it unusable.
4. Handle the rows that do not match: that is usually the actual question.

Follow-up

• How does the query change if that join becomes one-to-many?
• What happens to this when the table is ten times larger?

What considerations would you take into account when designing a database schema for a healthcare application?

Medium · System Design / Architecture

Approach

1. Name the grain you start from and join outward from it.
2. Check whether any join is one-to-many before aggregating, or the sums inflate.
3. Say which index the query would use, and what makes it unusable.
4. Handle the rows that do not match: that is usually the actual question.

Follow-up

• How does the query change if that join becomes one-to-many?
• What happens to this when the table is ten times larger?

What are the main principles of Object-Oriented Programming?

Medium · Technical / Domain Questions

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?

Can you explain the difference between an abstract class and an interface in Java?

Medium · Technical / Domain Questions

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 key differences between HTTP and HTTPS?

Medium · Technical / Domain Questions

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 would you design a scalable web application?

Medium · System Design / Architecture

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?

Discuss the advantages of microservices architecture.

Medium · System Design / Architecture

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?

You have a performance issue in a web application; how would you diagnose it?

Medium · Problem-Solving / Case Studies

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?

p99 jumped on one listing filter while p50 stayed flat

Medium · query planning · composite index · percentiles

After a release that added an owner_user_id filter to the resource listing, p99 rose from 90 ms to 1.9 s while p50 stayed at 40 ms. Traffic and row counts are unchanged. resource carries the index (tenant_id, status, updated_at DESC, resource_id DESC). The new query filters tenant_id and owner_user_id, orders by updated_at DESC, resource_id DESC, and takes 20 rows. On PostgreSQL, explain the shape of the regression, prove it from a query plan, and give the index you would add.

Approach

1. Start from the shape. A flat p50 with a moved p99 means a subset of requests changed cost, not all of them, so the first job is naming the subset. Bucket the endpoint's latency by the tenant's row count; the natural hypothesis is that large tenants are a small share of requests and all of the tail.
2. Get the plan for the new query on a large tenant with EXPLAIN (ANALYZE, BUFFERS). Expect an index scan over the tenant's range, a filter discarding most of it, then a Sort feeding the Limit, possibly reporting Sort Method: external merge Disk. Read actual rows on the scan node, not estimated.
3. Explain why the existing index cannot serve it. A composite B-tree is seekable only as a left prefix, and with no equality predicate on status the scan cannot treat updated_at as an ordering, because rows in the tenant's range are ordered by status first. Everything matching must be read and sorted before LIMIT 20 can apply, so a tenant with 400,000 rows pays 400,000 rows to return 20.
4. Add (tenant_id, owner_user_id, updated_at DESC, resource_id DESC). Equality on the first two columns leaves the index ordered by updated_at within that pair, so the plan becomes an index scan that stops after 20 rows with no Sort node. PostgreSQL can scan a B-tree backwards, so the DESC markers matter only if the two sort columns ever disagree in direction; keeping them explicit documents the order the keyset cursor depends on.

Follow-up

• The endpoint paginates with OFFSET. What does page 500 cost with your index, and what does the keyset version cost?
• How would you have caught this before release, given that a 10,000-row seed database produces the same plan shape at an unnoticeable cost?

Suggested practice checklist

Built from the rounds and topics eClinicalWorks candidates report.

Day 1 — Map the eClinicalWorks loop

• Write out the reported sequence: HR Screening, Technical 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 2 reported rounds, with the weakest marked.

Day 2 — Work Java

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

Deliverable: One timed worked example in Java.

Day 3 — Work SQL

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

Deliverable: One timed worked example in SQL.

Day 4 — Work DBMS (Database Management Systems)

• Spend the session on DBMS (Database Management Systems), which eClinicalWorks candidates report being tested on.
• Write one worked example in DBMS (Database Management Systems) and time yourself on it.

Deliverable: One timed worked example in DBMS (Database Management Systems).

Day 5 — Answer out loud: Technical / Domain Questions

• Answer aloud, timed: What are the main principles of Object-Oriented Programming?
• Answer aloud, timed: Can you explain the difference between an abstract class and an interface in Java?

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

Day 6 — Answer out loud: System Design / Architecture

• Answer aloud, timed: How would you design a scalable web application?
• Answer aloud, timed: Discuss the advantages of microservices architecture.

Deliverable: Spoken answers to 2 reported System Design / Architecture question(s), under time.

Day 7 — Answer out loud: Problem-Solving / Case Studies

• Answer aloud, timed: You have a performance issue in a web application; how would you diagnose it?
• Answer aloud, timed: Describe a time when you had to handle a challenging technical problem. What was your approach, and what was the outcome?

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

Behavioural preparation

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

Describe a time when you had to handle a challenging technical problem. What was your approach, and what was t

Medium · Problem-Solving / Case Studies

Describe a time when you had to handle a challenging technical problem. What was your approach, and what was the outcome?

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?

Can you describe a situation where you had to work collaboratively with a difficult team member?

Medium · Behavioral / Leadership Questions

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 prioritize your tasks when working on multiple projects?

Medium · Behavioral / Leadership Questions

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?