Hazelden Betty Ford Software Engineer Interview Guide

The 60-second brief

The role of a Software Engineer at Hazelden Betty Ford is crucial to the organization’s mission of providing high-quality care for individuals struggling with addiction and mental health issues. As a Software Engineer, you will play a key role in developing and maintaining applications that support clinical operations, enhance patient care, and streamline organizational processes. Your contributions will directly impact users—both patients and healthcare professionals—by ensuring that the technology that underpins their services is efficient, reliable, and user-friendly. This position not only involves coding and technical problem-solving but also requires collaboration with cross-functional teams, including product management and clinical staff. You will have the opportunity to work on complex projects that can influence the overall effectiveness of treatment programs.

This guide is scoped to a Software Engineer candidate at Hazelden Betty Ford.

Focus areas

• Interview communication (video interview)
• Professional reference management
• Email-based professional correspondence

The Hazelden Betty Ford interview process

Hazelden Betty Ford candidates report 3 rounds over 3-5 weeks. The stages below are what candidates describe, not a published process.

Initial Screening

An initial review of the candidate's background and qualifications.

What to demonstrate

• An initial review of the candidate's background and qualifications
• Depth in Interview communication (video interview)

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 Interview

A technical assessment that may include coding challenges to evaluate skills.

What to demonstrate

• A technical assessment that may include coding challenges to evaluate skills
• Depth in Interview communication (video interview)

How to prepare

• Answer aloud and timed: How do you ensure code quality and maintainability in your projects?
• Answer aloud and timed: Can you explain the principles of object-oriented programming?

Team Conversations

Discussions with team members and leadership to assess cultural fit and alignment with values.

What to demonstrate

• Discussions with team members and leadership to assess cultural fit and alignment with values
• Depth in Interview communication (video interview)

How to prepare

• Answer aloud and timed: Discuss a project where you utilized Agile methodology.
• Answer aloud and timed: Design a system for tracking patient records. What considerations would you take into account?

Where candidates lose points

Research the Mission

Take the time to understand Hazelden Betty Ford’s mission and values. Be prepared to discuss how your work aligns with their goals.

Practice Coding Challenges

Engage in coding practice to enhance your problem-solving skills. Platforms like LeetCode or HackerRank can be useful for this.

Prepare for Behavioral Questions

Use the STAR method (Situation, Task, Action, Result) to structure your responses to behavioral questions effectively.

Ask Insightful Questions

Prepare thoughtful questions to ask your interviewers about the team dynamics, ongoing projects, or the organizational culture.

Questions & practice

Write a function to reverse a string in your preferred programming language.

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?

Solve a problem related to data structures, such as implementing a stack or queue.

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?

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?

How would you optimize a database query to improve performance?

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?

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?

What programming languages are you most comfortable with, and why?

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?

Describe a challenging technical problem you faced and how you resolved it.

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 do you ensure code quality and maintainability in your projects?

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 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?

Discuss a project where you utilized Agile methodology.

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?

Design a system for tracking patient records. What considerations would you take into account?

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?

Explain how you would handle user authentication in a 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?

A user reports a bug in the software. Describe your approach to diagnosing and fixing 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?

How would you improve a software feature based on user feedback?

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?

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 rounds and topics Hazelden Betty Ford candidates report.

Day 1 — Map the Hazelden Betty Ford loop

• Write out the reported sequence: Initial Screening, Technical Interview, Team Conversations.
• 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 3 reported rounds, with the weakest marked.

Day 2 — Work Interview communication (video interview)

• Spend the session on Interview communication (video interview), which Hazelden Betty Ford candidates report being tested on.
• Write one worked example in Interview communication (video interview) and time yourself on it.

Deliverable: One timed worked example in Interview communication (video interview).

Day 3 — Work Professional reference management

• Spend the session on Professional reference management, which Hazelden Betty Ford candidates report being tested on.
• Write one worked example in Professional reference management and time yourself on it.

Deliverable: One timed worked example in Professional reference management.

Day 4 — Work Email-based professional correspondence

• Spend the session on Email-based professional correspondence, which Hazelden Betty Ford candidates report being tested on.
• Write one worked example in Email-based professional correspondence and time yourself on it.

Deliverable: One timed worked example in Email-based professional correspondence.

Day 5 — Answer out loud: Technical / Domain Questions

• Answer aloud, timed: What programming languages are you most comfortable with, and why?
• Answer aloud, timed: Describe a challenging technical problem you faced and how you resolved it.

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

Day 6 — Answer out loud: System Design / Architecture

• Answer aloud, timed: Design a system for tracking patient records. What considerations would you take into account?
• Answer aloud, timed: How would you optimize a database query to improve performance?

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

Day 7 — Answer out loud: Behavioral / Leadership

• Answer aloud, timed: Describe a time when you had to work with a difficult team member. How did you handle it?
• Answer aloud, timed: Give an example of how you contributed to a successful project.

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

Behavioural preparation

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

Describe a time when you had to work with a difficult team member. How did you handle it?

Medium · Behavioral / Leadership

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 contributed to a successful project.

Medium · Behavioral / Leadership

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 tasks when managing multiple deadlines?

Medium · Behavioral / Leadership

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?