cswork / libraryOpen practice workspace

Interview guides · Janssen

Janssen Data Scientist Interview Questions & Guide 2026

Data scientist prep for Janssen: practice defining a healthcare and life sciences metric, picking its guardrails and defending the tradeoff.

The 60-second brief

As a Data Scientist at Janssen, you sit at the intersection of advanced analytics and life-saving innovation. Your work directly influences how Janssen develops, tests, and delivers pharmaceutical solutions to patients worldwide. You are not just building models; you are interpreting complex biological and clinical data to solve high-stakes problems that have a tangible impact on human health.

If the team owns experimentation, expect depth past a two-sample test: minimum detectable effect and its roughly inverse-square-root dependence on sample size (holding power, significance level and variance fixed), variance reduction from pre-period covariates, interference between units, and when a sequential design is the right call.

Focus areas

  • Risk-adjust outcomes before comparing providers or panels
  • Build member-month denominators from overlapping coverage spans
  • Correct for claims runout before reporting recent months

Overview

The role requires a unique blend of technical rigor and strategic communication. You will often collaborate with cross-functional teams, including clinical researchers, engineers, and business stakeholders, to translate ambiguous business or scientific questions into actionable data-driven strategies. Whether you are optimizing clinical trial designs or analyzing real-world evidence, your contributions are critical to the Janssen mission of transforming patients' lives.

The Janssen interview process

Janssen candidates report 4 rounds · ≈ 3-5 weeks. The stages below are what candidates describe, not a published process.

Initial Screening Call

Most candidates lose this call inside the first two minutes, during the walkthrough of their own background. The account runs chronologically, sits at the level of tools and titles, and never arrives at a decision anyone could have disagreed with. Anchor on a problem instead of a timeline: what the team could not answer, what you did about it, what happened next. Ninety seconds is enough, and stopping on time leaves room for the half of the call that belongs to you. What you ask about how work gets prioritised signals your level more reliably than the walkthrough does.

What to demonstrate

  • Whether your background summary has a shape (problem, decision, consequence) or is a chronological list of tools and employers
  • Whether you can account for gaps, short stints and the reason you are looking, unprompted and without hedging
  • The substance of the questions you ask back, which an experienced screener reads as a level signal

How to prepare

  • Time your opening walkthrough against a clock. If it runs past two minutes, compress the earliest role into a single clause and spend the recovered time on the most recent one
  • Write one honest sentence for every gap or short stint visible on your resume and offer it before being asked about it
  • Prepare questions about how work arrives and gets prioritised: who writes the request, how often priorities change, and what happens to an analysis after it is delivered

Technical Interviews

Much of what gets scored here happens out loud while you type. Nobody can see your reasoning inside a half-written query, so five silent minutes read as being stuck even when they are not. State the plan in plain language first: which tables, what grain you are aggregating to, and the one filter that defines the population. Then write it. The narration doubles as insurance, because a wrong plan gets caught early and cheaply while a wrong query gets caught at the end with no time left to redo it. A timed statistics section, where one exists, is a separate test with its own clock.

What to demonstrate

  • Whether the query you write matches the plan you just described
  • What you do with a hint, meaning whether the correction gets absorbed or the first approach gets defended
  • Whether you can debug your own wrong output by reading the result set and naming which part of the query produced the anomaly

How to prepare

  • Solve three problems while screen-sharing into a recording, then watch it back and mark every stretch longer than thirty seconds where you said nothing
  • Practise compressing the plan into one sentence before typing, then check afterwards whether the finished query actually matched it
  • Time yourself on statistics questions that carry a business reading, such as what a confidence interval does and does not claim, rather than re-reading notes without a clock

Behavioral Interviews

Rounds of this kind usually include one question about work that did not go well, and it is the part that carries the most information. Anyone can narrate a shipped win. What the interviewer learns from a project that stalled is how you behave without a result to hide behind: whether you noticed the problem yourself, how long it took, and who you told. Answers that route the failure onto a data pipeline or a reorganisation close the topic without answering it, and the follow-up comes back to your own part.

What to demonstrate

  • Whether you found the error yourself or someone else found it, and how long it sat before anyone knew
  • What you changed afterwards, stated as a check you now run rather than a lesson you now believe
  • Whether the mistake you choose has real cost attached, such as a quarter of misdirected roadmap or a metric that was reported upward, instead of one that flatters you

How to prepare

  • Choose a failure you caught yourself and be ready to say what tipped you off. A story where someone else caught it is still usable, but you will be asked why you missed it.
  • Write down the check you added afterwards and where it lives now, so the correction is a concrete artefact rather than a resolution.
  • Rehearse saying the cost out loud. Candidates shrink the number by instinct once the interviewer is in the room.

Business Case or Technical Deep Dive

This round runs as a working session, so part of what it decides is whether you are useful to think with. The interviewer will interrupt: a hint that the data you assumed does not exist, a challenge to your metric, a nudge toward a branch you skipped. Treating those as interference is the common failure. Reason out loud while your thinking is still provisional so there is something to react to, and when a redirect arrives, take it instead of defending the path you had already started down.

What to demonstrate

  • Whether your reasoning is audible while it is still unsettled, or only after you have privately decided
  • What you do with a hint: absorb it and adjust, or argue for the original route
  • Whether your clarifying questions have answers that would change your approach, as opposed to filling silence
  • Whether you can be wrong about something in the middle of the case and keep moving without restarting

How to prepare

  • Run practice cases with a partner instructed to interrupt twice: once to remove a data source you assumed existed, once to reject the metric you chose. Practise absorbing both without going back to the start.
  • Before each practice case, write down the clarifying questions you plan to ask, then check afterwards whether any answer actually changed what you did. Drop the ones that did not.
  • Explain an analysis you already know well to someone outside the field and have them stop you at every point where the reasoning jumped a step.

Where candidates lose points

Ignoring clustering by provider, facility, or site

Patients within a provider panel, and subjects within a trial site, are correlated on both case mix and practice pattern. Standard errors computed as if observations were independent are too narrow by roughly the design effect, 1 + (m - 1) * ICC, where m is the average cluster size. With 50 patients per provider and an intracluster correlation of only 0.02, variance is understated by about a factor of two, which manufactures significant provider differences out of noise. Cluster-robust errors or a random intercept per provider, and cluster-level randomisation when you design the test, are the corrections.

Immortal time in adherence, treatment, and enrolment definitions

Classifying members as adherent, treated, or programme-enrolled requires them to survive and stay covered long enough to accumulate the defining events. That guaranteed event-free interval is assigned to the exposed group, so the exposure looks protective for reasons that have nothing to do with the treatment. Adherence studies are the classic case: measuring 12-month proportion of days covered and then comparing mortality builds survival into the exposure definition. Use time-varying exposure or a landmark analysis with the classification window excluded from follow-up.

Stopping an experiment the moment it crosses significance

Fix the sample size or duration before launch, or use a method built for continuous monitoring such as a sequential test, always-valid confidence intervals, or group-sequential boundaries. Repeatedly checking a fixed-horizon p-value against 0.05 pushes the real false-positive rate well above 5 percent.

Reading an observational correlation as a causal effect

Name the confounder you are most worried about and the design that would remove it: an experiment, a difference-in-differences with a checked pre-period trend, an instrument, or a regression discontinuity. When none is available, state which direction the bias likely runs and bound the claim accordingly.

Questions & practice

Walk me through the trade-offs you consider when deploying a model into a production environment.

Medium · machine learning and modelling

Approach

  1. Set a baseline first, so any model has something honest to beat.
  2. Pick an evaluation metric that matches the cost of each error type, not a default.
  3. Say how the offline result would be validated online before it is trusted.

Follow-up

  • Where could label leakage enter this setup?
  • What would you monitor after launch to know the model is still valid?

Sessionise transfer chains into episodes, then count readmissions

Hard · sessionisation · cumsum grouping · readmission

encounter has encounter_id, patient_id, facility_id, encounter_type, admit_ts, discharge_ts, admission_type, discharge_disposition, is_planned_admission, principal_diagnosis_code. Chain acute-to-acute transfers into episodes of care: an inpatient encounter discharged as transfer_acute, followed by another inpatient encounter for the same patient at a different facility admitting within 24 hours of that discharge, belongs to the same episode. Then compute the 30-day unplanned readmission rate over episodes, excluding index episodes that are planned, that end in expired, hospice or against medical advice, or that are still open. Return encounter_id to episode_id, plus the rate.

Approach

  1. Restrict to inpatient encounters for the chaining step and sort by patient_id, admit_ts. Observation and emergency encounters are not acute inpatient stays and pooling them changes both the chain and the denominator.
  2. Build a boolean continues flag: the previous row is the same patient, its discharge_disposition is transfer_acute, its facility_id differs from this row's, and admit_ts minus previous discharge_ts is between 0 and 24 hours. Episode id = cumsum of the negation of that flag. This is the vectorised form of a sessionisation loop and is why the pattern generalises to any event stream.
  3. Collapse to episode grain taking first admit_ts, last discharge_ts, last discharge_disposition, and any() of is_planned_admission. The episode inherits its exit state, not its entry state, which is why a transfer chain ending at home is one home discharge rather than two transfers.
  4. Apply index exclusions at episode grain. Dropping episodes that end in death is not optional: a dead patient cannot be readmitted, so leaving them in inflates the denominator and depresses the rate for exactly the panels caring for the sickest members.
  5. For each surviving index episode, find the next unplanned acute inpatient episode for that patient admitting within 30 days of the index discharge_ts. Count events at episode grain, since one patient can contribute several index episodes. Report the raw rate and say plainly that it is not comparable across panels without risk adjustment, which is what the observed-over-expected form exists for.

Worked solution (45 min)

  1. Filter to encounter_type 'inpatient', sort by patient_id and admit_ts, and shift discharge_ts, discharge_disposition, facility_id and patient_id by one row.
  2. Compute continues as same patient AND prior disposition is transfer_acute AND facility differs AND 0 <= (admit_ts - prior discharge_ts) <= 24 hours; episode_id = (~continues).cumsum().
  3. Aggregate to episodes: first admit_ts, last discharge_ts, last discharge_disposition, any planned flag, patient_id.
  4. Drop index-ineligible episodes: planned, disposition in expired, hospice or ama, and null discharge_ts.
  5. For each eligible index episode, search the same patient's later episodes for an unplanned admit_ts within 30 days of index discharge_ts; a merge_asof on patient with a forward direction and a 30-day tolerance does this without a nested loop.
  6. Rate = index episodes with an event divided by eligible index episodes; return the encounter-to-episode map alongside it.

Expected result: Two outputs: an encounter_id to episode_id map, and one rate. Worked case: encounter A discharged transfer_acute at 10:00, encounter B admitted 14:00 the same day at a different facility and discharged home on day 5, encounter C an unplanned admission on day 20. A and B form one episode, C is a readmission of it, and the patient contributes one eligible index episode and one event, not two indexes and possibly two events.

Verify it yourself

  • Every closed episode ends in a disposition other than transfer_acute; an episode ending in transfer_acute means a chain was cut early.
  • Episode count is less than or equal to inpatient encounter count, with equality only when the sample contains no transfers.
  • Turning the chaining rule off raises the readmission rate. The direction of that change is the proof your chaining fired at all.
  • No index episode's matched readmission is an encounter already inside that same episode.

Follow-up

  • discharge_ts is null on an open stay in the middle of a chain. What does your flag do, and what should it do?
  • A patient is transferred out and then back to the originating facility within 24 hours. Should that chain, and does your facility_id condition handle it?
  • Is a readmission itself eligible to serve as a later index episode? Say what you chose and what the choice does to the rate.

Expand overlapping coverage spans into fractional member-months

Medium · interval expansion · denominators · vectorisation

member_enrollment has span_id, member_id, plan_id, product_type, effective_date, termination_date (NULL while active). Both dates are inclusive. Write a function returning one row per calendar month of a stated year with total member-months, where a member contributes covered days in the month divided by days in that month, capped at one month per member even when two spans overlap after a plan change or a retroactive span. Do not expand to one row per member-day: the sample has 400,000 members. Output: month, member_months.

Approach

  1. Resolve NULL termination_date to the reporting end date and say so in a comment. An open span is not an infinite span, and clipping it at the year end is what keeps the denominator finite and auditable.
  2. Merge overlapping and adjacent spans per member before touching months. Sort by member_id and effective_date, carry a running maximum of the end date, and open a new merged group when effective_date exceeds that running max plus one day. Adjacent means a gap of zero days, which a plan change produces constantly.
  3. Cross join the merged spans to the 12 month boundaries rather than to days. Overlap days = (min(span_end, month_end) - max(span_start, month_start)).days + 1, clipped below at 0. That is at most 12 rows per span instead of 365.
  4. Divide overlap days by the number of days in that month, so February and July are weighted correctly, then sum by month.
  5. Validate on a constructed member before trusting the aggregate: a single span covering the whole year must sum to exactly 12.0.

Follow-up

  • Product type changes mid-year. The metric must be reported by product_type. Where does the cap now apply and what breaks?
  • An eligibility file arrives with a retroactive termination that shortens a span you already reported on. How do you restate?
  • Why member-months rather than distinct members, in one sentence, for a director who wants the simpler number?

Reconstruct drug coverage intervals and compute proportion of days covered

Hard · gaps and islands · window functions · adherence

pharmacy_claim holds fill_id, member_id, ndc_code, therapeutic_class_code, fill_date, days_supply, reversal_flag and reversed_fill_id. Early refills overlap, so days_supply must be laid end to end: each fill's coverage starts at the later of its fill_date and the previous interval's end. Both rows of a reversed pair are excluded. For one therapeutic_class_code over 2025-01-01 to 2025-06-30, return per member the proportion of days covered, defined as covered days divided by days from first fill_date to window end, plus the share of members at or above 0.80. Require at least two fills and 91 days of follow-up.

Approach

  1. Clean the fills first. Drop rows with reversal_flag TRUE and also the fills they point at through reversed_fill_id. Dropping only the reversal row leaves an original fill counted as exposure that never reached the member. Use NOT EXISTS for that second step, since reversed_fill_id is nullable and NOT IN would return nothing.
  2. Shift, never stack. The shifted end is covered_end_i = GREATEST(fill_date_i, covered_end_{i-1}) + days_supply_i, which looks recursive but has a closed form: with cum_i the running sum of days_supply through fill i, covered_end_i = cum_i + MAX over j <= i of (fill_date_j - cum_{j-1}). That is SUM(days_supply) OVER (ORDER BY fill_date ROWS UNBOUNDED PRECEDING) plus a running MAX of an anchor column, so it is two window functions and no recursive CTE.
  3. Derive covered_start_i as GREATEST(fill_date_i, LAG(covered_end)). The intervals are disjoint by construction, so covered days is a plain sum of lengths and never needs a distinct day grid.
  4. Clip intervals to the window end before summing, and decide explicitly whether to clip at disenrollment as well. Supply that runs past the window must not inflate the numerator.
  5. Use the denominator the spec names, first fill_date to window end, and hold it constant across classes. A fixed-window denominator yields a different and usually lower number, and mixing the two across classes makes the comparison meaningless.
  6. Apply the inclusion rules at member level after the intervals are built, then compute the share at or above 0.80 with the qualifying member count beside it.

Worked solution (40 min)

  1. Filter to the therapeutic_class_code and window, then remove reversal rows and their originals with NOT EXISTS.
  2. Per member ordered by fill_date, compute cum_supply and anchor = fill_date - (cum_supply - days_supply), then covered_end = cum_supply + MAX(anchor) OVER (ORDER BY fill_date ROWS UNBOUNDED PRECEDING).
  3. Compute covered_start = GREATEST(fill_date, LAG(covered_end) OVER (ORDER BY fill_date)), clip both ends to the window, and drop intervals that collapse.
  4. Sum interval lengths as covered_days, compute follow_up_days from first fill_date to window end, and divide.
  5. Apply the two-fill and 91-day rules, then aggregate the share at or above 0.80.

Expected result: One row per qualifying member with covered_days, follow_up_days and pdc in [0, 1], plus a summary row with qualifying members and the share at or above 0.80. A member with 30-day fills on 2025-01-01, 2025-01-20 and 2025-04-01 is covered 2025-01-01 to 2025-03-01 and 2025-04-01 to 2025-04-30, giving 60 + 30 = 90 covered days over 181 follow-up days and a PDC of 0.497.

Verify it yourself

  • No pdc exceeds 1.0 before any clipping. A value above 1 proves supplies were stacked instead of shifted.
  • On a twenty-member sample, the summed interval lengths equal the distinct covered day count from a slow day-grid version.
  • A member with one fill is excluded by the two-fill rule rather than appearing with a PDC of 1.0.
  • Re-running with reversals left in raises covered days for exactly the members who have a reversed_fill_id, and for no one else.

Follow-up

  • A member is hospitalised for twelve days mid-window, when the facility supplies medication. Should those days count as covered, and what do published adherence measures do about them?
  • Someone wants to classify adherence over twelve months and then compare mortality from month zero. What is wrong with that design and what fixes it?
  • Two different ndc_codes in the same therapeutic class overlap. Is that stacking or switching, and how does your interval logic treat each case?

Turn overlapping coverage spans into fractional member-month denominators

Medium · intervals · gaps and islands · denominators

member_enrollment holds span_id, member_id, plan_id, product_type, effective_date and termination_date, which is NULL while the span is active. A member can hold several spans in a year, and back-dated plan changes make spans overlap. Return one row per calendar month of 2025 with total member-months, where a member contributes covered days in the month divided by that month's length, and a day covered by two overlapping spans counts once. Both span endpoints are inclusive. Collapse overlaps with window functions before joining a month calendar, and do not assume one span per member.

Approach

  1. Normalise the open end first. COALESCE(termination_date, DATE '9999-12-31') or clip to the reporting end, because a NULL termination_date makes every BETWEEN comparison unknown and drops exactly the members who are still covered.
  2. Merge overlapping spans per member before the calendar join. Order by effective_date, carry a running MAX of prior termination_date with a frame ending one row before, and open a new island where effective_date exceeds that running max plus one day, which keeps adjacent spans contiguous rather than splitting them.
  3. Clip each merged island to the reporting year, then cross join to a twelve-row month calendar and keep pairs that intersect.
  4. Compute covered days as LEAST(island_end, month_end) minus GREATEST(island_start, month_start) plus one, and divide by the actual length of that month rather than a flat 30, so February and the 31-day months are not distorted.
  5. Sum the fractions by month. Merging after the calendar join also works but forces a DISTINCT over member-days, which stops scaling at population size.

Follow-up

  • Where does a continuous-enrolment filter with an allowable 45-day gap belong, and how does that change the island boundary rule?
  • One human appears under two member_ids after a master person index merge. What does that do to member-months, and how would you detect it?
  • How do you treat a span that terminates on the day it starts, and what does that row usually represent?

If we observed an unexpected trend in our clinical trial data, how would you investigate it?

Medium · product sense and metrics

Approach

  1. State what result would change your recommendation, so the answer is falsifiable.
  2. Restate the decision this analysis has to support, and who acts on the answer.
  3. Fix the population and the time window before naming any metric.

Follow-up

  • What would you do if the primary metric and the guardrail moved in opposite directions?
  • Which segment would you cut first, and what would that rule out?

Present a project you have completed from start to finish, focusing on the impact of your findings.

Medium · product sense and metrics

Approach

  1. Restate the decision this analysis has to support, and who acts on the answer.
  2. Fix the population and the time window before naming any metric.
  3. Decompose the metric into the rates that drive it, and say which one you would check first.

Follow-up

  • Which segment would you cut first, and what would that rule out?
  • What would you do if the primary metric and the guardrail moved in opposite directions?

How would you design a data strategy to support a new drug launch?

Medium · product sense and metrics

Approach

  1. State what result would change your recommendation, so the answer is falsifiable.
  2. Fix the population and the time window before naming any metric.
  3. Decompose the metric into the rates that drive it, and say which one you would check first.

Follow-up

  • What would you do if the primary metric and the guardrail moved in opposite directions?
  • Which segment would you cut first, and what would that rule out?

How do you approach feature selection when dealing with high-dimensional biological data?

Medium

Approach

  1. State your assumptions explicitly before working the problem.
  2. Clarify what is being asked and what a complete answer would contain.
  3. Work from the decision backwards to the evidence you would need.

Follow-up

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

Critique a denial rate slide before it is shown

Easy · metric critique · claim versions · runout · mix shift

A weekly slide says first-pass denial rate improved from 9.1 percent to 7.4 percent month over month. It was computed from medical_claim_line as rows with claim_status 'denied' divided by all rows with a received_date in the month. You cannot query anything. List every assumption the number rests on, restate the metric so two analysts computing it independently would get the same value, and give the three questions you would ask before the slide is presented.

Approach

  1. Work the grain first. The denominator counts all rows, so a claim resubmitted after a denial contributes its original line, its replacement (frequency_code 7) and possibly a void (8). Both numerator and denominator are inflated by exactly the claims most likely to have been denied, which makes the rate a function of resubmission behaviour rather than adjudication.
  2. Work maturity second. A line received late in the month may still be pended at extract time, and pended lines are neither paid nor denied. If pends resolve to denials later, the most recent month is understated by construction, which looks exactly like improvement. Ask for the paid-through date and the adjudication runout hold.
  3. Work the unit third. A denial rate on claim lines and a denial rate on claims are different numbers, and a single denied line on a twenty-line facility claim is a different operational event from a wholly denied professional claim. The spec has to pick one and say so.
  4. Work mix fourth. Denial reasons have different owners and different volumes: eligibility denials belong to enrollment operations, coding denials to provider relations. A shift in submission mix across providers, place of service or reason code moves the blended rate with no change in any component, so the restated metric reports by denial_reason_code group.
  5. Work precision last. A 1.7 point move is decisive on two million lines and meaningless on three thousand. The restated metric carries the denominator count, and a slide without it cannot be read.

Worked solution (15 min)

  1. Write the assumption list as a numbered set: single version per claim, adjudication complete at extract, line grain intended, stable reason-code and provider mix, denominator large enough for the move to be real.
  2. Restate the metric with numerator as lines denied at first adjudication, denominator as lines received in the month counted at claim_version 1, reported by received_date month, held 60 days, broken out by denial_reason_code group, and published with the denominator count.
  3. Write the three questions in the order that would kill the slide fastest: what is the paid-through date, how many lines are in each month's denominator, and did the reason-code mix move.
  4. State how the restated number is presented, with the most recent month marked provisional and restated at each refresh.

Expected result: A restated specification reading: numerator is claim lines whose first adjudication returns claim_status denied; denominator is lines with received_date in month M counted at claim_version 1; the month is held until 60 days of adjudication runout have passed; the rate is broken out by denial_reason_code group; and both the denominator count and the paid-through date appear on the slide, with the most recent month marked provisional. The three questions are the paid-through date, the denominator size, and whether reason-code mix shifted.

Verify it yourself

  • The restated denominator must be smaller than the original, since version-1 filtering can only remove rows. If it is not, the version filter is not doing anything.
  • Both months should be recomputable at the same paid-through age; comparing a mature month to a two-week-old month is the defect the hold is meant to prevent.
  • The reason-code breakout should sum back to the blended rate, which is the check that the mix decomposition is complete.

Follow-up

  • The rate is still down after version dedup and a 60-day hold. What is the next thing you check before anyone celebrates?
  • Which of these problems would also affect a paid-amount series computed the same way?
  • How would you present the restated number so the audience understands the prior month is provisional?

Avoidable admissions fell the quarter a programme launched

Hard · mix shift · regression to the mean · reclassification · seasonality

Ambulatory care sensitive admissions per 1,000 member-years fell 18 percent in the quarter a care-management programme launched, enrolling the top 2 percent of members by prior-year spend. You have encounter, member_enrollment including a product line added mid-quarter, and medical_claim_line. Emergency visits per 1,000 rose 9 percent over the same quarter and observation stays rose as well. Produce a decomposition that states how much of the 18 percent is attributable to the programme, and state the design you would need before claiming any of it.

Approach

  1. Rebuild the denominator from coverage spans as member-years, counting partial coverage fractionally, and recompute the rate with and without the product line that entered mid-quarter. A newly added, structurally healthier population inflates the denominator and deflates every rate built on it without a single admission being avoided.
  2. Freeze the numerator's code list to one version. The ambulatory care sensitive list is defined on ICD-10-CM principal diagnosis codes, and in the United States that code set is updated effective October 1, so a quarter spanning that boundary can gain or lose qualifying codes. Recompute both quarters against a single code set version.
  3. Decompose the remaining change with a Kitagawa split across product_type and prior-year risk decile: the mix term is the population getting younger or healthier, the within term is the only place a programme effect can live.
  4. Test reclassification directly. An inpatient stay recorded as an observation stay is not an avoided admission. Compute total acute contacts per 1,000 member-years as inpatient plus observation plus emergency, and check whether that total moved at all. If it is flat while inpatient falls, care was relabelled and deflected, not prevented.
  5. Compare to the same quarter of the prior year rather than the adjacent quarter. Several ambulatory care sensitive conditions, including heart failure decompensation and bacterial pneumonia, are strongly seasonal, so a quarter-over-quarter comparison confounds the programme with the calendar.
  6. Address selection last and explicitly. The enrolled cohort was chosen on an extreme of prior-year spend, so it regresses toward the mean with no intervention at all, because the selecting year captured both chronic severity and one-off events. A pre-post design on this cohort will report savings every time. The minimum credible design is a concurrent comparison group selected by the same rule in the same period, or a regression discontinuity at the 2 percent threshold, with a parallel-trends check on at least four pre-periods.

Follow-up

  • The parallel-trends check fails on two of the four pre-periods. What do you do, without abandoning the question?
  • Express the effect you can defend as an absolute risk difference and a number needed to treat, with the baseline rate stated. Why is that more useful here than a relative reduction?
  • The programme cannot be withheld from anyone. Sketch a rollout design that still identifies an effect, and say what secular trend does to the estimate.

Suggested practice checklist

Instead of guessing where the week should go, day one measures it under a fixed rubric and allocates the remaining hours in proportion to the gaps. The method is deliberately rigid: the allocation is written down before any studying starts and is not renegotiated when a topic turns out to be unpleasant.

Day 1 — Diagnostic, scored before you study anything

  • Sit a 100-minute timed diagnostic in four blocks: 30 minutes of SQL across three prompts, 25 minutes of short-answer statistics, 25 minutes on one modelling or case prompt, and 20 minutes delivering one behavioural story aloud.
  • Score each block from 0 to 3 on a fixed rubric where 3 is correct and fluent, 2 is correct but slow or prompted, 1 is partially correct, and 0 is stuck, grading the output rather than how the attempt felt.
  • Allocate the hours for days two to five roughly in proportion to 3 minus the score in each block, write the allocation down, and commit to not revising it midweek.

Deliverable: A scored rubric and a fixed hour allocation for the rest of the week.

Day 2 — Largest gap: find the boundary rather than the subject

  • Break the weakest area into five named sub-skills (for query work: grain control, window frames, date arithmetic, set logic with NULLs, and reading a query plan) and rate each one, so the rest of the week targets a sub-skill instead of a subject.
  • Solve three problems chosen to sit just above where the rating drops off, and for each write the first move you failed to make.
  • Re-solve one of them from memory four hours later, on paper, with nothing open.

Deliverable: A five-item sub-skill map with the two blocking sub-skills circled.

Day 3 — Largest gap: drill the blocking sub-skill

  • Do eight short repetitions of the same shape rather than eight different problems, so what you practise is the pattern and not the puzzle.
  • Write the rule you now hold in one sentence, then test it against a case built to break it: a ranking function over a column with ties, or a two-sample test on observations that are obviously dependent.
  • Have someone else read your one-sentence rule and find the precondition you left out.

Deliverable: One rule statement with its preconditions attached and one counterexample that would have caught the incomplete version.

Day 4 — Second gap, plus maintenance on your strongest area

  • Run the same sub-skill map and boundary protocol on the second-largest gap, compressed into half the day.
  • Spend 25 timed minutes on your strongest area to stop it decaying, choosing the hardest problem you can still finish rather than an easy warm-up.
  • Compare how the two areas fail: whether you lose time on recall, on setup, or on arithmetic, because the fix differs for each.

Deliverable: A second sub-skill map plus a one-line diagnosis of how each area fails you.

Day 5 — The gap that is not a skill

  • Record yourself answering one technical and one behavioural prompt, then count two things in the playback: how many seconds before your first clarifying question, and how many sentences you started without knowing where they ended.
  • Rewrite your three most-used stock phrases into shorter versions, and practise saying "I do not know, here is how I would find out" without softening it into a guess.
  • Deliver one answer again with a hard 90-second limit to force structure before detail.

Deliverable: Two recordings with a counted improvement in time-to-first-question.

Day 6 — Retest under day-one conditions

  • Sit the same 100-minute diagnostic structure with new prompts of comparable difficulty and score it on the identical rubric.
  • Compare block by block, and for any block that did not move, change the method rather than adding hours: a block stuck at 1 usually means the practice was too varied, not too short.
  • Write which single block you would still lose the offer on.

Deliverable: A second scored rubric placed next to the first, with one named remaining risk.

Day 7 — Full loop under interview conditions

  • Run a 60-minute mock covering the two blocks that moved least, with an interviewer instructed to interrupt and change direction.
  • Write your recovery script for the moment you go blank: restate the question, state your assumption, name the first thing you would check.
  • Reduce the week to the rule statements you wrote, each with its preconditions attached, then say every one of them out loud without reading it and cut any you cannot state in a single sentence, since a rule you have to reconstruct mid-answer will not survive being interrupted.

Deliverable: A one-page card holding the recovery script and only the rules you could state from memory.

Explaining a method to someone who will not follow the maths

Half of this section is about translation. Be ready to describe how you explained a result to someone who did not want the method, only the implication, and what you did when the simplified version started being repeated in a way that overstated it. Correcting your own simplification is a strong beat.

Describe a situation where you had to advocate for a specific data-driven approach against resistance from senior leadership.

Medium · behavioural and stakeholder questions

Approach

  1. Close with what you would do differently, concretely.
  2. State the situation in two sentences and spend the rest on your reasoning.
  3. Pick a story where you drove the decision, not one where you observed it.

Follow-up

  • How did you know the outcome was caused by your change?
  • What did you decide not to do, and why?

Can you explain a complex model you developed and how you communicated its results to a non-technical stakeholder?

Medium · behavioural and stakeholder questions

Approach

  1. Name the disagreement or constraint, and how you resolved it with evidence.
  2. Close with what you would do differently, concretely.
  3. Quantify the outcome, including what you would not claim credit for.

Follow-up

  • What would you do differently if you ran that project again?
  • How did you know the outcome was caused by your change?

Defend a null result against a programme sponsor

Medium · regression to the mean · difference-in-differences · stakeholder management

A care management programme enrolled the top 1 percent of members by prior-year allowed spend. The sponsor's deck shows allowed PMPM for enrollees falling 34 percent from the year before enrollment to the year after, and asks for budget to triple the programme. You rebuild the evaluation with a concurrent comparison group selected by the identical spend rule in the same period. The difference-in-differences estimate is a 3 percent reduction with a confidence interval spanning zero. Deliverable: how you present this, to whom, in what order, and what you propose next.

Approach

  1. Name the probe: whether you can deliver a finding that costs somebody their programme without softening it into uselessness or creating an adversary who routes around you next time.
  2. Lead with the mechanism, not the verdict. Show the comparison group's own unadjusted drop, which will be large, because a cohort selected on an extreme of the outcome regresses toward the mean whether or not anyone intervenes. The sponsor's 34 percent is mostly that, and it is a property of the selection rule rather than a criticism of their clinicians.
  3. Give the sponsor the finding privately before it appears in any deck their leadership sees. Being surprised in a room is what turns a methods disagreement into a political one.
  4. State the estimate with its interval and say what it rules out as well as what it fails to establish. A 3 percent point estimate whose interval crosses zero is not evidence of no effect; it is insufficient power to separate a modest effect from none, and those are different claims.
  5. Arrive with a design rather than only an objection. Propose a regression discontinuity at the enrollment threshold if the rule is applied sharply, or a randomised rollout across the next wave of eligible members, and state the sample size needed to detect the effect size the sponsor believes in.

Follow-up

  • The sponsor says withholding the programme from a comparison group is unethical. What do you propose instead?
  • Leadership wants one number for the board next week. What do you give them?
  • What result would change your mind and make you believe the 34 percent?