Interview guides · Kaiser Permanente

Kaiser Permanente Software Engineer Interview Questions & Guide 2026

Caching practice for Kaiser Permanente software engineer prep: settle the staleness budget before choosing an invalidation strategy.

The 60-second brief

As a Software Engineer at Kaiser Permanente, you build and maintain critical technical infrastructure and application platforms that directly support healthcare outcomes for millions of members. You operate at the intersection of large-scale enterprise technology and healthcare delivery, working alongside global engineering teams to power mission-critical medical records, cloud foundations, and digital patient experiences.

The shape of the workload matters more for your prep than the industry label does. Read-heavy serving, write-heavy ingestion and scheduled batch processing have different binding constraints and fail in different places, so find out which one the team lives in before picking design topics.

Focus areas

Make every write idempotent under client retries
Bound blast radius with per-tenant concurrency limits
Build at-least-once pipelines with explicit deduplication horizons

Overview

Your day-to-day work directly impacts how healthcare professionals access data, manage patient workflows, and deliver care efficiently. Whether you are scaling container platforms, optimizing backend microservices, or developing robust data pipelines, your contributions ensure system reliability and security across complex healthcare environments. The scale and regulatory demands of the healthcare sector mean your work requires rigorous engineering standards and a deep commitment to operational excellence.

Expect a collaborative environment where you interface with cross-functional technical teams, product managers, and clinical stakeholders. While the technology stack spans modern cloud platforms, containerization, and advanced web architectures, the ultimate goal remains unchanged: using engineering excellence to simplify and improve the healthcare experience.

The Kaiser Permanente interview process

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

Initial Screening

The person on this call usually cannot evaluate your code and does not need to. They write a short paragraph, and that paragraph is what a hiring manager skims when deciding who to put on your loop. So the test is not whether your work was hard, it is whether a non-engineer can repeat it correctly. Name systems by what they did rather than by their internal codename, give each project a shape (what was breaking, what you changed, what happened after), and keep the whole walkthrough near ninety seconds. Depth that cannot survive a paraphrase reads as vagueness.

What to demonstrate

Whether a non-engineer can restate your projects without distorting them, since their paraphrase is what travels to the hiring manager, not your sentences
Whether each project has a shape rather than a stack list: the failure or constraint, the change you made, the result and how it was measured
Whether you can say what was yours inside a team project without either inflating it or disappearing into the plural

How to prepare

Rewrite each headline project as two sentences with no internal system names and no acronyms outside your company, then say them to someone outside engineering and have them repeat them back. Fix whatever came back wrong
Attach one measured number to each project: the baseline, the change, and the window it was measured over. Where nothing was ever measured, say that plainly rather than reaching for a plausible percentage
Time the background walkthrough against a clock. If it runs past two minutes, compress the earliest role to a single clause and spend the recovered time on the most recent one

Technical Interviews

What this round decides is narrow: whether you can produce code that runs and is correct on inputs nobody showed you. An elegant solution that does not compile scores below a plain one that does, so write a correct brute force first, say out loud that you know its cost, and improve it with the working version still on screen. What separates strong answers is who finds the broken case. Trace your own code against an empty input, a single element, and duplicate keys before you say you are finished, because being told is far more expensive than noticing.

What to demonstrate

Whether degenerate inputs get checked without being asked for: an empty collection, one element, every element equal, and the extreme value the input type allows
Whether the complexity you state matches the code you actually wrote, including a sort or a copy sitting inside a loop
Whether the finished answer is verified against the worked examples before you call it done, rather than assumed correct because the code reads correctly

How to prepare

Take five problems you have already solved and, without running anything, write down what each returns for empty input, a single element, and all-duplicates. Then run them and count how many you predicted wrong.
Drill the brute force as its own skill: on ten problems, write only the obviously-correct slow version and time how long it takes to get it passing. If that is more than a few minutes, that is what to practise, not the optimal version.
Add a fixed last step before you submit anything, reading only the loop bounds and the initial value of each accumulator, which is where most off-by-one errors live

Behavioral Assessments

This round is deciding whether a change you make without supervision can be allowed to reach production. It is scored on what you knew at the moment you decided, not on how it turned out, so a story that opens with the result and works backwards reads as luck retold as judgement. Say what the options were, what you did not know, what you did to shrink the unknown before committing, and what you accepted as the worst plausible case. The detail that separates answers is a bound: how many users, how much data, and for how long, if you had been wrong.

What to demonstrate

Whether the reasoning you give was available at the time you decided rather than after the result came in, since a story whose deciding evidence arrived later describes an outcome and not a judgement
Whether you can put units on the exposure (users, rows, minutes of degraded service) and whether the containment you chose actually bounded it: a canary bounds the request path it fronts, while a background job writing to a shared table reaches every user regardless of which version served their requests
Whether the reversal path existed before you shipped or was improvised during the incident, and whether it restores state or only stops further damage

How to prepare

For your three largest changes, write down the one thing you would have had to be wrong about for it to fail, and what your best estimate of it was on the day you shipped. If you never held an estimate, that is the gap the follow-up questions will find
Write the undo procedure for one of those changes as it existed at the time, then mark which steps restore data and which only stop new damage. Turning a flag off or reverting a deploy ends the new writes; rows already written come back only from a copy you kept, and a dropped column comes back empty unless something outside the schema holds the values
Rehearse one story from the decision point forward and stop before the outcome, then have someone ask what you would do next. If the story only works with the ending attached, it is an anecdote rather than a decision you can defend

Where candidates lose points

Paginating a growing table with limit and offset

Two unrelated defects share the idiom. Correctness: rows inserted or deleted between page requests shift the window, so a consumer walking an export skips rows and sees others twice, which for a customer-facing sync is silent data loss rather than an error anyone notices. Cost: the database still produces and discards the skipped rows, so page N costs time proportional to N times the page size and a deep page on a large table degrades from milliseconds to seconds. Keyset pagination over a stable, unique, indexed ordering -- where (created_at, id) < ($1, $2) order by created_at desc, id desc limit $3 -- is constant-cost per page and immune to shifting, on the precondition that the cursor columns never change value for a row, which disqualifies updated_at as a cursor.

Checking a quota with a select and then writing

Under read-committed isolation, two concurrent transactions both observe a count below the limit and both insert, so the limit is exceeded by exactly the concurrency. Repeatable read does not rescue it either: it provides a stable snapshot, and this is write skew, which snapshot isolation permits by design. The options are serialisable isolation, which detects the conflict and aborts one transaction with a serialisation failure and therefore obliges the caller to retry; a single statement with the predicate inside the write; or a constraint that makes the surplus insert fail outright. The reason this pattern survives review is that it is correct in every test that runs one request at a time.

Reading the constraints as preamble rather than as part of the problem

The bounds are usually there to eliminate the obvious approach: n up to 10^5 makes an O(n^2) scan roughly 10^10 operations, far outside any per-test time budget, and an input larger than memory rules out loading it at all. When a bound is not given, ask for it, then say out loud which approach it kills.

Tests that assert on the implementation rather than the behaviour

Assert on what a caller can observe, not on the number of internal calls or the shape of a private field. A test that breaks on every refactor but still passes when the answer is wrong costs more than it protects.

Questions & practice

Schedule ordered webhook retries with a heap of subscription queues

Medium · heap · scheduling · backoff · head-of-line-blocking

Design the in-memory scheduler for webhook delivery. Up to 20 million rows sit in status pending or failed_retryable across 200,000 subscriptions, each row carrying next_attempt_at and attempt_count, and each endpoint having a circuit breaker. Deliveries for one subscription must be attempted in order, so at most one attempt per subscription may be in flight. Support due(now), complete(delivery, outcome) and insert(delivery) in O(log S), where S is the subscription count rather than the delivery count. Give the backoff formula you schedule retries with.

Approach

Key the global heap by subscription, not by delivery. Each subscription owns a FIFO of its due deliveries in event order; the heap holds one entry per eligible subscription, keyed by its head's next_attempt_at. That is 200,000 heap entries instead of 20 million, and it makes the one-in-flight rule structural rather than a check somebody can forget.
due(now): peek the minimum. If its key is in the future, sleep until then instead of spinning. Otherwise pop it, move the subscription into an in-flight set, and do not re-push it. A subscription absent from the heap cannot be dispatched twice, which is precisely how ordering is preserved.
complete: on success, drop the head and re-push the subscription keyed by its new head, or leave it out when the queue empties. On a retryable failure, increment attempt_count and set next_attempt_at = now + uniform(0, min(cap, base * 2^attempt)), sampled uniformly across the whole interval. That is full jitter; deterministic backoff re-synchronises the herd you just created.
Circuit breaker: park the subscription in a second heap keyed by its half-open time, so an endpoint dead for six hours costs one heap entry and zero attempts rather than consuming worker slots. Admit exactly one probe at half-open and close the breaker only on its success.
Say the price of the ordering guarantee out loud. One in-flight attempt per subscription means an endpoint answering in 10 seconds drains at 0.1 deliveries/second however many workers you run, and its backlog grows until it recovers. If the customer does not need order, allow k in flight and document delivery as unordered; that is the trade, and it is a product decision.
All three operations are O(log S) with O(S) resident heap memory and the queues themselves backed by the store. The database-backed equivalent is a partial index on (subscription_id, next_attempt_at) where status in ('pending','failed_retryable') claimed with FOR UPDATE SKIP LOCKED, and the write-back must be fenced on lease_token so a worker that stalled and resumed cannot overwrite a newer attempt.

Follow-up

One subscription has 4 million queued deliveries. What stops it from starving the other 199,999, and what does your heap look like under that load?
A customer requests redelivery of last Tuesday's events. Where do those rows enter your structure, and what keeps them from reordering live traffic?
The process restarts. How much state do you rebuild, and what stops every subscription from being attempted in the same second?

Hold a tenant to a trailing sixty-second request limit

Medium · sliding-window · two-pointer · rate-limiting · tenant-skew

The gateway must hold each tenant to R requests in any trailing 60 seconds, in aggregate across three regions and every pod, within a budget of under 10 ms added p99. Peak is 30,000 requests/second across 200,000 active tenants, and traffic is heavily skewed toward a handful of them. Give an exact single-process algorithm with its amortised per-request cost and its memory per tenant, then a bounded-memory approximation and the worst-case overshoot it actually admits. Say what the distributed version does when the counter store is unreachable.

Approach

Exact, single process: a per-tenant deque of request timestamps. On arrival, pop from the front while front <= now - 60s, then admit if the remaining length is below R and push. Each timestamp is pushed once and popped once, so the cost is O(1) amortised. The O(R) version is the one that re-filters the whole deque on every request.
Quote the memory. R = 1,000 across 200,000 active tenants is up to 2 x 10^8 timestamps at 8 bytes, about 1.6 GB, and that is the worst case rather than the mean, because the long tail of small tenants holds almost nothing. Skew helps you here and hurts you in the sharding decision.
Bounded alternative, with its real bound stated: a fixed 60-second counter is O(1) memory but admits close to 2R across a 60-second span straddling a boundary. The weighted two-bucket estimate, prev * (60 - elapsed)/60 + cur, is better on smooth traffic but assumes the previous window's arrivals were uniform; an adversary packing them at the end of that window is undercounted and can still approach 2R. Say that rather than calling it exact.
Token bucket is the usual gateway answer and a different contract: O(1) state per tenant (tokens, last_refill), a sustained rate, and a deliberate burst allowance equal to the bucket size. Choose it when a burst is acceptable and the log when the limit is contractual.
Distributed: the limit is per tenant in aggregate, so a local bucket of R/N per pod is wrong in both directions under skew. A tenant landing on one pod is throttled at R/N, and a tenant spread evenly across pods exceeds R. The shared check must be a single atomic round trip, one script or one increment-and-compare, never read-then-write, and it must fit inside the 10 ms p99 budget.
Decide the unavailable case in advance and write it down. Failing open keeps the product up and lets a tenant exceed its limit for the duration; failing closed converts a counter-store outage into a full outage. Most gateways fail open on rate limits and closed on authorisation, and those are two separate decisions made separately.

Follow-up

One tenant sends 40% of all traffic. What does that do to a single counter key, and what do you shard on instead?
Quotas rather than rate limits: the check is select used; if used < limit then insert. Name the isolation level that still permits the overshoot, and the two fixes.
How do you return an accurate Retry-After from the exact algorithm without a second scan?

Parse and verify a timestamped multi-signature webhook header

Easy · parsing · hmac · constant-time-compare · replay-protection

An inbound webhook carries a signature header of at most 1 KiB shaped t=<unix seconds>,v1=<64 hex chars>, with up to five v1 values during secret rotation and possibly unknown scheme keys. You hold the raw request body bytes and the currently active signing secrets. Write the parser and the verifier: accept when any active secret reproduces a signature and the timestamp is within a five-minute tolerance in either direction, reject otherwise. Single left-to-right pass over the header, no regular expression. State what is inside the MAC and why.

Approach

Parse in one scan: split on ,, then on the first = only, since a value may itself contain = under a future scheme. Accept t exactly once and treat a second t as a reject rather than last-wins. Push every v1 onto a short list and ignore any other key, so a v2 can be introduced later without breaking this verifier.
Say what is signed: HMAC-SHA256 over the exact byte string <t>.<raw body bytes>, yielding 32 bytes or 64 hex characters. The timestamp sits inside the MAC because otherwise an attacker replays yesterday's body with its still-valid signature and only has to edit the header timestamp.
Hash the bytes as received. Verifying against a re-serialised JSON body is the usual defect: key order, whitespace and number formatting all change the bytes while the parsed objects compare equal, so signatures fail for honest senders and the popular 'fix' is to stop checking.
Compare in constant time over fixed-length digests. Decode the hex to 32 bytes, accumulate acc |= a[i] ^ b[i] across the whole length, and test acc == 0 at the end. Evaluate every candidate without an early exit; at five candidates that is five HMACs over the body, linear in body size and negligible beside the network.
Apply the tolerance as a two-sided bound, rejecting when |now - t| > 300 seconds. A sender whose clock runs ahead of yours is an ordinary case, and an unbounded future timestamp is a free replay window.
Complexity: O(L) over the header producing k candidates, plus k HMACs at O(|body|) each. Space is O(k) beyond the body itself. Do the cheap rejections, including the tolerance check, before any cryptography runs.

Worked solution (15 min)

Write the grammar on one line before coding: header := field (',' field)*, field := key '=' value, split on the first = only.
Implement the parser to return {t: int, v1: [hex, ...]}, rejecting a missing t, a duplicate t, any v1 that is not 64 hex characters, and a header over 1 KiB, all before any cryptography runs.
Implement the verifier: for each active secret compute HMAC-SHA256(secret, f'{t}.'.encode() + raw_body), compare it in constant time against each parsed v1, and OR the results with no early exit.
Test with a valid signature; the same body with t moved 400 seconds into the past; the same body with t 400 seconds into the future; a header carrying an unknown v2= alongside a valid v1; and a body re-serialised with different JSON key order.

Expected result: The valid case accepts. Both out-of-tolerance cases reject, including the future one. The unknown v2 field is ignored and the v1 still verifies. The re-serialised body fails, which is correct and is exactly why the raw bytes must be retained.

Verify it yourself

Timing the comparison over 10,000 mismatching signatures that differ at the first character versus the last shows no separation you can measure.
Removing t from the MAC input makes an old captured body with its original signature pass. Write that test, watch it pass, then put t back.
Every rejection except the signature mismatch itself returns before an HMAC is computed.

Follow-up

The body is 40 MB. What changes about where you verify, and what can you do before the whole body has arrived?
A customer reports that signatures fail for exactly the requests whose body contains a non-ASCII character. What is your first hypothesis?
How do you rotate the signing secret with no failed deliveries, and how long do both secrets stay live?

Decide which facts an invoice line copies instead of joining

Medium · denormalisation · immutable records · foreign keys · rounding

invoice_line_item already denormalises tenant_id, which is reachable through invoice_id, and stores amount_minor even though quantity times unit_price_micros would recompute it. A reviewer asks you to normalise both away, and separately asks whether the tenant's legal name and billing address should be copied onto the invoice header. Decide each case. For every field you keep denormalised, name the read pattern or the invariant that justifies it, the anomaly the copy can develop, and the mechanism that prevents that anomaly here.

Approach

Split the question into two kinds of copy, because they fail differently. A copy of a currently mutable fact is a cache: it drifts and needs invalidation. A copy of a fact frozen at write time is not a cache at all, it is the record of what happened, and normalising it away destroys information the source no longer holds.
Keep tenant_id on the line. It costs 8 bytes, it leads every index on the table so no read is ever accidentally cross-tenant, and it turns a wrong join into an empty result rather than another tenant's money. Prevent the drift structurally: a unique constraint on invoice (invoice_id, tenant_id) plus a composite foreign key from the line on (invoice_id, tenant_id) makes a mismatched pair impossible, so the database enforces agreement instead of a code review.
Keep amount_minor. Rounding must happen exactly once, at a named site, with a stated mode (half-even here). If readers recompute from quantity and unit_price_micros, every reader owns a rounding decision, and half-up and half-even diverge systematically across thousands of lines rather than cancelling out. A check constraint can bound the stored value but deliberately cannot re-derive it.
Copy the legal name and billing address onto the invoice header, written once and never updated. The statement must show what was true when it was sealed, and the tenant record will change afterwards. This is a snapshot for the same reason source_rollup_watermark is stored per line: without it, nobody can reconstruct what the customer was told.
Name the read pattern that pays for all of it. Rendering, dispute response and export are per-tenant, per-period reads over thousands of lines that would otherwise join back to slowly changing dimensions that no longer hold the historical value. The write side is a once-per-period batch, so the extra columns cost nothing that matters.
Concede the case where the reviewer is right: a mutable operational attribute such as the tenant's current plan name has no business on a line. If a report wants it, join. If a statement needs the plan as of the period, that is another snapshot and it belongs on the header with the rest.

Worked solution (25 min)

Write the DDL: unique (invoice_id, tenant_id) on invoice, the composite FK from the line, and a comment on each denormalised column saying whether it is a snapshot or a cache.
Attempt to insert a line whose tenant_id differs from its invoice's and confirm the foreign key rejects it.
Rename a tenant, re-render a sealed invoice, and confirm the rendered name is the one stored on the header.
Recompute amount_minor from quantity times unit_price_micros for a thousand synthetic lines rounding half-up, sum both ways, and record the divergence from the stored half-even values.

Expected result: tenant_id kept and enforced by a composite foreign key to (invoice_id, tenant_id); amount_minor kept because rounding happens once with a stated mode; legal name and billing address snapshotted onto the invoice header and never updated; mutable operational attributes left normalised. Each decision paired with its read pattern, its anomaly, and the mechanism that prevents the anomaly.

Verify it yourself

A line cannot be attached to an invoice belonging to another tenant, and the rejection comes from the database rather than the application.
Re-rendering a sealed invoice after editing the tenant record produces identical output.
Rounding per line and rounding once at the end differ measurably over a thousand lines, which is the argument for storing the value.
No column on the line is recomputed by any reader.

Follow-up

Write the composite foreign key and the unique constraint it requires on the parent. What does it cost on every line insert, and what does it do to a bulk load?
A tenant is renamed after being invoiced. Which rows change, and what does the customer see on last quarter's PDF?
Where does currency live, and what breaks if a tenant's billing currency changes between two periods?

Rebuild an hourly rollup with deduplication and late-arrival accounting

Hard · window functions · deduplication · event time vs ingest time · watermarks

From usage_event (event_id, tenant_id, workspace_id, environment, sku, quantity numeric(20,6), idempotency_key, occurred_at, ingested_at), produce the values usage_rollup_hourly should hold for one tenant over one day: per (workspace_id, sku, hour_start) the deduplicated quantity_sum, event_count and source_max_ingested_at, bucketed by occurred_at. Duplicates share (tenant_id, idempotency_key). Also report, per hour, the running total across the day and the share of quantity that arrived more than two hours after the hour began. Write the query, and state which duplicates a daily unique index cannot catch.

Approach

Deduplicate in its own CTE before any aggregation, because a SUM cannot be un-summed: row_number() over (partition by tenant_id, idempotency_key order by ingested_at, event_id) = 1. Include the tiebreaker. Without it the surviving row is non-deterministic when two duplicates share an ingested_at, and a rollup described as deterministically recomputable then disagrees with itself between runs.
Bucket on occurred_at and nothing else, and pin the timezone explicitly. date_trunc('hour', timestamptz) truncates in the session's TimeZone setting, so the same query run by a session set to a non-UTC zone buckets differently; use the three-argument date_trunc('hour', occurred_at, 'UTC') on PostgreSQL 16 or later, or date_trunc('hour', occurred_at at time zone 'UTC') at time zone 'UTC' before that. Filter environment = 'production' explicitly, since metering covers three environments and billing covers one.
Aggregate to the grain with sum(quantity), count(*) and max(ingested_at). The last is not decoration: it is the watermark the row consumed up to, and without it there is no way to prove afterwards what a number did and did not include.
Compute the late share inside the dedup-and-aggregate step as a conditional aggregate, sum(quantity) filter (where ingested_at > hour_start + interval '2 hours'), then divide by the hour's total. Compute the running total as a window over the already aggregated rows: sum(quantity_sum) over (partition by workspace_id, sku order by hour_start rows between unbounded preceding and current row). Running either over raw rows puts the duplicates back.
Answer the index question exactly. The unique constraint is on (ingested_day, tenant_id, idempotency_key), because a unique index on a partitioned table must contain the partition key. It therefore deduplicates only within one ingest day and admits a duplicate whose retry crosses midnight or whose replay runs a week later. That is why this CTE dedups across the whole window being recomputed, and why the dedup horizon is a correctness parameter rather than a retention cost.
Keep the numeric type all the way through. quantity is numeric so the sums are exact; a cast to double precision anywhere in this pipeline reintroduces drift that surfaces only as a few unreconcilable cents per tenant per month, long after the query is out of anyone's mind.

Follow-up

A dispute forces the same recompute over 40 days for one tenant. What changes about the dedup CTE's memory use and the chosen plan, and what would you do about it?
Two runs a minute apart return different quantity_sum values for an hour that is already closed. Give two mechanisms that produce that, and the single query that distinguishes them.
Express the same rollup incrementally so it does not re-scan the day each time the watermark advances. What does the incremental version stop being able to answer?

What steps do you take to secure container platforms against vulnerabilities?

Medium · system design and architecture

Approach

Fix the scope first: who calls this, how often, and what they do when it fails.
State the consistency you need, and where you are willing to be stale.
Choose a partition key and say what query it makes expensive.

Follow-up

What would you drop to keep the system up under load?
How does this behave when that dependency is down for an hour?

How do you configure and manage Kubernetes clusters for high-availability applications?

Medium · system design and architecture

Approach

Choose a partition key and say what query it makes expensive.
State the consistency you need, and where you are willing to be stale.
Name the failure you are designing for, then the recovery path.

Follow-up

What would you drop to keep the system up under load?
What breaks first when traffic grows ten times?

What considerations go into building resilient hybrid cloud foundation services?

Medium · system design and architecture

Approach

Name the failure you are designing for, then the recovery path.
Choose a partition key and say what query it makes expensive.
Fix the scope first: who calls this, how often, and what they do when it fails.

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 troubleshoot complex issues across distributed enterprise systems?

Medium · system design and architecture

Approach

Name the failure you are designing for, then the recovery path.
Name the read and write paths separately; they rarely have the same bottleneck.
Fix the scope first: who calls this, how often, and what they do when it fails.

Follow-up

How does this behave when that dependency is down for an hour?
What breaks first when traffic grows ten times?

How do you approach Java microservices development and security compliance?

Medium

Approach

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 is two-way SSL and how do you implement it securely?

Medium

Approach

Say what you would check first and why it is the highest-information step.
Clarify what is being asked and what a complete answer contains.
State your assumptions explicitly before working the problem.

Follow-up

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

Write the delivery guarantee and replay API for outbound events

Medium · webhooks · at-least-once · ordering

The webhook-delivery service fans events to customer endpoints, tracked in webhook_delivery (subscription_id, tenant_id, event_id, redelivery_seq, status, attempt_count, next_attempt_at, lease_token, last_response_code, payload_digest). Customers are asking for exactly-once and in-order delivery. Write the contract you can actually honour: the guarantee, the headers that make it usable, which customer response codes are retryable, the retry schedule and terminal condition, what happens to an endpoint that has been down for a day, and the shape of the redelivery endpoint. State plainly what you are not promising and what the customer must do instead.

Approach

Refuse exactly-once with the mechanism rather than with policy: the customer's acknowledgement can be lost after they have already committed, so the sender cannot distinguish unprocessed from processed-but-unacknowledged and must retry. The deliverable is at-least-once with a stable event identifier and the customer documented as the deduplicating party.
Price ordering instead of promising it. With parallel attempts per subscription, a retried event overtakes a newer one, so in-order delivery requires a single in-flight attempt per subscription, which turns any slow endpoint into head-of-line blocking for that subscription's whole queue. Offer it per subscription with that cost written down.
Define the response contract from the customer's side: 2xx is accepted, 408, 429 and 5xx are retryable, 410 disables the subscription, and every other 4xx is permanent and terminal. Publish the read timeout and tell the customer to acknowledge first and process asynchronously, since their processing time otherwise consumes your worker occupancy.
Publish the schedule and its end: capped exponential backoff with full jitter, sleeping uniformly in [0, min(cap, base * 2^attempt)] so a mass failure does not re-synchronise the herd, terminal after a stated attempt count or age, plus a per-endpoint circuit breaker that records further deliveries as dropped_circuit_open and notifies the owner rather than burning shared worker capacity.
Shape redelivery as an insert, not a reset: POST to a redeliveries collection with event ids or a time window creates rows at redelivery_seq + 1 carrying the same bytes, which payload_digest lets you prove, leaving the original terminal rows intact as the record of what happened.
Compare the event's tenant against the subscription's tenant at enqueue and again immediately before signing, because cross-tenant delivery originates in an enqueue path that took the subscription from one lookup and the payload from another, not in the worker.

Worked solution (30 min)

Write the guarantee sentence and the one-sentence reason exactly-once is not available over HTTP.
List the headers a customer needs to build their own dedup table: event id, delivery id, attempt number, subscription id, signature and timestamp.
Write the response-code table with four classes and the action for each, including the 410 case.
Write the retry schedule with concrete numbers, the terminal condition, and the breaker's threshold and its effect on the delivery row's status.
Specify the redelivery request and response, and say which columns change and which do not.

Expected result: At-least-once with a stable event id, ordering offered only as an opt-in single-in-flight mode with head-of-line blocking stated, a four-class response table, a jittered capped schedule with a terminal state, and redelivery implemented as new rows at an incremented sequence carrying identical bytes.

Verify it yourself

The customer can deduplicate using headers alone, without parsing the payload.
Nothing in the contract requires the sender to know whether the customer committed.
A day-long outage has a defined end state rather than unbounded retries.
Redelivery leaves the original delivery rows readable as history.

Follow-up

A customer wants everything they missed during their six-hour outage. Do the dropped_circuit_open rows let you answer that, and what retention bound does the answer depend on?
You offer the ordered mode and one customer's endpoint slows to two seconds per request. What do their delivery metrics look like, and what do you owe them in the docs?

A rare job-run overwrite that logging makes disappear

Hard · fencing tokens · leases · concurrency

About one job run in fifty thousand records billable_seconds matching no observed sandbox lifetime, and a few rows show worker_id changing after finished_at was already set. It does not reproduce: debug logging around the terminal write made it vanish for two weeks before it returned. Runs last from 200 ms to 30 minutes, the lease is 60 seconds and is renewed while a run executes. Give an ordered checklist, the mechanism, and a fix that makes the illegal write impossible rather than merely rarer.

Approach

Mine the evidence instead of chasing a repro: select rows where updated_at is later than finished_at, or where a terminal status was written twice, and join them to attempt history to recover both writer identities. The defect has already happened tens of times and the rows are the recording.
State the signature before measuring it. If the cause is a lease that expired while the original worker was stalled, affected runs should cluster where the gap between the last renewal and the terminal write exceeds the lease, and should correlate with worker pause metrics rather than with workload shape.
Read the disappearance honestly. Logging inside the window changed the timing and lowered the probability; it is evidence about how narrow the window is, not a fix. Reproduce by widening the window on purpose, shortening the lease and injecting a pause between sandbox exit and the terminal write, rather than by adding more instrumentation.
Name the mechanism precisely: the lease expires during a stall such as a long garbage-collection pause or a brief partition, the run is re-dispatched, and the original worker then wakes and writes its terminal state over the new attempt's row. A lease alone cannot stop this, because the check and the write are separated by the stall.
Fix by fencing the write itself: UPDATE job_run SET status = $2, finished_at = $3, billable_seconds = $4 WHERE run_id = $1 AND status = 'running' AND lease_token = $5, with zero rows affected interpreted as having been fenced rather than as success. The token lives on the row so the store arbitrates, not the worker's memory.
Keep the state machine honest: a retry inserts a new row pointing at parent_run_id rather than resetting the old one, and a run whose worker vanished terminates as lost with billable_seconds null, because recording failure asserts an outcome nobody observed and then bills and retries on that assertion.

Follow-up

The supervisor also emits a usage event on completion. What does the fenced worker do about the event it already emitted, and how does metering absorb it?
Lease renewal is itself a network call. What happens when a renewal times out, and how does the worker decide whether it still holds the lease?
Why is lengthening the lease past the longest legitimate run the wrong lever, and what breaks if you do it anyway?

Suggested practice checklist

For someone fluent in a dynamic language who has shipped real work but has never had to say what the runtime is doing underneath. The week is built on measuring and deliberately breaking things, because the questions that expose this background are the ones where the interviewer asks why a second time.

Day 1 — Measure before reasoning

Take a slow piece of your own code, write down in advance where you believe the time goes, then profile it and record how wrong the guess was. The cost is usually an allocation you did not notice or an accidental quadratic membership test.
Replace one list membership test inside a loop with a set and measure at a thousand, ten thousand and a hundred thousand elements, confirming the shape of the curve rather than only that it got faster.
Write down the three quantities you can now measure instead of assert: wall time, peak memory, and call count for the function you suspected.

Deliverable: A before-and-after profile of real code plus a written note on the size of the gap between the guess and the measurement.

Day 2 — References, copies, and the bugs they produce

Write the function with a mutable default argument, call it three times, and explain the accumulating result: the default is evaluated once when the function is defined, so every call shares one object.
Build a nested structure, take a shallow copy, mutate an inner element, and show that both views changed, because a shallow copy duplicates the container and not the elements. Then fix it with a deep copy and state the cost you just accepted.
Write two functions, one mutating its argument in place and one rebinding the local name, and predict the caller's view of each before running it. That single distinction produces most of the bugs that pass their tests.

Deliverable: Three small programs whose output you predicted correctly before running, each with a one-line statement of the rule underneath.

Day 3 — Types, once, in a language that checks them

Port one module you have already written, roughly a hundred lines, into a statically typed language, and record every place the compiler demanded an answer your original had left implicit: a value that can be absent, a numeric width, a case never handled.
Write the same signature in both languages and state what the static one guarantees before the program runs and what it does not, since it will not save you from a wrong algorithm or an index out of range.
Write the difference between an interface satisfied by declaration and one satisfied structurally, with one case each where the other approach would miss the mistake.

Deliverable: One module in two languages plus a list of the questions the type checker forced you to answer.

Day 4 — Concurrency, starting with what actually runs at the same time

Run the same CPU-bound function across four threads and four processes and measure both. Under the default CPython build the threaded version will not speed up, because only one thread executes bytecode at a time; the process version will. Check which build you are on first, since free-threaded builds remove that lock and change the result.
Then run a blocking I/O workload across four threads and measure it speeding up, because the interpreter releases that lock around blocking calls, which is why treating threads as useless is wrong as a general claim.
Build the lost update: two threads each incrementing a shared counter a hundred thousand times, and show a final value below the expected sum, because an increment is a load, an add and a store and the thread can be suspended between them. Fix it with a lock and then measure what the lock costs.

Deliverable: Three measurements, threads against processes on CPU work, threads on I/O work, and a demonstrated lost update, each with the mechanism written underneath.

Day 5 — Debugging as a procedure rather than an instinct

Work one real failure as a bisection: find a revision or an input size where it is good and one where it is bad, halve repeatedly, and state the two assumptions bisection needs, that the property changes exactly once across the range and that the test is reliable.
Minimise one failing input to the smallest version that still fails, and record how many rounds it took.
Keep a hypothesis log for one bug in three columns, what I believe, what would disprove it, what I observed, and stop yourself the first time you are about to change two things at once.

Deliverable: One bug worked to root cause with a written hypothesis log and a minimised reproducing input.

Day 6 — Tests that catch the bug you are about to write

Implement an LRU cache with a capacity bound, then write the three test cases that would catch an off-by-one in eviction: insert exactly capacity items and assert nothing was evicted, insert one more and assert the least recently used key is the one gone, and read an old key just before that insert so the eviction victim changes.
Add a property test comparing your implementation against a deliberately slow reference, an ordered list scanned linearly, over a few thousand random operation sequences, because a slow reference finds the cases you would not have thought to write.
Write one numeric test that fails under exact equality and passes with a tolerance, and state why the tolerance has to be relative rather than absolute once the magnitudes grow.

Deliverable: An LRU implementation with three boundary tests, one property test against a slow reference, and one tolerance-based numeric test.

Day 7 — Debug something broken, out loud

Have someone plant three defects in a two-hundred-line program, an off-by-one, a shared mutable state bug, and a wrong error-handling path, then find them while narrating, under a fixed rule: state the hypothesis before touching anything.
Time each one and record which tool found it, reading, a printed value, a debugger, or a test, because the question asked in interviews is how you would find it rather than what it was.
Write the sentence you will use when you do not yet know the cause, one that names the next measurement instead of offering a guess.

Deliverable: A recorded debugging session with time-to-find per defect and the method that found each.

The estimate and the day you knew

A slipped date is only a bad story if you sat on it. What matters is what you believed when you gave the number, the signal that told you it was wrong, how many days passed before you said so, and what you cut rather than asking for more time. Scope you defended counts as much as scope you dropped.

Why do you want to work at Kaiser Permanente and contribute to healthcare technology?

Medium · behavioural and engineering judgement

Approach

Give the blast radius: what could have broken, and what you measured.
Name the disagreement and how you resolved it with evidence.
State the situation in two sentences and spend the rest on the reasoning.

Follow-up

How did you know your change caused the improvement?
What would you do differently if you ran that again?

What is one of the most challenging projects you have worked on, and how did you overcome obstacles?

Medium · behavioural and engineering judgement

Approach

Give the blast radius: what could have broken, and what you measured.
State the situation in two sentences and spend the rest on the reasoning.
Name the disagreement and how you resolved it with evidence.

Follow-up

What did you decide not to do, and why?
How did you know your change caused the improvement?

Estimate a tenant-leading index migration you have never run

Hard · estimation · online migration · index builds · uncertainty

Someone needs a date. usage_event carries an index on (occurred_at) and needs (tenant_id, occurred_at); the largest tenant holds roughly a hundred times the median tenant's rows, the table is partitioned daily with years of retention, and you have never run a migration on a table this large. Give an estimate you would defend: how you decompose the work, the two or three numbers you would go and measure first, the range and confidence you state, and what you commit to when the person asking needs a single date today.

Approach

Refuse the bare number and then give one anyway, in the form that is actually useful: a range plus the measurement that collapses it. 'Four to eleven days; one afternoon building this index on a restored copy of the largest partition takes that to within a day' is an answer, while 'it depends' is not.
Decompose by failure mode rather than into equal chunks, because that is where estimates go wrong. On a partitioned parent you create the index ON ONLY the parent, build each partition's index with CREATE INDEX CONCURRENTLY, then ALTER INDEX ... ATTACH PARTITION, at which point the parent index becomes valid. CONCURRENTLY does not block writes but scans each partition twice, waits out older transactions, cannot run inside a transaction block, and on failure leaves an invalid index you must drop concurrently and retry.
Name the two unknowns that dominate and price them: build time on one restored partition of realistic size, and whether the planner actually chooses the new index for the skewed tenant, since selectivity for a tenant holding most of the rows is a different question from selectivity for the median tenant. Both are half-day measurements against a replica, and both are cheaper than being wrong by a week.
State the assumptions the range is conditional on, because that is what makes a slip a re-estimate instead of a credibility event: no partition above a stated row count, one concurrent build at a time so it does not compete with ingest for I/O, and an ingest backlog that can absorb the added write amplification while both indexes exist.
Budget the step nobody budgets: verification and the old index's removal. Dropping the old index is fast, but deciding it is safe to drop means confirming no plan still uses it, and that confirmation waits on real traffic across a full weekly cycle rather than on your patience.
Answer the single-date request honestly. Commit to a date for the first checkpoint — the measured build number from the replica — and to re-estimating on that date, and say plainly what you are not committing to yet. A date with a scheduled re-estimate is worth more to the asker than a confident wrong one, and you should say why in those words.

Follow-up

The concurrent build fails half way through the largest partition. What is the state of the database and what do you do next?
Your estimate slips by sixty percent. Which assumption broke, and at what point would you have known?
The person asking needs the date for a customer commitment. Does your answer change?