Interview guides · Heidi
Heidi Software Engineer Interview Guide
Heidi Software Engineer interview guide: reported rounds, questions and how candidates describe the process.
The 60-second brief
As a Software Engineer at Heidi, you are not just writing code; you are building the infrastructure that allows AI to function as a seamless AI Care Partner. Your primary mission is to liberate clinicians from the administrative burden of healthcare. You will be responsible for integrating Heidi directly into clinical workflows, ensuring that our technology feels like a native capability rather than an external plugin. This role is uniquely challenging because it requires you to navigate the immense complexity of the US healthcare system—including billing rules, compliance, and payer constraints—and distill that into simple, intuitive user experiences. You will be expected to own outcomes, not just tickets, ensuring that the systems you build provide measurable value to practitioners while maintaining the highest standards of trust, quality, and observability.
This guide is scoped to a Software Engineer candidate at Heidi.
Focus areas
- AI for Document Processing (Extraction, Reconciliation, Draf
- EHR Integration (Clinical Workflow Integration)
- Full-Stack Development
The Heidi interview process
Heidi candidates report 3 rounds over 3-5 weeks. The stages below are what candidates describe, not a published process.
Initial Alignment
Discuss your technical background and ensure alignment with the role.
What to demonstrate
- Discuss your technical background and ensure alignment with the role
- Depth in AI for Document Processing (Extraction, Reconciliation, Drafting)
How to prepare
- Answer aloud and timed: How would you design a system that ensures high data integrity while integrating with legacy EHR platforms?
- Answer aloud and timed: Explain a time you had to make a significant trade-off between speed of delivery and system observability.
Problem-Solving Deep-Dive
Engage in deep discussions about your problem-solving process.
What to demonstrate
- Engage in deep discussions about your problem-solving process
- Depth in AI for Document Processing (Extraction, Reconciliation, Drafting)
How to prepare
- Answer aloud and timed: How do you approach testing for edge cases in a system where clinical accuracy is non-negotiable?
- Answer aloud and timed: What strategies do you use to manage state and event-driven architectures in an agentic workflow?
Cultural Alignment
Assess your fit within the company's culture through reflective conversations.
What to demonstrate
- Assess your fit within the company's culture through reflective conversations
- Depth in AI for Document Processing (Extraction, Reconciliation, Drafting)
How to prepare
- Answer aloud and timed: How do you balance the use of AI coding tools with the need for rigorous, manual validation of critical code paths?
- Answer aloud and timed: Tell me about a time you had to simplify a complex technical requirement for a non-technical stakeholder.
Where candidates lose points
Think out loud
Our interviewers want to understand your thought process. Even if you are unsure of the answer, explaining your logic is the best way to demonstrate your problem-solving style.
Ask clarifying questions
When presented with a complex problem, don't rush to code. Ask questions to uncover constraints, user needs, and edge cases.
Own your mistakes
If you realize you made an error during a technical session, acknowledge it and discuss how you would correct it. We value self-awareness and the ability to learn.
Be ready to discuss AI
You will be working with AI tools; show us that you understand how to use them effectively while maintaining rigorous standards for correctness and validation.
Questions & practice
Archive a resource graph without breaking live references or recursing
Medium · graph traversal · topological order · tenant isolation
Resources reference other resources within a tenant; for the largest tenant the reference table holds up to 2,000,000 nodes and 8,000,000 edges. Archiving a resource must archive everything reachable from it that nothing outside the set still references, refuse when a live external referrer exists, and terminate when references form cycles, which they legitimately do. Produce the archive order and the refusal list, targeting O(V+E). Say what stops the traversal crossing a tenant boundary, and why recursion is the wrong control structure at this size.
Approach
- Load the subgraph with the tenant predicate on both endpoints of the edge, not only on the side you started from. Scoping the left table alone is the classic cross-tenant leak: one mis-entered edge then pulls another tenant's resources into the traversal and, worse, into the archive.
- Traverse iteratively with an explicit stack. A 2,000,000-node graph can hold a chain deep enough to exhaust a native stack in the low tens of thousands of frames, and that failure is a process crash rather than an error you can return.
- Treat cycles as data rather than corruption: compute strongly connected components with Tarjan in O(V+E) using its own explicit stack, then condense. The condensation is a DAG, so a topological order over it gives the archive order, and every member of a component archives in one transaction because no order within a cycle is valid.
- Decide refusals with reverse edges. A candidate is archivable only if every in-edge originates inside the candidate set, so build the transpose or count in-degrees restricted to the visited set, and emit each blocked resource with the id of the external referrer, which is the only part of the answer an operator can act on.
Follow-up
- The graph is read in one query and the archive writes a minute later. What can change in between, and how do you make the write safe?
- The candidate set is 400,000 resources. Is that one transaction, and if not, what does a half-finished archive look like to a reader?
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
- 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.
- 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.
- 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.
- 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?
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
- 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.
- 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.
- 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.
- 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?
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
- 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.
- 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.
- 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.
- 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?
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
- 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.
- 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.
- 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.
- 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 design a system that ensures high data integrity while integrating with legacy EHR platforms?
Medium · Technical & Domain Expertise
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 a time you had to make a significant trade-off between speed of delivery and system observability.
Medium · Technical & Domain Expertise
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 approach testing for edge cases in a system where clinical accuracy is non-negotiable?
Medium · Technical & Domain Expertise
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?
What strategies do you use to manage state and event-driven architectures in an agentic workflow?
Medium · Technical & Domain Expertise
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?
How do you balance the use of AI coding tools with the need for rigorous, manual validation of critical code p
Medium · Technical & Domain Expertise
How do you balance the use of AI coding tools with the need for rigorous, manual validation of critical code paths?
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?
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
- 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.
- 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.
- 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.
- 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 Heidi candidates report.
Day 1 — Map the Heidi loop
- Write out the reported sequence: Initial Alignment, Problem-Solving Deep-Dive, Cultural Alignment.
- 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 AI for Document Processing (Extraction, Reconciliation, Drafting)
- Spend the session on AI for Document Processing (Extraction, Reconciliation, Drafting), which Heidi candidates report being tested on.
- Write one worked example in AI for Document Processing (Extraction, Reconciliation, Drafting) and time yourself on it.
Deliverable: One timed worked example in AI for Document Processing (Extraction, Reconciliation, Drafting).
Day 3 — Work EHR Integration (Clinical Workflow Integration)
- Spend the session on EHR Integration (Clinical Workflow Integration), which Heidi candidates report being tested on.
- Write one worked example in EHR Integration (Clinical Workflow Integration) and time yourself on it.
Deliverable: One timed worked example in EHR Integration (Clinical Workflow Integration).
Day 4 — Work Full-Stack Development
- Spend the session on Full-Stack Development, which Heidi candidates report being tested on.
- Write one worked example in Full-Stack Development and time yourself on it.
Deliverable: One timed worked example in Full-Stack Development.
Day 5 — Answer out loud: Technical & Domain Expertise
- Answer aloud, timed: How would you design a system that ensures high data integrity while integrating with legacy EHR platforms?
- Answer aloud, timed: Explain a time you had to make a significant trade-off between speed of delivery and system observability.
Deliverable: Spoken answers to 2 reported Technical & Domain Expertise question(s), under time.
Day 6 — Answer out loud: Behavioral & Ownership
- Answer aloud, timed: Tell me about a time you had to simplify a complex technical requirement for a non-technical stakeholder.
- Answer aloud, timed: Describe a situation where you had to advocate for a technical debt reduction project despite competing product priorities.
Deliverable: Spoken answers to 2 reported Behavioral & Ownership question(s), under time.
Day 7 — Dry run for Heidi
- 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 me about a time you had to simplify a complex technical requirement for a non-technical stakeholder.
Medium · Behavioral & Ownership
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 situation where you had to advocate for a technical debt reduction project despite competing produc
Medium · Behavioral & Ownership
Describe a situation where you had to advocate for a technical debt reduction project despite competing product priorities.
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 during pair programming, especially when you strongly disagree with a peer's approa
Medium · Behavioral & Ownership
How do you handle feedback during pair programming, especially when you strongly disagree with a peer's approach?
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?
Give an example of a time you identified a problem outside of your direct scope and took ownership of the solu
Medium · Behavioral & Ownership
Give an example of a time you identified a problem outside of your direct scope and took ownership of the solution.
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 maintain focus on the end-user experience when dealing with messy, legacy backend constraints?
Medium · Behavioral & Ownership
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?